No office rate
This code describes femoroplasty, which reshapes the femoral head-neck area. Use 29916 for repair of the acetabular labrum; both procedures may be performed in one session.
On this page
CMS RVU26D · Effective 2026-10-01
29916 Hip arthroscopy Medicare reimbursement rates in Colorado
Reports arthroscopic repair of a torn acetabular labrum, typically using fixation to restore the labrum’s attachment to the hip socket. Compare 29916 office and facility rates across CMS payment localities in Colorado.
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 29916 in Colorado?
Colorado 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
$937.28
1 of 1 localities have a supported rate.
Payment area: Colorado
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.
Orthopedic surgery
About 29916: Arthroscopic acetabular labral repair
Reports arthroscopic repair of a torn acetabular labrum, typically using fixation to restore the labrum’s attachment to the hip socket.
This service involves repairing a tear in the acetabular labrum through hip arthroscopy, commonly securing the labrum to the acetabular rim with suture anchors. An orthopedic surgeon typically performs it in an operating room for a patient with a symptomatic labral tear. Hip impingement procedures, such as femoroplasty or acetabuloplasty, may be performed during the same arthroscopic session when indicated.
Report this code when the operative work repairs the labrum; document the tear, arthroscopic findings, repair technique, and any other procedures performed. CMS applies endoscopy-family pricing when related endoscopic procedures are performed together. The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 29916
- 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 RVU14.63 · 53%
- Practice expense (office) RVU10.33 · 37%
- Malpractice RVU2.90 · 10%
985
Medicare services in 2024 · #2981 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.
29916 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
This code describes acetabuloplasty, which reshapes the acetabular rim. It does not represent repair of the labrum, though both procedures may be performed during the same arthroscopy.
No office rate
This code describes arthroscopic hip debridement. Use 29916 when the surgeon repairs the labrum rather than only removing or smoothing damaged tissue.
Compare 29916 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
Colorado →
Office / nonfacility
Unavailable
Facility
$937.28
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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 29916 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
3,388
- Code
- 29916
- Physician work
- 14.63
- Practice expense
- 10.33
- Malpractice
- 2.90
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.012 | 14.8056 |
| Practice expense | 10.33 | × 1.064 | 10.9911 |
| Malpractice | 2.90 | × 0.781 | 2.2649 |
| Total RVUs | 28.0616 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$937.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.63 | 1.012 |
| Practice expense | 10.33 | 1.064 |
| Malpractice | 2.9 | 0.781 |
(14.63 × 1.012 + 10.33 × 1.064 + 2.9 × 0.781) × $33.4009 = $937.28
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.
29916 billing questions
When should this code be chosen instead of a hip arthroscopy debridement code?
Choose this code when the surgeon repairs the acetabular labrum, such as by reattaching it with fixation. Debridement without labral repair is a different service.
Can femoroplasty or acetabuloplasty be reported during the same session?
These procedures may be reported when separately performed and documented. CMS applies endoscopy-family pricing when related endoscopic procedures are performed together.
What documentation supports reporting labral repair?
Document the labral tear and arthroscopic findings, the repair performed and fixation technique, and any distinct additional procedures.
How is a bilateral procedure reported?
For a bilateral procedure, CMS specifies modifier 50 and payment at 150%.
What postoperative services are included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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.
3,38529907,,Subtalar arthro w/fusion,A,,11.88,10.14,NA,10.14,,2.53,24.55,24.55,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,38629914,,Hip arthro w/femoroplasty,A,,14.30,10.27,NA,10.27,,2.83,27.40,27.40,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29860,33.4009,09,0,99,0.00,0.00,0.00
3,38729915,,Hip arthro acetabuloplasty,A,,14.63,10.37,NA,10.37,,2.91,27.91,27.91,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29860,33.4009,09,0,99,0.00,0.00,0.00
3,38829916,,Hip arthro w/labral repair,A,,14.63,10.33,NA,10.33,,2.90,27.86,27.86,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29860,33.4009,09,0,99,0.00,0.00,0.00
3,38929999,,Unlisted px arthroscopy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39030000,,Drainage of nose lesion,A,,1.44,6.18,,1.66,,0.21,7.83,3.31,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39130020,,Drainage of nose lesion,A,,1.44,6.35,,1.69,,0.21,8.00,3.34,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
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