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CMS RVU26D · Effective 2026-10-01

29861 in Delaware

Office / nonfacility

Not available in this setting

Base rate per service

Facility setting

$649.62

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 29861: Hip arthroscopy with loose body removal

Arthroscopic hip surgery to extract an intra-articular loose or foreign body, such as a fragment that is causing symptoms or limiting joint motion.

An orthopedic surgeon uses a camera and instruments through small incisions to inspect the hip joint and remove a loose fragment or foreign object from within it. The procedure is generally performed in a hospital outpatient department or ambulatory surgery center when imaging and clinical findings support removal; the operative report should identify the material removed and the arthroscopic work performed.

Report this service when arthroscopic removal is the therapeutic work, rather than a diagnostic examination alone or treatment directed primarily at debridement or synovectomy. Documentation should establish the intra-articular finding and its removal. 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 surgery, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 29861

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 RVU9.85 · 50%
  • Practice expense (office) RVU8.01 · 41%
  • Malpractice RVU1.82 · 9%

94

Medicare services in 2024 · #4927 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.

29861 compared with similar codes

Office rates for Delaware, from the same CMS release.

29860

Hip arthroscopy

Diagnostic only

No office rate

29860 is for diagnostic hip arthroscopy. Use 29861 when the arthroscopic work includes removal of a loose or foreign body.

29862

Hip arthroscopy

Debridement of labrum or cartilage

No office rate

29862 describes hip arthroscopic debridement. 29861 identifies arthroscopic removal of a loose or foreign body.

29863

Hip arthroscopy

With synovectomy

No office rate

29863 describes hip arthroscopic synovectomy. 29861 is selected for removal of a loose or foreign body.

29874

Knee arthroscopy

Loose or foreign body

No office rate

29874 addresses arthroscopic removal of a loose or foreign body in the knee; 29861 is for the hip.

The same code, a different location

How does Delaware compare?

29861 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    Unavailable

  2. No comparable rate is available in this setting.

  3. No comparable rate is available in this setting.

  4. Miami

    Unavailable

    No comparable rate is available in this setting.

  5. Chicago

    Unavailable

    No comparable rate is available in this setting.

  6. Manhattan

    Unavailable

    No comparable rate is available in this setting.

  7. Alaska*

    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 · 29861

    Office

    Unavailable

    Facility

    $597.50

    No comparable office rate is available.

  • Arkansas

    Arkansas · 29861

    Office

    Unavailable

    Facility

    $590.12

    No comparable office rate is available.

  • Arizona

    Arizona · 29861

    Office

    Unavailable

    Facility

    $640.28

    No comparable office rate is available.

  • Bakersfield

    California · 29861

    Office

    Unavailable

    Facility

    $665.50

    No comparable office rate is available.

  • Chico

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • El Centro

    California · 29861

    Office

    Unavailable

    Facility

    $660.70

    No comparable office rate is available.

  • Fresno

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Hanford-Corcoran

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Madera

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Merced

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Modesto

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Napa

    California · 29861

    Office

    Unavailable

    Facility

    $733.23

    No comparable office rate is available.

  • Oxnard-Thousand Oaks-Ventura

    California · 29861

    Office

    Unavailable

    Facility

    $692.32

    No comparable office rate is available.

  • Redding

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Rest Of California

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Riverside-San Bernardino-Ontario

    California · 29861

    Office

    Unavailable

    Facility

    $680.00

    No comparable office rate is available.

  • Sacramento-Roseville-Folsom

    California · 29861

    Office

    Unavailable

    Facility

    $684.58

    No comparable office rate is available.

  • Salinas

    California · 29861

    Office

    Unavailable

    Facility

    $681.86

    No comparable office rate is available.

  • San Diego-Chula Vista-Carlsbad

    California · 29861

    Office

    Unavailable

    Facility

    $691.80

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 29861

    Office

    Unavailable

    Facility

    $765.39

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 29861

    Office

    Unavailable

    Facility

    $763.32

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 29861

    Office

    Unavailable

    Facility

    $783.57

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 29861

    Office

    Unavailable

    Facility

    $775.12

    No comparable office rate is available.

  • San Luis Obispo-Paso Robles

    California · 29861

    Office

    Unavailable

    Facility

    $671.90

    No comparable office rate is available.

