No office rate
G0289 addresses loose-body or foreign-body removal during another surgical knee arthroscopy in a different compartment. This code describes the removal service outside that circumstance.
On this page
CMS RVU26D · Effective 2026-10-01
29874 Knee arthroscopy Medicare reimbursement rates in Indiana
Reports surgical knee arthroscopy to remove a loose or foreign body, such as a displaced osteochondritis dissecans fragment, from the joint. Compare 29874 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 29874 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
$465.26
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.
Knee arthroscopy
About 29874: Arthroscopic knee loose-body removal
Reports surgical knee arthroscopy to remove a loose or foreign body, such as a displaced osteochondritis dissecans fragment, from the joint.
An orthopedic surgeon uses a knee arthroscope and instruments through small incisions to locate and remove a loose body or foreign material from the joint. A displaced osteochondritis dissecans fragment is a typical example. The service is generally performed in an operating room or ambulatory surgery setting when imaging, examination, or operative findings support removal of material within the knee.
The operative report should identify the knee, the material removed, its location, and the arthroscopic work performed. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. If related endoscopies are performed together, CMS applies endoscopy-family pricing. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29874
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.01 · 46%
- Practice expense (office) RVU6.72 · 44%
- Malpractice RVU1.42 · 9%
458
Medicare services in 2024 · #3640 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.
29874 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Choose 29877 for arthroscopic cartilage debridement or shaving. Choose this code when the operative service removes a loose or foreign body.
$556.04
29870 is diagnostic knee arthroscopy. This code requires operative removal of a loose or foreign body.
No office rate
29881 describes arthroscopic meniscectomy involving one meniscus. This code describes removal of a loose or foreign body, not meniscal resection.
Compare 29874 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
$465.26
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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 29874 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
3,356
- Code
- 29874
- Physician work
- 7.01
- Practice expense
- 6.72
- Malpractice
- 1.42
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.01 | × 1.000 | 7.0100 |
| Practice expense | 6.72 | × 0.927 | 6.2294 |
| Malpractice | 1.42 | × 0.486 | 0.6901 |
| Total RVUs | 13.9296 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$465.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.01 | 1 |
| Practice expense | 6.72 | 0.927 |
| Malpractice | 1.42 | 0.486 |
(7.01 × 1 + 6.72 × 0.927 + 1.42 × 0.486) × $33.4009 = $465.26
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.
29874 billing questions
When is this code a better fit than a diagnostic knee arthroscopy?
Use this code when the surgeon performs arthroscopic removal of a loose or foreign body. A diagnostic arthroscopy describes examination when no such removal is performed.
How does this differ from arthroscopic chondroplasty?
This code describes removal of a loose or foreign body. Chondroplasty addresses damaged articular cartilage by debridement or shaving rather than removal of a discrete body.
Can this be reported when another knee arthroscopy is performed in the same session?
Related endoscopies performed together are subject to CMS endoscopy-family pricing. When loose-body removal is performed during another surgical knee arthroscopy in a different compartment, review G0289 rather than assuming this code is separately reportable.
What documentation supports the service?
Document the operative finding, the knee and compartment involved, the loose or foreign material removed, and the arthroscopic removal performed.
How is bilateral removal reported under the CMS facts?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
What should the billing team know about the global period and surgical assistance?
The code has a 90-day major-surgery global period. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are 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.
3,35329870,,Arthrs knee dx w/wo syn bx,A,,5.06,11.96,,5.88,,1.03,18.05,11.97,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,35429871,,Arthrs knee surg for infctj,A,,6.52,6.84,NA,6.84,,1.35,14.71,14.71,0,090,0.10,0.69,0.21,3,1,1,0,0,9,29870,33.4009,09,0,99,0.00,0.00,0.00
3,35529873,,Arthrs knee surg w/lat rls,A,,6.08,8.26,NA,8.26,,1.26,15.60,15.60,0,090,0.10,0.69,0.21,3,1,1,1,0,9,29870,33.4009,09,0,99,0.00,0.00,0.00
3,35629874,,Arthrs knee surg rmv loos/fb,A,,7.01,6.72,NA,6.72,,1.42,15.15,15.15,0,090,0.10,0.69,0.21,3,1,0,0,0,9,29870,33.4009,09,0,99,0.00,0.00,0.00
3,35729875,,Arthrs knee surg synvct lmtd,A,,6.29,6.60,NA,6.60,,1.31,14.20,14.20,0,090,0.10,0.69,0.21,3,1,0,0,0,9,29870,33.4009,09,0,99,0.00,0.00,0.00
3,35829876,,Arthrs knee surg synvct maj,A,,8.65,7.99,NA,7.99,,1.77,18.41,18.41,0,090,0.10,0.69,0.21,3,1,1,0,0,9,29870,33.4009,09,0,99,0.00,0.00,0.00
3,35929877,,Arthrs knee surg dbrdmt/shvg,A,,8.09,7.82,NA,7.82,,1.66,17.57,17.57,0,090,0.10,0.69,0.21,3,1,0,0,0,9,29870,33.4009,09,0,99,0.00,0.00,0.00
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