No office rate
Use 29900 for diagnostic MCP arthroscopy, with or without synovial biopsy. Use 29902 when the surgeon performs arthroscopic removal of a loose or foreign body.
On this page
CMS RVU26D · Effective 2026-10-01
29902 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$539.60
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.
Hand surgery
About 29902: MCP arthroscopy with loose-body removal
Arthroscopic removal of a loose or foreign body from a metacarpophalangeal joint, reported when the surgeon performs therapeutic MCP arthroscopy.
A hand surgeon uses an arthroscope and instruments through small portals to remove a loose body or foreign body from a metacarpophalangeal (MCP) joint—the knuckle joint between a finger and the hand. The procedure may be performed in a hospital outpatient department or ambulatory surgery center when a joint body is being treated arthroscopically, such as after an injury or with joint disease. The operative service is therapeutic, not a diagnostic-only inspection.
Choose this code when the operative report supports arthroscopic removal of a loose or foreign body from the MCP joint; document the joint, the body treated, and the arthroscopic work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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 requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29902
- 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
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.98 · 42%
- Practice expense (office) RVU8.08 · 49%
- Malpractice RVU1.48 · 9%
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.
29902 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
29901 describes MCP arthroscopy with synovectomy. 29902 describes arthroscopic removal of a loose or foreign body from the MCP joint.
29999
No office rateUnlisted px arthroscopy
29999 is an unlisted arthroscopy code for a procedure without a specific code. Use 29902 when the documented MCP service is arthroscopic loose- or foreign-body removal.
The same code, a different location
How does Wyoming** compare?
29902 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · 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 Wyoming 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 · 29902
Office
Unavailable
Facility
$497.26
No comparable office rate is available.
Arkansas
Arkansas · 29902
Office
Unavailable
Facility
$490.42
No comparable office rate is available.
Arizona
Arizona · 29902
Office
Unavailable
Facility
$536.97
No comparable office rate is available.
Bakersfield
California · 29902
Office
Unavailable
Facility
$563.46
No comparable office rate is available.
Chico
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
El Centro
California · 29902
Office
Unavailable
Facility
$559.63
No comparable office rate is available.
Fresno
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Hanford-Corcoran
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Madera
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Merced
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Modesto
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Napa
California · 29902
Office
Unavailable
Facility
$628.64
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 29902
Office
Unavailable
Facility
$589.46
No comparable office rate is available.
Redding
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Rest Of California
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 29902
Office
Unavailable
Facility
$575.29
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 29902
Office
Unavailable
Facility
$581.90
No comparable office rate is available.
Salinas
California · 29902
Office
Unavailable
Facility
$579.65
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 29902
Office
Unavailable
Facility
$589.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 29902
Office
Unavailable
Facility
$658.51
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 29902
Office
Unavailable
Facility
$656.83
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 29902
Office
Unavailable
Facility
$674.45
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 29902
Office
Unavailable
Facility
$667.57
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 29902
Office
Unavailable
Facility
$570.99
No comparable office rate is available.
Santa Cruz-Watsonville
California · 29902
Office
Unavailable
Facility
$592.43
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 29902
Office
Unavailable
Facility
$580.84
No comparable office rate is available.
Santa Rosa-Petaluma
California · 29902
Office
Unavailable
Facility
$598.04
No comparable office rate is available.
Stockton
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Vallejo
California · 29902
Office
Unavailable
Facility
$626.22
No comparable office rate is available.
Visalia
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Yuba City
California · 29902
Office
Unavailable
Facility
$559.39
No comparable office rate is available.
Colorado
Colorado · 29902
Office
Unavailable
Facility
$561.69
No comparable office rate is available.
Connecticut
Connecticut · 29902
Office
Unavailable
Facility
$588.28
No comparable office rate is available.
Delaware
Delaware · 29902
Office
Unavailable
Facility
$545.39
No comparable office rate is available.
Fort Lauderdale
Florida · 29902
Office
Unavailable
Facility
$595.90
No comparable office rate is available.
Rest Of Florida
Florida · 29902
Office
Unavailable
Facility
$565.44
No comparable office rate is available.
Atlanta
Georgia · 29902
Office
Unavailable
Facility
$567.40
No comparable office rate is available.
Rest Of Georgia
Georgia · 29902
Office
Unavailable
Facility
$532.80
No comparable office rate is available.
Hawaii, Guam
Hawaii · 29902
Office
Unavailable
Facility
$568.61
No comparable office rate is available.
Iowa
Iowa · 29902
Office
Unavailable
Facility
$499.70
No comparable office rate is available.