  • Santa Cruz-Watsonville

    California · 29861

    Office

    Unavailable

    Facility

    $693.55

    No comparable office rate is available.

  • Santa Maria-Santa Barbara

    California · 29861

    Office

    Unavailable

    Facility

    $682.75

    No comparable office rate is available.

  • Santa Rosa-Petaluma

    California · 29861

    Office

    Unavailable

    Facility

    $699.99

    No comparable office rate is available.

  • Stockton

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Vallejo

    California · 29861

    Office

    Unavailable

    Facility

    $730.25

    No comparable office rate is available.

  • Visalia

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Yuba City

    California · 29861

    Office

    Unavailable

    Facility

    $660.40

    No comparable office rate is available.

  • Colorado

    Colorado · 29861

    Office

    Unavailable

    Facility

    $665.09

    No comparable office rate is available.

  • Connecticut

    Connecticut · 29861

    Office

    Unavailable

    Facility

    $697.28

    No comparable office rate is available.

  • Fort Lauderdale

    Florida · 29861

    Office

    Unavailable

    Facility

    $709.93

    No comparable office rate is available.

  • Rest Of Florida

    Florida · 29861

    Office

    Unavailable

    Facility

    $676.14

    No comparable office rate is available.

  • Atlanta

    Georgia · 29861

    Office

    Unavailable

    Facility

    $674.82

    No comparable office rate is available.

  • Rest Of Georgia

    Georgia · 29861

    Office

    Unavailable

    Facility

    $640.11

    No comparable office rate is available.

  • Hawaii, Guam

    Hawaii · 29861

    Office

    Unavailable

    Facility

    $668.39

    No comparable office rate is available.

  • Iowa

    Iowa · 29861

    Office

    Unavailable

    Facility

    $597.93

    No comparable office rate is available.

  • Idaho

    Idaho · 29861

    Office

    Unavailable

    Facility

    $603.89

    No comparable office rate is available.

  • East St. Louis

    Illinois · 29861

    Office

    Unavailable

    Facility

    $697.57

    No comparable office rate is available.

  • Rest Of Illinois

    Illinois · 29861

    Office

    Unavailable

    Facility

    $668.28

    No comparable office rate is available.

  • Suburban Chicago

    Illinois · 29861

    Office

    Unavailable

    Facility

    $713.79

    No comparable office rate is available.

  • Indiana

    Indiana · 29861

    Office

    Unavailable

    Facility

    $606.55

    No comparable office rate is available.

  • Kansas

    Kansas · 29861

    Office

    Unavailable

    Facility

    $601.49

    No comparable office rate is available.

  • Kentucky

    Kentucky · 29861

    Office

    Unavailable

    Facility

    $622.47

    No comparable office rate is available.

  • New Orleans

    Louisiana · 29861

    Office

    Unavailable

    Facility

    $649.81

    No comparable office rate is available.

  • Rest Of Louisiana

    Louisiana · 29861

    Office

    Unavailable

    Facility

    $624.01

    No comparable office rate is available.

  • Metropolitan Boston

    Massachusetts · 29861

    Office

    Unavailable

    Facility

    $716.03

    No comparable office rate is available.

  • Rest Of Massachusetts

    Massachusetts · 29861

    Office

    Unavailable

    Facility

    $664.43

    No comparable office rate is available.

  • Baltimore/Surr. Cntys

    Maryland · 29861

    Office

    Unavailable

    Facility

    $696.53

    No comparable office rate is available.

  • Rest Of Maryland

    Maryland · 29861

    Office

    Unavailable

    Facility

    $658.85

    No comparable office rate is available.

  • Rest Of Maine

    Maine · 29861

    Office

    Unavailable

    Facility

    $612.95

    No comparable office rate is available.

  • Southern Maine

    Maine · 29861

    Office

    Unavailable

    Facility

    $632.49

    No comparable office rate is available.

  • Detroit

    Michigan · 29861

    Office

    Unavailable

    Facility

    $689.67

    No comparable office rate is available.

  • Rest Of Michigan

    Michigan · 29861

    Office

    Unavailable

    Facility

    $641.90

    No comparable office rate is available.

