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CMS RVU26D · Effective 2026-10-01

29898 Ankle arthroscopy Medicare reimbursement rates in Alaska

Reports extensive arthroscopic cleanup of abnormal ankle-joint tissue, such as synovium, scar, or damaged cartilage, when the documented work exceeds limited debridement. Compare 29898 office and facility rates across CMS payment localities in Alaska.

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.

What does Medicare pay for 29898 in Alaska?

Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$656.44

1 of 1 localities have a supported rate.

Payment area: Alaska*

One mapped payment locality.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 29898 in your payment locality →

Orthopedic surgery

About 29898: Extensive ankle arthroscopic debridement

Reports extensive arthroscopic cleanup of abnormal ankle-joint tissue, such as synovium, scar, or damaged cartilage, when the documented work exceeds limited debridement.

An orthopedic surgeon uses an arthroscope and instruments through small incisions to remove or smooth abnormal tissue inside the ankle joint. The work may address extensive synovial tissue, scar tissue, or damaged cartilage, including tissue contributing to impingement or restricted motion. This procedure is commonly performed in an operating room for symptomatic ankle-joint disease or injury when arthroscopic treatment is appropriate.

Select this code when the operative report supports extensive debridement; limited cleanup is reported with the limited-debridement code instead. Document the structures treated and the extent of work, not merely that debridement occurred. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 29898

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 may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU8.28 · 53%
  • Practice expense (office) RVU6.14 · 39%
  • Malpractice RVU1.26 · 8%

4.2K

Medicare services in 2024 · #1978 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.

29898 compared with similar codes

Office rates for Alaska, from the same CMS release.

29897

Ankle arthroscopy

Limited debridement

No office rate

29897 describes limited ankle-joint debridement. Use 29898 when the operative report supports extensive debridement.

29894

Ankle arthroscopy

Loose or foreign body removal

No office rate

29894 describes arthroscopic removal of a loose or foreign body. This code describes extensive debridement rather than removal alone.

29895

Ankle arthroscopy

Partial synovectomy

No office rate

29895 is for partial synovectomy. Choose 29898 for extensive debridement rather than synovial removal alone.

29891

Ankle arthroscopy

Talus or tibia lesion

No office rate

29891 addresses excision of an ankle osteochondral defect, including drilling. It is more specific than general extensive joint debridement.

Compare 29898 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0
  • Alaska* →

    Office / nonfacility

    Unavailable

    Facility

    $656.44

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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 29898 in Alaska*.

PPRRVU2026_Oct_nonQPP.csv

3,377

Code
29898
Physician work
8.28
Practice expense
6.14
Malpractice
1.26

GPCI2026.csv

5

Locality
Alaska*
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Facility calculation for 29898 in Alaska*
ComponentRVULocality factorAdjusted
Physician work8.28× 1.50012.4200
Practice expense6.14× 1.0656.5391
Malpractice1.26× 0.5510.6943
Total RVUs19.6534
Conversion factor× 33.4009

Facility rate, Alaska*$656.44

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work8.281.5
Practice expense6.141.065
Malpractice1.260.551

(8.28 × 1.5 + 6.14 × 1.065 + 1.26 × 0.551) × $33.4009 = $656.44

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.

29898 billing questions

How is extensive debridement distinguished from limited debridement?

Use the extensive-debridement code when the operative report supports broader or more substantial ankle-joint cleanup. The limited-debridement code applies when the documented work is limited.

Does removing a loose body make this the right code?

Not by itself. Ankle arthroscopy for removal of a loose or foreign body has a separate code; choose based on the work actually performed and documented.

What documentation supports extensive debridement?

Record the abnormal tissue or structures treated and describe the extent of arthroscopic debridement. A statement that the joint was simply cleaned up does not establish extensive work.

What is included in the Medicare global period?

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

How is bilateral reporting handled?

When the procedure is performed bilaterally, modifier 50 is used and Medicare pays at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. 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 29898PPRRVU2026_Oct_nonQPP.csv, line 3,377 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)