No office rate
23412 describes an open rotator cuff repair. Use 29827 when the cuff repair is performed arthroscopically.
On this page
CMS RVU26D · Effective 2026-10-01
29827 Rotator cuff repair Medicare reimbursement rates in Delaware
Reports arthroscopic repair of a torn shoulder rotator cuff, typically performed by an orthopedic surgeon using sutures and anchors to secure the tendon. Compare 29827 office and facility rates across CMS payment localities in Delaware.
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 29827 in Delaware?
Delaware 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
$964.16
1 of 1 localities have a supported rate.
Payment area: Delaware
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 29827: Arthroscopic rotator cuff tendon repair
Reports arthroscopic repair of a torn shoulder rotator cuff, typically performed by an orthopedic surgeon using sutures and anchors to secure the tendon.
An orthopedic surgeon performs this procedure through a shoulder arthroscope, repairing a torn rotator cuff tendon with sutures, often secured to the bone with anchors. It is commonly performed in a hospital outpatient department or ambulatory surgery center for patients whose shoulder tear is treated operatively. The operative report should establish that the surgeon repaired the cuff, rather than only inspecting the joint or removing damaged tissue.
Report the code for the arthroscopic cuff repair, with documentation identifying the treated shoulder, tear, and repair performed. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When related endoscopic procedures are performed together, endoscopy-family pricing applies. Modifier 50 is used for a bilateral procedure, paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 29827
- 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 RVU15.20 · 52%
- Practice expense (office) RVU10.98 · 38%
- Malpractice RVU3.05 · 10%
122.7K
Medicare services in 2024 · #507 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.
29827 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
29807 reports arthroscopic repair of a SLAP lesion, a labral injury, rather than repair of a rotator cuff tendon.
No office rate
29828 reports arthroscopic biceps tenodesis. It may accompany a cuff repair, but it does not represent repair of the rotator cuff.
Compare 29827 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
Delaware →
Office / nonfacility
Unavailable
Facility
$964.16
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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 29827 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,327
- Code
- 29827
- Physician work
- 15.20
- Practice expense
- 10.98
- Malpractice
- 3.05
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.20 | × 1.005 | 15.2760 |
| Practice expense | 10.98 | × 0.988 | 10.8482 |
| Malpractice | 3.05 | × 0.899 | 2.7420 |
| Total RVUs | 28.8662 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$964.16
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.2 | 1.005 |
| Practice expense | 10.98 | 0.988 |
| Malpractice | 3.05 | 0.899 |
(15.2 × 1.005 + 10.98 × 0.988 + 3.05 × 0.899) × $33.4009 = $964.16
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.
29827 billing questions
How is this different from an open rotator cuff repair?
Report 29827 when the cuff repair is performed arthroscopically. An open repair is reported with the applicable open repair code, such as 23412.
Can 29826 be reported with this repair?
29826 is an add-on code for arthroscopic shoulder decompression and may be reported with 29827 when the decompression is performed and documented. Endoscopy-family pricing applies when related endoscopies are performed together.
Does the 90-day global period include postoperative visits?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
What should the operative report document?
Document the shoulder treated, the rotator cuff tear, and the arthroscopic repair performed. The report should make clear that the surgeon repaired the tendon, not merely debrided tissue or treated a different shoulder lesion.
How is a bilateral repair reported?
Use modifier 50 for a bilateral procedure; Medicare pays the bilateral procedure at 150%. The documentation should support repair of both shoulders.
Can an assistant or co-surgeon be reported?
An assistant at surgery 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.
3,32429824,,Sho arthrs srg dstl claviclc,A,,8.76,8.61,NA,8.61,,1.76,19.13,19.13,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,32529825,,Sho arthrs srg lss&rescj ads,A,,7.60,7.45,NA,7.45,,1.52,16.57,16.57,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,32629826,,Sho arthrs srg decompression,A,,2.93,0.91,NA,0.91,,0.58,4.42,4.42,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,32729827,,Sho arthrs srg rt8tr cuf rpr,A,,15.20,10.98,NA,10.98,,3.05,29.23,29.23,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,32829828,,Sho arthrs srg bicp tenodsis,A,,12.83,9.85,NA,9.85,,2.58,25.26,25.26,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,32929830,,Elbow arthroscopy,A,,5.73,6.19,NA,6.19,,1.23,13.15,13.15,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,33029834,,Elbow arthroscopy/surgery,A,,6.26,6.51,NA,6.51,,1.26,14.03,14.03,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29830,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503