  • Minnesota

    Minnesota · 29861

    Office

    Unavailable

    Facility

    $622.29

    No comparable office rate is available.

  • Metropolitan Kansas City

    Missouri · 29861

    Office

    Unavailable

    Facility

    $639.61

    No comparable office rate is available.

  • Metropolitan St. Louis

    Missouri · 29861

    Office

    Unavailable

    Facility

    $644.61

    No comparable office rate is available.

  • Rest Of Missouri

    Missouri · 29861

    Office

    Unavailable

    Facility

    $618.83

    No comparable office rate is available.

  • Mississippi

    Mississippi · 29861

    Office

    Unavailable

    Facility

    $604.28

    No comparable office rate is available.

  • Montana**

    Montana · 29861

    Office

    Unavailable

    Facility

    $657.21

    No comparable office rate is available.

  • North Carolina

    North Carolina · 29861

    Office

    Unavailable

    Facility

    $617.46

    No comparable office rate is available.

  • North Dakota**

    North Dakota · 29861

    Office

    Unavailable

    Facility

    $621.22

    No comparable office rate is available.

  • Nebraska

    Nebraska · 29861

    Office

    Unavailable

    Facility

    $598.92

    No comparable office rate is available.

  • New Hampshire

    New Hampshire · 29861

    Office

    Unavailable

    Facility

    $660.70

    No comparable office rate is available.

  • Northern Nj

    New Jersey · 29861

    Office

    Unavailable

    Facility

    $725.00

    No comparable office rate is available.

  • Rest Of New Jersey

    New Jersey · 29861

    Office

    Unavailable

    Facility

    $701.00

    No comparable office rate is available.

  • New Mexico

    New Mexico · 29861

    Office

    Unavailable

    Facility

    $647.34

    No comparable office rate is available.

  • Nevada**

    Nevada · 29861

    Office

    Unavailable

    Facility

    $647.45

    No comparable office rate is available.

  • Nyc Suburbs/Long Island

    New York · 29861

    Office

    Unavailable

    Facility

    $781.05

    No comparable office rate is available.

  • Poughkpsie/N Nyc Suburbs

    New York · 29861

    Office

    Unavailable

    Facility

    $710.32

    No comparable office rate is available.

  • Queens

    New York · 29861

    Office

    Unavailable

    Facility

    $753.95

    No comparable office rate is available.

  • Rest Of New York

    New York · 29861

    Office

    Unavailable

    Facility

    $625.90

    No comparable office rate is available.

  • Ohio

    Ohio · 29861

    Office

    Unavailable

    Facility

    $634.54

    No comparable office rate is available.

  • Oklahoma

    Oklahoma · 29861

    Office

    Unavailable

    Facility

    $615.15

    No comparable office rate is available.

  • Portland

    Oregon · 29861

    Office

    Unavailable

    Facility

    $676.73

    No comparable office rate is available.

  • Rest Of Oregon

    Oregon · 29861

    Office

    Unavailable

    Facility

    $638.21

    No comparable office rate is available.

  • Metropolitan Philadelphia

    Pennsylvania · 29861

    Office

    Unavailable

    Facility

    $685.95

    No comparable office rate is available.

  • Rest Of Pennsylvania

    Pennsylvania · 29861

    Office

    Unavailable

    Facility

    $632.05

    No comparable office rate is available.

  • Puerto Rico

    Puerto Rico · 29861

    Office

    Unavailable

    Facility

    $659.36

    No comparable office rate is available.

  • Rhode Island

    Rhode Island · 29861

    Office

    Unavailable

    Facility

    $665.84

    No comparable office rate is available.

  • South Carolina

    South Carolina · 29861

    Office

    Unavailable

    Facility

    $627.88

    No comparable office rate is available.

  • South Dakota**

    South Dakota · 29861

    Office

    Unavailable

    Facility

    $616.97

    No comparable office rate is available.

  • Tennessee

    Tennessee · 29861

    Office

    Unavailable

    Facility

    $604.84

    No comparable office rate is available.

  • Austin

    Texas · 29861

    Office

    Unavailable

    Facility

    $666.58

    No comparable office rate is available.

  • Beaumont

    Texas · 29861

    Office

    Unavailable

    Facility

    $628.93

    No comparable office rate is available.

