# HCPCS G0289: Arthroscopy, knee, removal of loose body/foreign body/debridement at time of other surgical knee arthroscopy (add-on)

Medicare HCPCS G0289 pays $72.81 in a non-facility setting and $72.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $65.48 in Wisconsin to $93.49 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/G0289-hcpcs-fee-schedule
Section: Temporary, Administrative and Miscellaneous

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $72.81 |
| National facility | $72.81 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $93.49 | $93.49 |
| Florida | $82.03 | $82.03 |
| Illinois | $81.30 | $81.30 |
| New York | $80.31 | $80.31 |
| District of Columbia | $79.18 | $79.18 |
| New Jersey | $77.99 | $77.99 |
| Connecticut | $76.97 | $76.97 |
| Michigan | $75.85 | $75.85 |
| West Virginia | $75.02 | $75.02 |
| Maryland | $74.83 | $74.83 |
| Massachusetts | $74.53 | $74.53 |
| Washington | $74.39 | $74.39 |
| Georgia | $74.10 | $74.10 |
| Pennsylvania | $73.61 | $73.61 |
| New Mexico | $73.51 | $73.51 |
| Rhode Island | $73.18 | $73.18 |
| California | $72.86 | $72.86 |
| Puerto Rico | $72.83 | $72.83 |
| Virgin Islands | $72.83 | $72.83 |
| Montana | $72.79 | $72.79 |
| Colorado | $72.23 | $72.23 |
| New Hampshire | $72.22 | $72.22 |
| Texas | $72.16 | $72.16 |
| Louisiana | $71.96 | $71.96 |
| Delaware | $71.90 | $71.90 |
| Ohio | $71.58 | $71.58 |
| Missouri | $71.42 | $71.42 |
| Oregon | $71.32 | $71.32 |
| Nevada | $71.21 | $71.21 |
| Arizona | $70.95 | $70.95 |
| Utah | $70.92 | $70.92 |
| Hawaii | $70.80 | $70.80 |
| Kentucky | $70.32 | $70.32 |
| Wyoming | $70.30 | $70.30 |
| South Carolina | $70.22 | $70.22 |
| Virginia | $69.71 | $69.71 |
| Oklahoma | $69.05 | $69.05 |
| Maine | $68.53 | $68.53 |
| North Carolina | $68.31 | $68.31 |
| Mississippi | $68.20 | $68.20 |
| Vermont | $67.88 | $67.88 |
| North Dakota | $67.06 | $67.06 |
| Tennessee | $66.96 | $66.96 |
| Indiana | $66.74 | $66.74 |
| Alabama | $66.73 | $66.73 |
| Kansas | $66.57 | $66.57 |
| Idaho | $66.51 | $66.51 |
| Minnesota | $66.43 | $66.43 |
| South Dakota | $66.38 | $66.38 |
| Arkansas | $66.00 | $66.00 |
| Iowa | $65.70 | $65.70 |
| Nebraska | $65.63 | $65.63 |
| Wisconsin | $65.48 | $65.48 |

## Related codes

- G0068: Professional services for home infusion drug administration, IV push, per diem — https://www.med-reveal.com/rates/G0068-hcpcs-fee-schedule
- G0070: Professional services for home infusion, subcutaneous infusion, initial visit — https://www.med-reveal.com/rates/G0070-hcpcs-fee-schedule
- G0154: Direct skilled nursing services, home health, each 15 minutes — https://www.med-reveal.com/rates/G0154-hcpcs-fee-schedule
- G0179: Physician recertification for Medicare-covered home health services — https://www.med-reveal.com/rates/G0179-hcpcs-fee-schedule
- G0180: Physician certification for Medicare-covered home health services — https://www.med-reveal.com/rates/G0180-hcpcs-fee-schedule
- G0181: Physician supervision of home health patient, 30 minutes or more — https://www.med-reveal.com/rates/G0181-hcpcs-fee-schedule
- G0182: Physician supervision of hospice patient, 30 minutes or more — https://www.med-reveal.com/rates/G0182-hcpcs-fee-schedule
- G0248: Demonstration/training patient/caregiver for INR home monitoring — https://www.med-reveal.com/rates/G0248-hcpcs-fee-schedule

Commercial negotiated rates for G0289 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules