No office rate
Choose 29845 when the synovectomy is partial. Code 29844 represents complete removal of wrist synovium.
On this page
CMS RVU26D · Effective 2026-10-01
29845 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$540.16
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic surgery
About 29845: Wrist arthroscopic partial synovectomy
Reports arthroscopic removal of part of the wrist synovium when diseased or inflamed tissue requires surgical treatment.
An orthopedic or hand surgeon uses a wrist arthroscope and instruments to remove a portion of abnormal synovial tissue lining the joint. The procedure may be performed for persistent wrist synovitis, including proliferative tissue associated with inflammatory disease. It is generally done in an operating room, such as a hospital outpatient department or ambulatory surgery center. The operative report should identify the treated wrist, the synovial abnormality, and the tissue removed.
Select this code when the surgeon performs a partial arthroscopic synovectomy; a complete synovectomy is represented by a different wrist arthroscopy code. Document the extent of tissue removal and any distinct procedures performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. For bilateral reporting, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 29845
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.50 · 46%
- Practice expense (office) RVU7.42 · 45%
- Malpractice RVU1.45 · 9%
248
Medicare services in 2024 · #4144 by national volume
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.
29845 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
29843 is for arthroscopic lavage and drainage in an infected wrist. It is not the code for partial synovial tissue removal.
No office rate
29846 addresses triangular fibrocartilage treatment or wrist joint debridement; use 29845 when the documented work is partial synovectomy.
No office rate
29840 describes diagnostic wrist arthroscopy. Use 29845 when the surgeon performs partial synovial tissue removal.
The same code, a different location
How does Delaware compare?
29845 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 29845
Office
Unavailable
Facility
$494.77
No comparable office rate is available.
Arkansas
Arkansas · 29845
Office
Unavailable
Facility
$488.34
No comparable office rate is available.
Arizona
Arizona · 29845
Office
Unavailable
Facility
$532.12
No comparable office rate is available.
Bakersfield
California · 29845
Office
Unavailable
Facility
$556.39
No comparable office rate is available.
Chico
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
El Centro
California · 29845
Office
Unavailable
Facility
$552.59
No comparable office rate is available.
Fresno
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Hanford-Corcoran
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Madera
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Merced
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Modesto
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Napa
California · 29845
Office
Unavailable
Facility
$617.54
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 29845
Office
Unavailable
Facility
$580.63
No comparable office rate is available.
Redding
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Rest Of California
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 29845
Office
Unavailable
Facility
$567.95
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 29845
Office
Unavailable
Facility
$573.72
No comparable office rate is available.
Salinas
California · 29845
Office
Unavailable
Facility
$571.47
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 29845
Office
Unavailable
Facility
$580.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 29845
Office
Unavailable
Facility
$645.98
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 29845
Office
Unavailable
Facility
$644.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 29845
Office
Unavailable
Facility
$661.40
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 29845
Office
Unavailable
Facility
$654.67
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 29845
Office
Unavailable
Facility
$563.01
No comparable office rate is available.
Santa Cruz-Watsonville
California · 29845
Office
Unavailable
Facility
$582.85
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 29845
Office
Unavailable
Facility
$572.46
No comparable office rate is available.
Santa Rosa-Petaluma
California · 29845
Office
Unavailable
Facility
$588.32
No comparable office rate is available.
Stockton
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Vallejo
California · 29845
Office
Unavailable
Facility
$615.16
No comparable office rate is available.
Visalia
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Yuba City
California · 29845
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
Colorado
Colorado · 29845
Office
Unavailable
Facility
$555.03
No comparable office rate is available.
Connecticut
Connecticut · 29845
Office
Unavailable
Facility
$581.04
No comparable office rate is available.
Fort Lauderdale
Florida · 29845
Office
Unavailable
Facility
$589.13
No comparable office rate is available.
Rest Of Florida
Florida · 29845
Office
Unavailable
Facility
$560.23
No comparable office rate is available.
Atlanta
Georgia · 29845
Office
Unavailable
Facility
$561.22
No comparable office rate is available.
Rest Of Georgia
Georgia · 29845
Office
Unavailable
Facility
$529.31
No comparable office rate is available.
Hawaii, Guam
Hawaii · 29845
Office
Unavailable
Facility
$560.34
No comparable office rate is available.
Iowa
Iowa · 29845
Office
Unavailable
Facility
$496.50
No comparable office rate is available.
Idaho
Idaho · 29845
Office
Unavailable
Facility
$501.42
No comparable office rate is available.
East St. Louis
Illinois · 29845
Office
Unavailable
Facility
$576.06
No comparable office rate is available.
Rest Of Illinois
Illinois · 29845
Office
Unavailable
Facility
$552.48
No comparable office rate is available.
Suburban Chicago
Illinois · 29845
Office
Unavailable
Facility
$592.61
No comparable office rate is available.
