Billing code 29807: Shoulder arthroscopyMedicare rate & RVUs in Oklahoma
Reports arthroscopic repair of a superior labrum anterior-to-posterior lesion, typically when the surgeon reattaches the injured labrum and biceps anchor.
CMS doesn’t publish an office rate for 29807 in Oklahoma.
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 29807 covers
An orthopedic surgeon uses a shoulder arthroscope and instruments to repair a superior labrum anterior-to-posterior (SLAP) lesion, often securing the labrum near the biceps anchor with suture anchors. The procedure is performed in a surgical setting for a symptomatic tear selected for repair; the operative report should identify the lesion and describe the repair. A diagnostic inspection alone does not represent this therapeutic service.
Select this code when the surgeon repairs the superior labrum, not for an anterior-inferior capsular stabilization or a rotator cuff repair. Documentation should establish the operative findings and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. When related endoscopies are performed together, endoscopy-family pricing applies. For a bilateral procedure, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons require 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.
29807 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $889.82 |
How the 29807 rate is calculated
Each of 29807’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 · 29807
RVUs × geographic indexes × conversion factor
Work14.30
14.30 RVUs× 1.000 GPCI
Practice expense11.27
11.27 RVUs× 1.000 GPCI
Malpractice2.93
2.93 RVUs× 1.000 GPCI
Adjusted RVUs
28.5000
Conversion factor
$33.4009
Medicare rate
$951.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 29807
29807 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 29807
Shoulder 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) | 1 | Not paid (statutory restriction). |
| 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 · 29807
Shoulder 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
29807 without 50 · national facility
$951.93
Shoulder arthroscopy
29807-50 · Bilateral: 150%
$1,427.90
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).
29807 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 29805Shoulder arthroscopy
- 29805 describes diagnostic shoulder arthroscopy, with or without synovial biopsy. Use 29807 when the surgeon therapeutically repairs a superior labral lesion.
- 29806Shoulder stabilization
- 29806 is for arthroscopic capsular stabilization, commonly addressing shoulder instability. Code 29807 is for repair of the superior labrum near the biceps anchor.
- 29828Biceps tenodesis
- 29828 reports arthroscopic biceps tenodesis, which changes the biceps tendon’s attachment. Code 29807 reports repair of the superior labrum; report the procedure performed.
- 29827Rotator cuff repair
- 29827 is for arthroscopic rotator cuff repair. It addresses a cuff tendon tear rather than a superior labral lesion.
29807 billing questions
How is this different from shoulder capsulorrhaphy?
This code is for repair of a superior labral lesion near the biceps anchor. Capsulorrhaphy (29806) addresses capsular or labral stabilization for shoulder instability.
Can this be reported with a rotator cuff repair?
A separate rotator cuff tear may be repaired during the same arthroscopic session. The operative note should describe the distinct findings and work for each service; CMS endoscopy-family pricing applies when related endoscopies are performed together.
When is biceps tenodesis used instead?
Arthroscopic biceps tenodesis (29828) may be selected instead of repairing the superior labrum in some cases involving the biceps anchor. The reported service should match the procedure actually performed.
What documentation supports reporting this code?
Document the superior labral lesion found during surgery and the arthroscopic repair performed, including the site and method of fixation when applicable. A diagnostic inspection without repair does not support this code.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. CMS also applies the listed endoscopy-family pricing when related endoscopies are performed together.
How are bilateral procedures and surgical assistants handled?
For a bilateral procedure, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons require supporting documentation, and 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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