No office rate
Use 29889 for arthroscopically aided PCL repair, augmentation, or reconstruction; use 29888 when the treated cruciate ligament is the ACL.
On this page
CMS RVU26D · Effective 2026-10-01
29889 PCL surgery Medicare reimbursement rates in Ohio
Reports arthroscopically aided repair, augmentation, or reconstruction of the posterior cruciate ligament to address injury-related knee instability. Compare 29889 office and facility rates across CMS payment localities in Ohio.
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 29889 in Ohio?
Ohio 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
$1094.55
1 of 1 localities have a supported rate.
Payment area: Ohio
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 29889: Arthroscopic posterior cruciate ligament repair or reconstruction
Reports arthroscopically aided repair, augmentation, or reconstruction of the posterior cruciate ligament to address injury-related knee instability.
An orthopedic surgeon uses arthroscopic visualization to repair or reinforce an injured posterior cruciate ligament (PCL), or reconstruct it when the ligament cannot provide adequate stability. The procedure is typically performed in an operating room for a patient with a PCL injury and persistent knee instability. Arthroscopic assistance means the surgeon uses a scope and instruments through portals while performing the ligament work.
Report this code for the PCL procedure, not for anterior cruciate ligament work or meniscal treatment alone. The operative report should identify the PCL as the treated structure and describe the arthroscopic repair, augmentation, or reconstruction. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 29889
- 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
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.97 · 50%
- Practice expense (office) RVU13.32 · 39%
- Malpractice RVU3.61 · 11%
63
Medicare services in 2024 · #5209 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.
29889 compared with similar codes
Office rates for Ohio, from the same CMS release.
Compare 29889 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
Ohio →
Office / nonfacility
Unavailable
Facility
$1094.55
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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 29889 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
3,370
- Code
- 29889
- Physician work
- 16.97
- Practice expense
- 13.32
- Malpractice
- 3.61
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.97 | × 1.000 | 16.9700 |
| Practice expense | 13.32 | × 0.913 | 12.1612 |
| Malpractice | 3.61 | × 1.008 | 3.6389 |
| Total RVUs | 32.7700 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1094.55
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.97 | 1 |
| Practice expense | 13.32 | 0.913 |
| Malpractice | 3.61 | 1.008 |
(16.97 × 1 + 13.32 × 0.913 + 3.61 × 1.008) × $33.4009 = $1094.55
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.
29889 billing questions
How is this code different from 29888?
This code is for arthroscopically aided work on the posterior cruciate ligament. Code 29888 is for the corresponding procedure on the anterior cruciate ligament.
Does this code include the arthroscopic access and visualization?
The code describes an arthroscopically aided PCL procedure. Do not report a separate diagnostic arthroscopy for routine visualization of the same knee during that procedure.
Can meniscal surgery be reported during the same session?
A separately performed meniscal repair or meniscectomy may be reported when documented as distinct treatment of a meniscal condition. Same-session multiple procedures are subject to Medicare's multiple procedure reduction.
How should bilateral PCL procedures be reported?
For procedures performed on both knees, report modifier 50; CMS pays the bilateral procedure at 150%.
What documentation supports reporting this code?
Document the PCL injury and the arthroscopically aided repair, augmentation, or reconstruction performed. The operative report should distinguish PCL treatment from ACL or meniscal work.
How are assistant and co-surgeon claims handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires 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 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.
3,36729886,,Arthrs knee surg drlg od les,A,,8.28,8.07,NA,8.07,,1.76,18.11,18.11,0,090,0.10,0.69,0.21,3,1,1,0,0,9,29870,33.4009,09,0,99,0.00,0.00,0.00
3,36829887,,Arthrs knee srg drlg od fixj,A,,9.91,9.25,NA,9.25,,2.11,21.27,21.27,0,090,0.10,0.69,0.21,3,1,2,1,0,9,29870,33.4009,09,0,99,0.00,0.00,0.00
3,36929888,,Arthrs aid acl rpr/agmntj,A,,13.94,9.95,NA,9.95,,2.74,26.63,26.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37029889,,Arthrs aid pcl rpr/agmntj,A,,16.97,13.32,NA,13.32,,3.61,33.90,33.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37129891,,Arthr ank ostchn df tal&/tib,A,,9.43,7.98,NA,7.98,,1.57,18.98,18.98,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37229892,,Arthrs aid rpr od les/tib fx,A,,10.01,6.62,NA,6.62,,1.26,17.89,17.89,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,37329893,,Endoscopic plantr fasciotomy,A,,6.16,13.20,,5.79,,0.56,19.92,12.51,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703