No office rate
Choose 29892 for arthroscopically aided repair of a large talar dome lesion. Choose 29891 when the work is excision of an osteochondral defect, including drilling.
On this page
CMS RVU26D · Effective 2026-10-01
29892 Talar lesion repair Medicare reimbursement rates in Arizona
Arthroscopically aided repair of a large talar dome osteochondritis dissecans lesion, including drilling and any bone grafting or fixation performed. Compare 29892 office and facility rates across CMS payment localities in Arizona.
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 29892 in Arizona?
Arizona 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
$584.63
1 of 1 localities have a supported rate.
Payment area: Arizona
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.
Ankle arthroscopy
About 29892: Arthroscopic repair of talar dome lesion
Arthroscopically aided repair of a large talar dome osteochondritis dissecans lesion, including drilling and any bone grafting or fixation performed.
This code covers arthroscopically aided repair of a large osteochondritis dissecans lesion on the talar dome. The ankle surgeon may drill the lesion and use bone grafting or fixation as needed to support repair. It is typically performed by an orthopedic foot and ankle surgeon in a hospital or ambulatory surgery center for a symptomatic talar lesion, often after an ankle injury. The repair addresses the osteochondral lesion itself, rather than a loose body or routine ankle debridement alone.
Select the code when the operative report supports repair of a large talar dome lesion; drilling, grafting, and fixation are included aspects of that repair. The record should identify the talar lesion and describe the arthroscopic repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. With multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 29892
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.01 · 56%
- Practice expense (office) RVU6.62 · 37%
- Malpractice RVU1.26 · 7%
185
Medicare services in 2024 · #4386 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.
29892 compared with similar codes
Office rates for Arizona, from the same CMS release.
No office rate
Code 29894 addresses arthroscopic removal of a loose body or foreign body. It does not describe repair of the talar dome lesion itself.
No office rate
Code 29897 describes limited ankle arthroscopic debridement. It is not the code for repair of a large osteochondritis dissecans lesion.
Compare 29892 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
Arizona →
Office / nonfacility
Unavailable
Facility
$584.63
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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 29892 in Arizona.
PPRRVU2026_Oct_nonQPP.csv
3,372
- Code
- 29892
- Physician work
- 10.01
- Practice expense
- 6.62
- Malpractice
- 1.26
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.01 | × 1.000 | 10.0100 |
| Practice expense | 6.62 | × 0.969 | 6.4148 |
| Malpractice | 1.26 | × 0.856 | 1.0786 |
| Total RVUs | 17.5033 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$584.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.01 | 1 |
| Practice expense | 6.62 | 0.969 |
| Malpractice | 1.26 | 0.856 |
(10.01 × 1 + 6.62 × 0.969 + 1.26 × 0.856) × $33.4009 = $584.63
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.
29892 billing questions
How is this different from 29891?
This code describes arthroscopically aided repair of a large talar dome lesion. Code 29891 describes excision of an osteochondral defect, including drilling, rather than repair of a large lesion.
Are drilling, grafting, and fixation separately reported?
They are included aspects of the lesion repair described by this code. Do not report them as separate services merely because the surgeon used them during the repair.
What documentation supports choosing this code?
Document the talar dome lesion, its size or extent supporting repair, and the arthroscopic repair performed. Include details of drilling, grafting, or fixation when those steps are performed.
How should bilateral procedures be reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document the repair on each ankle.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. CMS also permits assistant-at-surgery payment, but not co-surgeons or team surgery.
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.
3,36929888,,Arthrs aid acl rpr/agmntj,A,,13.94,9.95,NA,9.95,,2.74,26.63,26.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37029889,,Arthrs aid pcl rpr/agmntj,A,,16.97,13.32,NA,13.32,,3.61,33.90,33.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37129891,,Arthr ank ostchn df tal&/tib,A,,9.43,7.98,NA,7.98,,1.57,18.98,18.98,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37229892,,Arthrs aid rpr od les/tib fx,A,,10.01,6.62,NA,6.62,,1.26,17.89,17.89,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37329893,,Endoscopic plantr fasciotomy,A,,6.16,13.20,,5.79,,0.56,19.92,12.51,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37429894,,Ankle arthroscopy/surgery,A,,7.17,5.85,NA,5.85,,1.20,14.22,14.22,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37529895,,Ankle arthroscopy/surgery,A,,6.95,5.04,NA,5.04,,0.99,12.98,12.98,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536