No office rate
This code treats capsular instability; 29807 treats a superior labral lesion. Base the choice on the pathology repaired and the documented operative work.
On this page
CMS RVU26D · Effective 2026-10-01
29806 Shoulder stabilization Medicare reimbursement rates in Indiana
Reports arthroscopic tightening and repair of the shoulder capsule to stabilize an unstable joint, commonly after recurrent dislocations or subluxations. Compare 29806 office and facility rates across CMS payment localities in Indiana.
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 29806 in Indiana?
Indiana 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
$893.45
1 of 1 localities have a supported rate.
Payment area: Indiana
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 29806: Arthroscopic shoulder capsular stabilization
Reports arthroscopic tightening and repair of the shoulder capsule to stabilize an unstable joint, commonly after recurrent dislocations or subluxations.
An orthopedic surgeon performs this shoulder arthroscopy to tighten or repair capsular tissue and stabilize a loose joint. A common indication is recurrent shoulder instability, including an anterior Bankart-type injury in which the capsulolabral tissue has detached. The surgeon works through arthroscopic portals, typically in an outpatient hospital or ambulatory surgery center, and may use anchors to secure tissue to the glenoid.
Select this code when the operative work is arthroscopic capsular stabilization; an open repair is coded differently. The operative report should establish the instability or capsular injury and describe the arthroscopic repair or tightening performed. Diagnostic inspection of the same shoulder is part of the surgical arthroscopy. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is barred by statutory restriction; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 29806
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.76 · 51%
- Practice expense (office) RVU11.35 · 39%
- Malpractice RVU3.02 · 10%
948
Medicare services in 2024 · #3011 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.
29806 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
29805 is diagnostic shoulder arthroscopy. When surgical capsular stabilization is performed on that shoulder, diagnostic inspection is included in the surgical arthroscopy.
No office rate
This code is for arthroscopic capsular stabilization. Use 23455 when the surgeon performs the corresponding anterior capsulorrhaphy with labral repair through an open approach.
No office rate
29827 repairs a rotator cuff tear arthroscopically; this code stabilizes the shoulder capsule. A separate cuff repair may be performed during the same session.
Compare 29806 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
Indiana →
Office / nonfacility
Unavailable
Facility
$893.45
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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 29806 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
3,317
- Code
- 29806
- Physician work
- 14.76
- Practice expense
- 11.35
- Malpractice
- 3.02
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.76 | × 1.000 | 14.7600 |
| Practice expense | 11.35 | × 0.927 | 10.5214 |
| Malpractice | 3.02 | × 0.486 | 1.4677 |
| Total RVUs | 26.7492 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$893.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.76 | 1 |
| Practice expense | 11.35 | 0.927 |
| Malpractice | 3.02 | 0.486 |
(14.76 × 1 + 11.35 × 0.927 + 3.02 × 0.486) × $33.4009 = $893.45
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.
29806 billing questions
When should this be chosen instead of 29807?
Choose 29806 for arthroscopic capsular stabilization addressing shoulder instability. Code 29807 addresses repair of a superior labral lesion, such as a SLAP lesion.
Can diagnostic shoulder arthroscopy be reported separately?
Diagnostic inspection of the same shoulder is included in the surgical arthroscopy and is not separately reported with this repair.
How is bilateral surgery reported?
CMS identifies this as a bilateral procedure: report modifier 50 when both shoulders are treated, and payment is at 150%.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What documentation supports this code?
Document the shoulder instability or capsular injury and the arthroscopic steps used to tighten or repair the capsule. The operative report should distinguish this work from treatment of a separate labral or rotator cuff condition.
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.
3,31429800,,Jaw arthroscopy/surgery,A,,6.67,7.14,NA,7.14,,1.42,15.23,15.23,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,31529804,,Jaw arthroscopy/surgery,A,,8.65,6.43,NA,6.43,,1.14,16.22,16.22,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,31629805,,Sho arthrs dx +- synovial bx,A,,5.88,6.35,NA,6.35,,1.21,13.44,13.44,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,31729806,,Sho arthrs srg capsulorraphy,A,,14.76,11.35,NA,11.35,,3.02,29.13,29.13,0,090,0.10,0.69,0.21,3,1,1,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,31829807,,Sho arthrs srg rpr slap les,A,,14.30,11.27,NA,11.27,,2.93,28.50,28.50,0,090,0.10,0.69,0.21,3,1,1,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,31929819,,Sho arthrs srg rmvl loose/fb,A,,7.60,7.37,NA,7.37,,1.50,16.47,16.47,0,090,0.10,0.69,0.21,3,1,1,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,32029820,,Sho arthrs srg prtl synvct,A,,7.03,6.64,NA,6.64,,1.35,15.02,15.02,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915