CPT 29807
Global 090 ActiveSho arthrs srg rpr slap les
CPT 29807 Billing & Documentation Guide
CPT code 29807 (Sho arthrs srg rpr slap les) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 14.3, a non-facility practice expense RVU of 11.27, and a malpractice RVU of 2.93, a total non-facility RVU of 28.5 and facility RVU of 28.5. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $964.01, though rates vary from $851.38 to $1171.27 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 29807, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 29807 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 29807 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 29807
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 14.3 | 14.3 |
| Practice Expense RVU | 11.27 | 11.27 |
| Malpractice RVU | 2.93 | 2.93 |
| Total RVU | 28.5 | 28.5 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 29807
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $993.24 | $993.24 | $950.77 - $1125.44 | 29 |
| Florida | $1045.82 | $1045.82 | $984.59 - $1116.99 | 3 |
| Georgia | $954.56 | $954.56 | $930.06 - $979.05 | 2 |
| Illinois | $1030.05 | $1030.05 | $974.27 - $1083.89 | 4 |
| Michigan | $968.85 | $968.85 | $931.8 - $1005.89 | 2 |
| North Carolina | $891.38 | $891.38 | $891.38 - $891.38 | 1 |
| New York | $1053.27 | $1053.27 | $904.04 - $1137.51 | 5 |
| Ohio | $919.96 | $919.96 | $919.96 - $919.96 | 1 |
| Pennsylvania | $955.26 | $955.26 | $915.68 - $994.84 | 2 |
| Texas | $941.76 | $941.76 | $911.1 - $989.91 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 29807
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 29807 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0566T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 29807
What does CPT code 29807 mean? +
CPT code 29807 represents: Sho arthrs srg rpr slap les. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 29807? +
The 2026 Medicare national average non-facility payment for CPT 29807 is $964.01. Rates range from $851.38 to $1171.27 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 29807? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 29807? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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