  • Brazoria

    Texas · 29861

    Office

    Unavailable

    Facility

    $644.18

    No comparable office rate is available.

  • Dallas

    Texas · 29861

    Office

    Unavailable

    Facility

    $650.59

    No comparable office rate is available.

  • Fort Worth

    Texas · 29861

    Office

    Unavailable

    Facility

    $648.70

    No comparable office rate is available.

  • Galveston

    Texas · 29861

    Office

    Unavailable

    Facility

    $647.63

    No comparable office rate is available.

  • Houston

    Texas · 29861

    Office

    Unavailable

    Facility

    $680.95

    No comparable office rate is available.

  • Rest Of Texas

    Texas · 29861

    Office

    Unavailable

    Facility

    $637.79

    No comparable office rate is available.

  • Utah

    Utah · 29861

    Office

    Unavailable

    Facility

    $635.08

    No comparable office rate is available.

  • Virginia

    Virginia · 29861

    Office

    Unavailable

    Facility

    $634.91

    No comparable office rate is available.

  • Virgin Islands

    United States Virgin Islands · 29861

    Office

    Unavailable

    Facility

    $659.36

    No comparable office rate is available.

  • Vermont

    Vermont · 29861

    Office

    Unavailable

    Facility

    $624.62

    No comparable office rate is available.

  • Rest Of Washington

    Washington · 29861

    Office

    Unavailable

    Facility

    $661.26

    No comparable office rate is available.

  • Seattle (King Cnty)

    Washington · 29861

    Office

    Unavailable

    Facility

    $723.39

    No comparable office rate is available.

  • Wisconsin

    Wisconsin · 29861

    Office

    Unavailable

    Facility

    $604.03

    No comparable office rate is available.

  • West Virginia

    West Virginia · 29861

    Office

    Unavailable

    Facility

    $648.48

    No comparable office rate is available.

  • Wyoming**

    Wyoming · 29861

    Office

    Unavailable

    Facility

    $641.52

    No comparable office rate is available.

See how rates vary across the country

29861 · 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 / territoryRate 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

Explore 29861 on the national rate map →

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 29861 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$714.58

$649.62 × 110% = $714.58

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.

Compare your contract offer →

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 29861 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,347

Code
29861
Physician work
9.85
Practice expense
8.01
Malpractice
1.82

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 29861 in Delaware
ComponentRVULocality factorAdjusted
Physician work9.85× 1.0059.8992
Practice expense8.01× 0.9887.9139
Malpractice1.82× 0.8991.6362
Total RVUs19.4493
Conversion factor× 33.4009

Facility rate, Delaware$649.62

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 29861 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.851.005
Practice expense8.010.988
Malpractice1.820.899

(9.85 × 1.005 + 8.01 × 0.988 + 1.82 × 0.899) × $33.4009 = $649.62

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

29861 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01Not available in this setting$649.62RVU26D
2026-07-01Not available in this setting$649.62RVU26C
2026-04-01Not available in this setting$649.62RVU26B
2026-01-01Not available in this setting$649.62RVU26A
2025-10-01Not available in this setting$684.78RVU25D
2025-07-01Not available in this setting$684.78RVU25C
2025-04-01Not available in this setting$684.78RVU25B
2025-01-01Not available in this setting$684.78RVU25A

29861 billing questions

How does this differ from diagnostic hip arthroscopy?

Use 29861 when the arthroscopic procedure removes a loose or foreign body. A diagnostic hip arthroscopy is the appropriate service when the work is examination rather than therapeutic removal.

Can diagnostic hip arthroscopy be reported separately with this procedure?

The diagnostic inspection is part of the operative arthroscopy when removal is performed; do not separately report 29860 for that same hip and session.

When does 29862 describe the work instead?

29862 describes arthroscopic debridement. Choose 29861 when the documented therapeutic work is removal of a loose or foreign body, not debridement as the primary service.

What should the operative report document?

Document the intra-articular loose or foreign body, its removal, and the arthroscopic work performed. This supports that the service was therapeutic removal rather than diagnostic inspection alone.

How is bilateral surgery reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%. The code has a 90-day global period.

Can an assistant or co-surgeon be billed?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; 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.

RVUs for 29861PPRRVU2026_Oct_nonQPP.csv, line 3,347 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)