SurgeryStatus AGlobal 090

CPT Code 29881

Surgery using arthroscope in knee to remove medial or lateral meniscus

Source: CMS 2026 Physician Fee Schedule. Maintained by the D3rx Clinical Billing Team.

2026 Medicare national rate

Office (non-facility)

$515.71

Performed in a physician office

Facility

$515.71

Hospital / ASC setting

Total RVUs (office)

15.44

15.44 facility

Conversion factor

$33.4009

2026 PFS

Medicare payment = total RVUs × GPCI (locality adjustment) × conversion factor. At the national level (GPCI = 1.0), 15.44 × 33.4009 = $515.71 (office). Facility rates are lower because the facility separately bills its overhead.

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RVU breakdown

Work RVU

6.85

Office PE RVU

7.19

Facility PE RVU

7.19

Malpractice RVU

1.40

PC/TC: Physician service — not subject to a professional/technical split.

Billing notes

  • 29881 carries a 90-day global period: related follow-up care within 90 days is bundled into this payment and is not separately billable.
  • The national allowable is built from 15.44 total office RVUs × the $33.4009 conversion factor; multiply by your locality GPCIs (above) to reconcile a specific remittance.

Billing & payment rules

Multiple procedures
Special endoscopic multiple-procedure rules apply.
Bilateral surgery
Conditional bilateral — 150% adjustment applies when performed bilaterally (modifier 50).
Assistant surgeon
Assistant surgeon payable only with documented medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgeons
Team surgeons not permitted.
Global period
90-day global period — most related follow-up care within 90 days is bundled into this code's payment.

2026 rate by locality

LocalityOfficeFacility
National (GPCI 1.0)$515.71$515.71
Manhattan, NY$596.66$596.66
Los Angeles, CA$553.33$553.33
Houston, TX$533.44$533.44
Chicago, IL$579.07$579.07
Miami, FL$597.05$597.05
Atlanta, GA$529.64$529.64

Computed from CMS 2026 GPCIs: (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × $33.4009. Your MAC's locality may differ.

Related Surgery codes

Related guides

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Medical billing disclaimer

Rates shown are 2026 Medicare Physician Fee Schedule amounts and are for educational reference. Commercial payers, locality, and plan rules vary. Always verify current rates and coverage with the payer before billing. D3rx is not responsible for claim outcomes.