CPT code 29916: Hip arthroscopy2026 Medicare rate & RVUs in Massachusetts
Reports arthroscopic repair of a torn acetabular labrum, typically using fixation to restore the labrum’s attachment to the hip socket.
CMS doesn’t publish an office rate for 29916 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 29916 covers
This service involves repairing a tear in the acetabular labrum through hip arthroscopy, commonly securing the labrum to the acetabular rim with suture anchors. An orthopedic surgeon typically performs it in an operating room for a patient with a symptomatic labral tear. Hip impingement procedures, such as femoroplasty or acetabuloplasty, may be performed during the same arthroscopic session when indicated.
Report this code when the operative work repairs the labrum; document the tear, arthroscopic findings, repair technique, and any other procedures performed. CMS applies endoscopy-family pricing when related endoscopic procedures are performed together. The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
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.
Where 29916 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston | Unavailable | $1,006.87 |
| Rest Of Massachusetts | Unavailable | $936.99 |
How the 29916 rate is calculated
Each of 29916’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 29916
RVUs × geographic indexes × conversion factor
Work14.63
14.63 RVUs× 1.000 GPCI
Practice expense10.33
10.33 RVUs× 1.000 GPCI
Malpractice2.90
2.90 RVUs× 1.000 GPCI
Adjusted RVUs
27.8600
Conversion factor
$33.4009
Medicare rate
$930.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 29916
29916 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 29916
Hip arthroscopy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 29916
Hip arthroscopy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
29916 without 50 · national facility
$930.55
Hip arthroscopy
29916-50 · Bilateral: 150%
$1,395.83
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
29916 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 29914Hip arthroscopy
- This code describes femoroplasty, which reshapes the femoral head-neck area. Use 29916 for repair of the acetabular labrum; both procedures may be performed in one session.
- 29915Hip arthroscopy
- This code describes acetabuloplasty, which reshapes the acetabular rim. It does not represent repair of the labrum, though both procedures may be performed during the same arthroscopy.
- 29862Hip arthroscopy
- This code describes arthroscopic hip debridement. Use 29916 when the surgeon repairs the labrum rather than only removing or smoothing damaged tissue.
29916 billing questions
When should this code be chosen instead of a hip arthroscopy debridement code?
Choose this code when the surgeon repairs the acetabular labrum, such as by reattaching it with fixation. Debridement without labral repair is a different service.
Can femoroplasty or acetabuloplasty be reported during the same session?
These procedures may be reported when separately performed and documented. CMS applies endoscopy-family pricing when related endoscopic procedures are performed together.
What documentation supports reporting labral repair?
Document the labral tear and arthroscopic findings, the repair performed and fixation technique, and any distinct additional procedures.
How is a bilateral procedure reported?
For a bilateral procedure, CMS specifies modifier 50 and payment at 150%.
What postoperative services are included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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