No office rate
Use 29822 for one or two debrided structures; 29823 describes extensive debridement involving three or more structures.
On this page
CMS RVU26D · Effective 2026-10-01
29822 Shoulder debridement Medicare reimbursement rates in Kansas
Reports arthroscopic cleanup of one or two shoulder structures, such as frayed tissue or cartilage, when the surgeon performs limited debridement. Compare 29822 office and facility rates across CMS payment localities in Kansas.
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 29822 in Kansas?
Kansas 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
$469.63
1 of 1 localities have a supported rate.
Payment area: Kansas
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 29822: Shoulder arthroscopic limited debridement
Reports arthroscopic cleanup of one or two shoulder structures, such as frayed tissue or cartilage, when the surgeon performs limited debridement.
An orthopedic surgeon uses a shoulder arthroscope and instruments through small incisions to remove or smooth damaged, frayed, or inflamed tissue. The treated structures may include cartilage, labrum, tendon, or other shoulder tissues. The code represents limited work on one or two discrete structures, rather than extensive debridement across three or more. It is typically performed in a hospital outpatient department or ambulatory surgery center for problems such as degenerative fraying or tissue damage found during shoulder arthroscopy.
Choose the code from the operative report’s account of which structures were actually debrided and the extent of that work. The report should identify the treated structures and describe the debridement; routine scope inspection alone does not establish the service. Medicare 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 surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 29822
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.85 · 44%
- Practice expense (office) RVU7.19 · 47%
- Malpractice RVU1.41 · 9%
10.5K
Medicare services in 2024 · #1448 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.
29822 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Code 29805 represents diagnostic shoulder arthroscopy. Use 29822 when the surgeon performs therapeutic debridement.
No office rate
Code 29820 is for partial synovectomy. Code 29822 is for limited debridement of one or two structures, not synovectomy as the defined service.
No office rate
Code 29819 describes arthroscopic removal of a loose body. Code 29822 describes limited tissue debridement instead.
Compare 29822 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
Kansas →
Office / nonfacility
Unavailable
Facility
$469.63
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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 29822 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,322
- Code
- 29822
- Physician work
- 6.85
- Practice expense
- 7.19
- Malpractice
- 1.41
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.85 | × 1.000 | 6.8500 |
| Practice expense | 7.19 | × 0.904 | 6.4998 |
| Malpractice | 1.41 | × 0.504 | 0.7106 |
| Total RVUs | 14.0604 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$469.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.85 | 1 |
| Practice expense | 7.19 | 0.904 |
| Malpractice | 1.41 | 0.504 |
(6.85 × 1 + 7.19 × 0.904 + 1.41 × 0.504) × $33.4009 = $469.63
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.
29822 billing questions
How does limited debridement differ from code 29823?
Code 29822 is for debridement of one or two discrete shoulder structures. Code 29823 is for extensive debridement involving three or more structures.
Can this code be reported for diagnostic arthroscopy alone?
No. This code describes therapeutic debridement, not inspection alone. Diagnostic shoulder arthroscopy is represented by code 29805 when no surgical treatment is performed.
What should the operative report document?
Identify each structure debrided and describe the tissue treated and work performed. The documentation should support whether one or two structures received limited debridement.
How is bilateral shoulder debridement reported under the listed CMS rule?
For a bilateral procedure, modifier 50 is paid at 150%. The operative documentation should support that the procedure was performed on both shoulders.
Does the code include related postoperative care?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for this procedure?
Assistant-at-surgery payment may be made. CMS does not permit co-surgeons or team surgery 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.
3,31929819,,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
3,32129821,,Sho arthrs srg compl synvct,A,,7.69,7.46,NA,7.46,,1.54,16.69,16.69,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,32229822,,Sho arthrs srg lmtd dbrdmt,A,,6.85,7.19,NA,7.19,,1.41,15.45,15.45,0,090,0.10,0.69,0.21,3,1,2,0,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,32329823,,Sho arthrs srg xtnsv dbrdmt,A,,7.78,7.39,NA,7.39,,1.56,16.73,16.73,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29805,33.4009,09,0,99,0.00,0.00,0.00
3,32429824,,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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958