No office rate
Both describe arthroscopically assisted tibial plateau fracture treatment; choose 29855 for unicondylar involvement and 29856 for bicondylar involvement.
On this page
CMS RVU26D · Effective 2026-10-01
29855 Tibial fracture repair Medicare reimbursement rates in Georgia
Report this code when an orthopedic surgeon uses arthroscopy to treat a fracture of one tibial plateau condyle, including internal fixation when performed. Compare 29855 office and facility rates across CMS payment localities in Georgia.
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 29855 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$710.47–$750.28
2 of 2 localities have a supported rate.
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 29855: Arthroscopic unicondylar tibial plateau fracture treatment
Report this code when an orthopedic surgeon uses arthroscopy to treat a fracture of one tibial plateau condyle, including internal fixation when performed.
This code describes arthroscopically assisted operative treatment of a fracture involving one condyle of the proximal tibia, at the knee joint. An orthopedic surgeon typically performs the procedure in a hospital or ambulatory surgical setting, using arthroscopic visualization to assist fracture treatment. Internal fixation is included when performed. The code is specific to a unicondylar tibial plateau fracture; the number of condyles treated distinguishes it from the corresponding bicondylar arthroscopic service.
Report the service for the fracture treatment, not for diagnostic knee arthroscopy alone. The operative report should identify the fracture site and unicondylar involvement and describe the arthroscopic assistance and any fixation. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur 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, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 29855
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.49 · 48%
- Practice expense (office) RVU9.20 · 42%
- Malpractice RVU2.16 · 10%
490
Medicare services in 2024 · #3584 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.
29855 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
This code is for arthroscopically assisted treatment of a unicondylar fracture; 27535 describes open treatment of a unicondylar proximal tibial plateau fracture.
$325.96–$356.78
Use 29855 for arthroscopically assisted operative fracture treatment. Code 27530 is a closed-treatment option for a proximal tibial plateau fracture.
Compare 29855 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$750.28
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$710.47
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29855 billing questions
How do I distinguish this code from 29856?
Use this code for arthroscopically assisted treatment of a unicondylar tibial plateau fracture. Code 29856 describes the bicondylar counterpart.
Is internal fixation included?
Yes. Internal fixation is included when performed as part of the arthroscopically assisted fracture treatment.
Can I report a diagnostic knee arthroscopy separately?
When arthroscopy is used to assist the fracture treatment, report the fracture-treatment service rather than a separate diagnostic arthroscopy for that same operative work.
What documentation supports this code?
Document the proximal tibial plateau fracture, that one condyle is involved, and how arthroscopy assisted treatment. Include fixation details when fixation was performed.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, with other procedures paid at 50%. The code has a 90-day global period that includes related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery is not permitted for this code.
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.
3,34129848,,Wrist endoscopy/surgery,A,,6.23,7.10,NA,7.10,,1.21,14.54,14.54,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,34229850,,Knee arthroscopy/surgery,A,,8.06,8.00,NA,8.00,,1.71,17.77,17.77,0,090,0.10,0.69,0.21,2,1,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,34329851,,Knee arthroscopy/surgery,A,,12.93,10.12,NA,10.12,,2.75,25.80,25.80,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,34429855,,Tibial arthroscopy/surgery,A,,10.49,9.20,NA,9.20,,2.16,21.85,21.85,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,34529856,,Tibial arthroscopy/surgery,A,,13.92,10.59,NA,10.59,,2.97,27.48,27.48,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,34629860,,Hip arthroscopy dx,A,,8.78,7.95,NA,7.95,,1.69,18.42,18.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,34729861,,Hip arthro w/fb removal,A,,9.85,8.01,NA,8.01,,1.82,19.68,19.68,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29860,33.4009,09,0,99,0.00,0.00,0.00