Idaho
Idaho · 29902
Office
Unavailable
Facility
$504.81
No comparable office rate is available.
East St. Louis
Illinois · 29902
Office
Unavailable
Facility
$580.99
No comparable office rate is available.
Rest Of Illinois
Illinois · 29902
Office
Unavailable
Facility
$556.80
No comparable office rate is available.
Suburban Chicago
Illinois · 29902
Office
Unavailable
Facility
$599.53
No comparable office rate is available.
Indiana
Indiana · 29902
Office
Unavailable
Facility
$507.34
No comparable office rate is available.
Kansas
Kansas · 29902
Office
Unavailable
Facility
$502.02
No comparable office rate is available.
Kentucky
Kentucky · 29902
Office
Unavailable
Facility
$518.29
No comparable office rate is available.
New Orleans
Louisiana · 29902
Office
Unavailable
Facility
$543.25
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 29902
Office
Unavailable
Facility
$519.34
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 29902
Office
Unavailable
Facility
$608.93
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 29902
Office
Unavailable
Facility
$560.45
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 29902
Office
Unavailable
Facility
$587.60
No comparable office rate is available.
Rest Of Maryland
Maryland · 29902
Office
Unavailable
Facility
$553.97
No comparable office rate is available.
Rest Of Maine
Maine · 29902
Office
Unavailable
Facility
$512.17
No comparable office rate is available.
Southern Maine
Maine · 29902
Office
Unavailable
Facility
$531.78
No comparable office rate is available.
Detroit
Michigan · 29902
Office
Unavailable
Facility
$576.92
No comparable office rate is available.
Rest Of Michigan
Michigan · 29902
Office
Unavailable
Facility
$535.35
No comparable office rate is available.
Minnesota
Minnesota · 29902
Office
Unavailable
Facility
$525.48
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 29902
Office
Unavailable
Facility
$534.85
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 29902
Office
Unavailable
Facility
$539.60
No comparable office rate is available.
Rest Of Missouri
Missouri · 29902
Office
Unavailable
Facility
$513.92
No comparable office rate is available.
Mississippi
Mississippi · 29902
Office
Unavailable
Facility
$502.04
No comparable office rate is available.
Montana**
Montana · 29902
Office
Unavailable
Facility
$552.35
No comparable office rate is available.
North Carolina
North Carolina · 29902
Office
Unavailable
Facility
$516.52
No comparable office rate is available.
North Dakota**
North Dakota · 29902
Office
Unavailable
Facility
$523.09
No comparable office rate is available.
Nebraska
Nebraska · 29902
Office
Unavailable
Facility
$500.92
No comparable office rate is available.
New Hampshire
New Hampshire · 29902
Office
Unavailable
Facility
$557.34
No comparable office rate is available.
Northern Nj
New Jersey · 29902
Office
Unavailable
Facility
$613.68
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 29902
Office
Unavailable
Facility
$591.40
No comparable office rate is available.
New Mexico
New Mexico · 29902
Office
Unavailable
Facility
$539.99
No comparable office rate is available.
Nevada**
Nevada · 29902
Office
Unavailable
Facility
$544.47
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 29902
Office
Unavailable
Facility
$660.74
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 29902
Office
Unavailable
Facility
$598.96
No comparable office rate is available.
Queens
New York · 29902
Office
Unavailable
Facility
$638.34
No comparable office rate is available.
Rest Of New York
New York · 29902
Office
Unavailable
Facility
$524.28
No comparable office rate is available.
Ohio
Ohio · 29902
Office
Unavailable
Facility
$529.37
No comparable office rate is available.
Oklahoma
Oklahoma · 29902
Office
Unavailable
Facility
$512.55
No comparable office rate is available.
Portland
Oregon · 29902
Office
Unavailable
Facility
$573.48
No comparable office rate is available.
Rest Of Oregon
Oregon · 29902
Office
Unavailable
Facility
$536.69
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 29902
Office
Unavailable
Facility
$577.25
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 29902
Office
Unavailable
Facility
$527.60
No comparable office rate is available.
Puerto Rico
Puerto Rico · 29902
Office
Unavailable
Facility
$554.68
No comparable office rate is available.
Rhode Island
Rhode Island · 29902
Office
Unavailable
Facility
$560.45
No comparable office rate is available.
South Carolina
South Carolina · 29902
Office
Unavailable
Facility
$524.53
No comparable office rate is available.
South Dakota**
South Dakota · 29902
Office
Unavailable
Facility
$519.63
No comparable office rate is available.
Tennessee
Tennessee · 29902
Office
Unavailable
Facility
$505.00
No comparable office rate is available.
