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CMS RVU26D · Effective 2026-10-01

29907 Subtalar fusion Medicare reimbursement rates in Tennessee

Arthroscopic subtalar arthrodesis is reported when a surgeon prepares and fuses the subtalar joint through arthroscopic access. Compare 29907 office and facility rates across CMS payment localities in Tennessee.

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 29907 in Tennessee?

Tennessee 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

$750.05

1 of 1 localities have a supported rate.

Payment area: Tennessee

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.

Find 29907 in your payment locality →

Orthopedic surgery

About 29907: Arthroscopic subtalar joint fusion

Arthroscopic subtalar arthrodesis is reported when a surgeon prepares and fuses the subtalar joint through arthroscopic access.

An orthopedic foot and ankle surgeon uses arthroscopic portals to access the subtalar joint, prepare the joint surfaces for fusion, and stabilize the joint. The operation treats conditions for which subtalar fusion is indicated, such as painful arthritis or deformity involving the joint. It is generally performed in a hospital outpatient department or ambulatory surgery center; CMS recorded facility services for this code in 2024.

Report this code when the operative work includes arthroscopically performed subtalar arthrodesis, not merely diagnostic inspection or another subtalar arthroscopy procedure. The operative report should identify the joint and side, describe arthroscopic joint preparation and fusion, and document fixation and any graft used. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons and team surgery are not permitted.

CMS billing rules for 29907

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU11.88 · 48%
  • Practice expense (office) RVU10.14 · 41%
  • Malpractice RVU2.53 · 10%

73

Medicare services in 2024 · #5117 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.

29907 compared with similar codes

Office rates for Tennessee, from the same CMS release.

28725

Subtalar fusion

Single subtalar joint

No office rate

Choose 29907 for arthroscopically performed subtalar fusion. Code 28725 represents subtalar arthrodesis without the arthroscopic approach.

29904

Subtalar arthroscopy

Loose or foreign body removal

No office rate

29904 describes subtalar arthroscopy with removal of a loose body or foreign body; 29907 is for arthroscopic subtalar fusion.

29905

Subtalar arthroscopy

Tarsal coalition excision

No office rate

29905 represents subtalar arthroscopy with excision. Use 29907 when the documented arthroscopic work includes subtalar arthrodesis.

29906

Subtalar arthroscopy

With debridement

No office rate

29906 describes subtalar arthroscopy with debridement, not fusion. The documented operative objective distinguishes it from 29907.

Compare 29907 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

Office and facility base rates · shared scale starting at $0

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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 29907 in Tennessee.

PPRRVU2026_Oct_nonQPP.csv

3,385

Code
29907
Physician work
11.88
Practice expense
10.14
Malpractice
2.53

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Facility calculation for 29907 in Tennessee
ComponentRVULocality factorAdjusted
Physician work11.88× 1.00011.8800
Practice expense10.14× 0.9099.2173
Malpractice2.53× 0.5371.3586
Total RVUs22.4559
Conversion factor× 33.4009

Facility rate, Tennessee$750.05

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work11.881
Practice expense10.140.909
Malpractice2.530.537

(11.88 × 1 + 10.14 × 0.909 + 2.53 × 0.537) × $33.4009 = $750.05

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.

29907 billing questions

When should 29907 be selected instead of another subtalar arthroscopy code?

Use 29907 when the arthroscopic procedure includes fusion of the subtalar joint. Codes for removal of a loose body, excision, or debridement describe different operative work.

Is subtalar fusion reported with modifier 50 when both sides are treated?

CMS lists this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%. Document the work performed on each side.

How does the multiple-procedure rule affect payment?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What documentation supports reporting 29907?

The operative report should establish arthroscopic access, subtalar joint preparation for fusion, and the fusion performed. Include laterality and describe fixation and any graft used.

Can an assistant-at-surgery or co-surgeon be reported?

Assistant-at-surgery payment may be available. CMS does not permit co-surgeons or team surgery for this code.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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.

RVUs for 29907PPRRVU2026_Oct_nonQPP.csv, line 3,385 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)