{
    "code": "29828",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/29828/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/29828/2016/B",
    "description": "Reattachment of the long head of the biceps tendon to the upper arm bone, done through arthroscopic portals rather than an open incision. The damaged tendon is released from its origin inside the shoulder joint and refixed lower down, taking a painful structure out of the joint while preserving the muscle's pull. It is the keyhole counterpart to the open version of the same operation.",
    "answer": {
        "question": "How much did Medicare pay for CPT 29828 in Q2 2016?",
        "text": "Medicare paid $939.50 for CPT 29828 in the office (non-facility) setting and $939.50 in a facility under the Q2 2016 Physician Fee Schedule, effective April 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q4 2015, when it increased 0.5%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "B",
        "label": "Q2 2016",
        "effective": "April 1 – June 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 939.5,
        "facility": 939.5,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 13.16,
        "practice_expense_non_facility": 10.81,
        "practice_expense_facility": 10.81,
        "malpractice": 2.27
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q2 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/B",
        "file": "PPRRVU16_April_V0202.csv",
        "row": 6970,
        "sha256": "a6f009bac8359a1f7d870e6b668dd2e69d1658423373dbb0ca0c267cdae773b9"
    },
    "modified_at": "2026-08-04T03:06:42+00:00"
}