Austin
Texas · 29902
Office
Unavailable
Facility
$562.93
No comparable office rate is available.
Beaumont
Texas · 29902
Office
Unavailable
Facility
$524.65
No comparable office rate is available.
Brazoria
Texas · 29902
Office
Unavailable
Facility
$541.01
No comparable office rate is available.
Dallas
Texas · 29902
Office
Unavailable
Facility
$546.45
No comparable office rate is available.
Fort Worth
Texas · 29902
Office
Unavailable
Facility
$544.39
No comparable office rate is available.
Galveston
Texas · 29902
Office
Unavailable
Facility
$543.92
No comparable office rate is available.
Houston
Texas · 29902
Office
Unavailable
Facility
$571.01
No comparable office rate is available.
Rest Of Texas
Texas · 29902
Office
Unavailable
Facility
$533.89
No comparable office rate is available.
Utah
Utah · 29902
Office
Unavailable
Facility
$531.22
No comparable office rate is available.
Virginia
Virginia · 29902
Office
Unavailable
Facility
$533.33
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 29902
Office
Unavailable
Facility
$554.68
No comparable office rate is available.
Vermont
Vermont · 29902
Office
Unavailable
Facility
$525.33
No comparable office rate is available.
Rest Of Washington
Washington · 29902
Office
Unavailable
Facility
$557.97
No comparable office rate is available.
Seattle (King Cnty)
Washington · 29902
Office
Unavailable
Facility
$616.32
No comparable office rate is available.
Wisconsin
Wisconsin · 29902
Office
Unavailable
Facility
$506.91
No comparable office rate is available.
West Virginia
West Virginia · 29902
Office
Unavailable
Facility
$538.40
No comparable office rate is available.
See how rates vary across the country
29902 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 29902 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$593.56
$539.60 × 110% = $593.56
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 29902 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,381
- Code
- 29902
- Physician work
- 6.98
- Practice expense
- 8.08
- Malpractice
- 1.48
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.98 | × 1.000 | 6.9800 |
| Practice expense | 8.08 | × 1.000 | 8.0800 |
| Malpractice | 1.48 | × 0.740 | 1.0952 |
| Total RVUs | 16.1552 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$539.60
Open 29902 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.98 | 1 |
| Practice expense | 8.08 | 1 |
| Malpractice | 1.48 | 0.74 |
(6.98 × 1 + 8.08 × 1 + 1.48 × 0.74) × $33.4009 = $539.60
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
29902 · 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 | $539.60 | RVU26D |
| 2026-07-01 | Not available in this setting | $539.60 | RVU26C |
| 2026-04-01 | Not available in this setting | $539.60 | RVU26B |
| 2026-01-01 | Not available in this setting | $539.60 | RVU26A |
| 2025-10-01 | Not available in this setting | $560.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $560.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $560.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $560.77 | RVU25A |
29902 billing questions
How does this differ from 29901?
29902 is for arthroscopic removal of a loose or foreign body from an MCP joint. 29901 describes MCP arthroscopy with synovectomy.
Can 29900 be reported for the diagnostic inspection?
29900 describes diagnostic MCP arthroscopy. Diagnostic inspection is part of the therapeutic arthroscopy when 29902 is performed, rather than a separate diagnostic service for the same procedure.
What should the operative note document?
Identify the MCP joint, the loose or foreign body addressed, and the arthroscopic removal performed. The documentation should support therapeutic work rather than diagnostic inspection alone.
How is bilateral MCP arthroscopy reported?
CMS lists bilateral reporting with modifier 50, paid at 150%. The operative documentation should support treatment of both sides.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are 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.
3,37829899,,Ankle arthroscopy/surgery,A,,15.02,9.86,NA,9.86,,2.70,27.58,27.58,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37929900,,Mcp joint arthroscopy dx,A,,5.73,7.83,NA,7.83,,1.23,14.79,14.79,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,38029901,,Mcp joint arthroscopy surg,A,,6.43,7.90,NA,7.90,,1.35,15.68,15.68,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,38129902,,Mcp joint arthroscopy surg,A,,6.98,8.08,NA,8.08,,1.48,16.54,16.54,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,38229904,,Subtalar arthro w/fb rmvl,A,,8.43,7.82,NA,7.82,,1.78,18.03,18.03,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,38329905,,Subtalar arthro w/exc,A,,8.95,4.57,NA,4.57,,0.78,14.30,14.30,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,38429906,,Subtalar arthro w/deb,A,,9.41,7.74,NA,7.74,,1.59,18.74,18.74,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,