Indiana
Indiana · 29845
Office
Unavailable
Facility
$503.79
No comparable office rate is available.
Kansas
Kansas · 29845
Office
Unavailable
Facility
$498.96
No comparable office rate is available.
Kentucky
Kentucky · 29845
Office
Unavailable
Facility
$515.15
No comparable office rate is available.
New Orleans
Louisiana · 29845
Office
Unavailable
Facility
$538.74
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 29845
Office
Unavailable
Facility
$516.24
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 29845
Office
Unavailable
Facility
$599.80
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 29845
Office
Unavailable
Facility
$554.08
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 29845
Office
Unavailable
Facility
$580.35
No comparable office rate is available.
Rest Of Maryland
Maryland · 29845
Office
Unavailable
Facility
$548.28
No comparable office rate is available.
Rest Of Maine
Maine · 29845
Office
Unavailable
Facility
$508.64
No comparable office rate is available.
Southern Maine
Maine · 29845
Office
Unavailable
Facility
$526.67
No comparable office rate is available.
Detroit
Michigan · 29845
Office
Unavailable
Facility
$571.32
No comparable office rate is available.
Rest Of Michigan
Michigan · 29845
Office
Unavailable
Facility
$531.46
No comparable office rate is available.
Minnesota
Minnesota · 29845
Office
Unavailable
Facility
$519.86
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 29845
Office
Unavailable
Facility
$530.54
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 29845
Office
Unavailable
Facility
$534.97
No comparable office rate is available.
Rest Of Missouri
Missouri · 29845
Office
Unavailable
Facility
$511.31
No comparable office rate is available.
Mississippi
Mississippi · 29845
Office
Unavailable
Facility
$499.68
No comparable office rate is available.
Montana**
Montana · 29845
Office
Unavailable
Facility
$546.68
No comparable office rate is available.
North Carolina
North Carolina · 29845
Office
Unavailable
Facility
$512.68
No comparable office rate is available.
North Dakota**
North Dakota · 29845
Office
Unavailable
Facility
$518.00
No comparable office rate is available.
Nebraska
Nebraska · 29845
Office
Unavailable
Facility
$497.57
No comparable office rate is available.
New Hampshire
New Hampshire · 29845
Office
Unavailable
Facility
$550.88
No comparable office rate is available.
Northern Nj
New Jersey · 29845
Office
Unavailable
Facility
$605.50
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 29845
Office
Unavailable
Facility
$584.29
No comparable office rate is available.
New Mexico
New Mexico · 29845
Office
Unavailable
Facility
$535.94
No comparable office rate is available.
Nevada**
Nevada · 29845
Office
Unavailable
Facility
$538.93
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 29845
Office
Unavailable
Facility
$651.15
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 29845
Office
Unavailable
Facility
$591.76
No comparable office rate is available.
Queens
New York · 29845
Office
Unavailable
Facility
$629.32
No comparable office rate is available.
Rest Of New York
New York · 29845
Office
Unavailable
Facility
$520.00
No comparable office rate is available.
Ohio
Ohio · 29845
Office
Unavailable
Facility
$525.60
No comparable office rate is available.
Oklahoma
Oklahoma · 29845
Office
Unavailable
Facility
$509.45
No comparable office rate is available.
Portland
Oregon · 29845
Office
Unavailable
Facility
$565.89
No comparable office rate is available.
Rest Of Oregon
Oregon · 29845
Office
Unavailable
Facility
$531.40
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 29845
Office
Unavailable
Facility
$570.79
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 29845
Office
Unavailable
Facility
$523.79
No comparable office rate is available.
Puerto Rico
Puerto Rico · 29845
Office
Unavailable
Facility
$548.77
No comparable office rate is available.
Rhode Island
Rhode Island · 29845
Office
Unavailable
Facility
$554.48
No comparable office rate is available.
South Carolina
South Carolina · 29845
Office
Unavailable
Facility
$520.67
No comparable office rate is available.
South Dakota**
South Dakota · 29845
Office
Unavailable
Facility
$514.61
No comparable office rate is available.
Tennessee
Tennessee · 29845
Office
Unavailable
Facility
$501.80
No comparable office rate is available.
Austin
Texas · 29845
Office
Unavailable
Facility
$556.13
No comparable office rate is available.
Beaumont
Texas · 29845
Office
Unavailable
Facility
$521.03
No comparable office rate is available.
Brazoria
Texas · 29845
Office
Unavailable
Facility
$535.89
No comparable office rate is available.
Dallas
Texas · 29845
Office
Unavailable
Facility
$541.16
No comparable office rate is available.
Fort Worth
Texas · 29845
Office
Unavailable
Facility
$539.31
No comparable office rate is available.
Galveston
Texas · 29845
Office
Unavailable
Facility
$538.71
No comparable office rate is available.
