Billing code 29907: Subtalar fusionMedicare rate & RVUs

Arthroscopic subtalar arthrodesis is reported when a surgeon prepares and fuses the subtalar joint through arthroscopic access.

CMS RVU26DEffective Oct 1, 2026109 payment localities73 Medicare services in 2024

Medicare pays $819.99 for 29907 nationally in a facility.

Medicare rate · 29907

Subtalar fusion

Swap in your local Medicare rate.

Work RVUs
11.88
Total RVUs
24.55
Global days
090

National rate · 2026

$819.99

Facility setting, before claim adjustments.

See every locality for 29907 → · Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 29907 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 29907 covers

An orthopedic foot and ankle surgeon uses arthroscopic portals to access the subtalar joint, prepare the joint surfaces for fusion, and stabilize the joint. The operation treats conditions for which subtalar fusion is indicated, such as painful arthritis or deformity involving the joint. It is generally performed in a hospital outpatient department or ambulatory surgery center; CMS recorded facility services for this code in 2024.

Report this code when the operative work includes arthroscopically performed subtalar arthrodesis, not merely diagnostic inspection or another subtalar arthroscopy procedure. The operative report should identify the joint and side, describe arthroscopic joint preparation and fusion, and document fixation and any graft used. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 29907 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

29907 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$740.98
Alaska*Unavailable$1,002.47
ArizonaUnavailable$797.32
ArkansasUnavailable$731.25
AtlantaUnavailable$843.59
AustinUnavailable$830.80
BakersfieldUnavailable$827.00
Baltimore/Surr. CntysUnavailable$871.09
BeaumontUnavailable$783.51
BrazoriaUnavailable$801.53

29907 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

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29907 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 29907 rate is calculated

Each of 29907’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 29907

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 11.88Practice expense 10.14Malpractice 2.53

24.5500 adjusted RVUs×$33.4009 conversion factor=$819.99

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 29907

29907 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 29907

Subtalar fusion

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 29907

Subtalar fusion

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

29907 without 50 · national facility

$819.99

Subtalar fusion

29907-50 · Bilateral: 150%

$1,229.99

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

29907 compared with similar codes

Compare codes

29907 vs 28725 vs 29904 vs 29905 vs 29906: national Medicare rates

Swap in your local Medicare rate.

  • 29907
    Subtalar fusion · 11.88 wRVU
    —
  • 28725
    Subtalar fusion · 10.94 wRVU
    —
  • 29904
    Subtalar arthroscopy · 8.43 wRVU
    —
  • 29905
    Subtalar arthroscopy · 8.95 wRVU
    —
  • 29906
    Subtalar arthroscopy · 9.41 wRVU
    —

How to choose

28725Subtalar fusion
Choose 29907 for arthroscopically performed subtalar fusion. Code 28725 represents subtalar arthrodesis without the arthroscopic approach.
29904Subtalar arthroscopy
29904 describes subtalar arthroscopy with removal of a loose body or foreign body; 29907 is for arthroscopic subtalar fusion.
29905Subtalar arthroscopy
29905 represents subtalar arthroscopy with excision. Use 29907 when the documented arthroscopic work includes subtalar arthrodesis.
29906Subtalar arthroscopy
29906 describes subtalar arthroscopy with debridement, not fusion. The documented operative objective distinguishes it from 29907.

29907 billing questions

When should 29907 be selected instead of another subtalar arthroscopy code?

Use 29907 when the arthroscopic procedure includes fusion of the subtalar joint. Codes for removal of a loose body, excision, or debridement describe different operative work.

Is subtalar fusion reported with modifier 50 when both sides are treated?

CMS lists this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%. Document the work performed on each side.

How does the multiple-procedure rule affect payment?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What documentation supports reporting 29907?

The operative report should establish arthroscopic access, subtalar joint preparation for fusion, and the fusion performed. Include laterality and describe fixation and any graft used.

Can an assistant-at-surgery or co-surgeon be reported?

Assistant-at-surgery payment may be available. CMS does not permit co-surgeons or team surgery for this code.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 29907PPRRVU2026_Oct_nonQPP.csv, line 3,385 (RVU26D)

Open CMS sourceHow we calculate rates

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