No office rate
Use 29840 for diagnostic wrist arthroscopy without the fixation treatment described by 29847. Use 29847 when arthroscopic surgery includes internal fixation for fracture or instability.
On this page
CMS RVU26D · Effective 2026-10-01
29847 Wrist arthroscopy Medicare reimbursement rates in Maine
Reports arthroscopic wrist surgery that uses internal fixation to treat a fracture or instability, with the operative work documented in the surgical record. Compare 29847 office and facility rates across CMS payment localities in Maine.
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 29847 in Maine?
Maine 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
$479.66–$496.59
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 29847: Wrist arthroscopy with fixation
Reports arthroscopic wrist surgery that uses internal fixation to treat a fracture or instability, with the operative work documented in the surgical record.
A surgeon performs this procedure through wrist arthroscopy and uses internal fixation to treat a fracture or wrist instability. It may be used for selected carpal fractures, such as a scaphoid fracture, or an unstable wrist requiring fixation. These procedures are generally performed in an operating-room setting by an orthopedic or hand surgeon.
Choose the code based on the arthroscopic procedure actually performed, not the diagnosis alone. The operative report should identify the treated fracture or instability, the arthroscopic work, and the fixation used. 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. Modifier 50 is used for bilateral reporting, which CMS pays at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 29847
- 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 RVU7.04 · 45%
- Practice expense (office) RVU6.95 · 45%
- Malpractice RVU1.49 · 10%
55
Medicare services in 2024 · #5297 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.
29847 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
29846 covers arthroscopic treatment involving the triangular fibrocartilage or joint debridement. 29847 is distinguished by internal fixation for a fracture or instability.
No office rate
25628 describes open treatment with internal fixation of a scaphoid fracture. 29847 is the arthroscopic wrist procedure when internal fixation is performed for fracture or instability.
Compare 29847 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
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$479.66
Southern Maine →
Office / nonfacility
Unavailable
Facility
$496.59
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29847 billing questions
How does 29847 differ from 29846?
29847 is for arthroscopic wrist surgery with internal fixation for a fracture or instability. Code 29846 describes different wrist arthroscopic work involving the triangular fibrocartilage or joint debridement.
When would 29840 be reported instead?
29840 describes diagnostic wrist arthroscopy. Choose 29847 when the surgeon performs arthroscopic treatment with internal fixation for a fracture or instability.
How are related endoscopies priced when performed together?
CMS applies endoscopy family pricing when related endoscopies are performed together. The operative record should support the procedures performed.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery for 29847. Co-surgeons and team surgery are not permitted.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
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.
3,33729844,,Wrist arthroscopy/surgery,A,,6.35,6.50,NA,6.50,,1.25,14.10,14.10,0,090,0.10,0.69,0.21,3,1,2,0,0,9,29840,33.4009,09,0,99,0.00,0.00,0.00
3,33829845,,Wrist arthroscopy/surgery,A,,7.50,7.42,NA,7.42,,1.45,16.37,16.37,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29840,33.4009,09,0,99,0.00,0.00,0.00
3,33929846,,Wrist arthroscopy/surgery,A,,6.72,6.60,NA,6.60,,1.29,14.61,14.61,0,090,0.10,0.69,0.21,3,1,0,0,0,9,29840,33.4009,09,0,99,0.00,0.00,0.00
3,34029847,,Wrist arthroscopy/surgery,A,,7.04,6.95,NA,6.95,,1.49,15.48,15.48,0,090,0.10,0.69,0.21,3,1,2,0,0,9,29840,33.4009,09,0,99,0.00,0.00,0.00
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