Houston
Texas · 29845
Office
Unavailable
Facility
$565.25
No comparable office rate is available.
Rest Of Texas
Texas · 29845
Office
Unavailable
Facility
$529.44
No comparable office rate is available.
Utah
Utah · 29845
Office
Unavailable
Facility
$526.96
No comparable office rate is available.
Virginia
Virginia · 29845
Office
Unavailable
Facility
$528.32
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 29845
Office
Unavailable
Facility
$548.77
No comparable office rate is available.
Vermont
Vermont · 29845
Office
Unavailable
Facility
$520.37
No comparable office rate is available.
Rest Of Washington
Washington · 29845
Office
Unavailable
Facility
$551.59
No comparable office rate is available.
Seattle (King Cnty)
Washington · 29845
Office
Unavailable
Facility
$606.69
No comparable office rate is available.
Wisconsin
Wisconsin · 29845
Office
Unavailable
Facility
$502.85
No comparable office rate is available.
West Virginia
West Virginia · 29845
Office
Unavailable
Facility
$535.18
No comparable office rate is available.
Wyoming**
Wyoming · 29845
Office
Unavailable
Facility
$534.18
No comparable office rate is available.
See how rates vary across the country
29845 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 29845 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$594.18
$540.16 × 110% = $594.18
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 29845 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,338
- Code
- 29845
- Physician work
- 7.50
- Practice expense
- 7.42
- Malpractice
- 1.45
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.50 | × 1.005 | 7.5375 |
| Practice expense | 7.42 | × 0.988 | 7.3310 |
| Malpractice | 1.45 | × 0.899 | 1.3035 |
| Total RVUs | 16.1720 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$540.16
Open 29845 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.5 | 1.005 |
| Practice expense | 7.42 | 0.988 |
| Malpractice | 1.45 | 0.899 |
(7.5 × 1.005 + 7.42 × 0.988 + 1.45 × 0.899) × $33.4009 = $540.16
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
29845 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $540.16 | RVU26D |
| 2026-07-01 | Not available in this setting | $540.16 | RVU26C |
| 2026-04-01 | Not available in this setting | $540.16 | RVU26B |
| 2026-01-01 | Not available in this setting | $540.16 | RVU26A |
| 2025-10-01 | Not available in this setting | $581.05 | RVU25D |
| 2025-07-01 | Not available in this setting | $581.05 | RVU25C |
| 2025-04-01 | Not available in this setting | $581.05 | RVU25B |
| 2025-01-01 | Not available in this setting | $581.05 | RVU25A |
29845 billing questions
How does this differ from code 29844?
This code represents partial removal of wrist synovium. Code 29844 is used when the surgeon performs a complete synovectomy.
When would code 29843 be more appropriate?
Code 29843 describes wrist arthroscopy for lavage and drainage in an infection setting. Use this code for partial synovial tissue removal instead.
What documentation supports partial synovectomy?
Document the synovial disease or abnormality, the wrist treated, and the arthroscopic work showing that only part of the synovium was removed.
How is bilateral wrist surgery reported?
CMS pays bilateral reporting with modifier 50 at 150%. The operative documentation should support treatment of both wrists.
What payment rules apply when other endoscopies are performed in the same session?
CMS applies endoscopy family pricing when related endoscopies are performed together. The code also has a 90-day global period; related postoperative care is included.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,33529840,,Wrist arthroscopy,A,,5.54,6.48,NA,6.48,,1.19,13.21,13.21,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,33629843,,Wrist arthroscopy/surgery,A,,6.00,6.78,NA,6.78,,1.28,14.06,14.06,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29840,33.4009,09,0,99,0.00,0.00,0.00
3,33729844,,Wrist arthroscopy/surgery,A,,6.35,6.50,NA,6.50,,1.25,14.10,14.10,0,090,0.10,0.69,0.21,3,1,2,0,0,9,29840,33.4009,09,0,99,0.00,0.00,0.00
3,33829845,,Wrist arthroscopy/surgery,A,,7.50,7.42,NA,7.42,,1.45,16.37,16.37,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29840,33.4009,09,0,99,0.00,0.00,0.00
3,33929846,,Wrist arthroscopy/surgery,A,,6.72,6.60,NA,6.60,,1.29,14.61,14.61,0,090,0.10,0.69,0.21,3,1,0,0,0,9,29840,33.4009,09,0,99,0.00,0.00,0.00
3,34029847,,Wrist arthroscopy/surgery,A,,7.04,6.95,NA,6.95,,1.49,15.48,15.48,0,090,0.10,0.69,0.21,3,1,2,0,0,9,29840,33.4009,09,0,99,0.00,0.00,0.00
3,34129848,,Wrist endoscopy/surgery,A,,6.23,7.10,NA,7.10,,1.21,14.54,14.54,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503