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See a sample rate comparisonCPT 21029 Fee Schedule
Medicare rates as of October 2026
CPT 21029 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Remval By Contour Of Bnign Tumor Of Facial Bone (Eg Fibrous Dysp, Removal By Contouring Of Benign Tumor Of Facial Bone (Eg Fibrous Dysp
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | 59Distinct Procedural Service RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5164 - Level 4 ENT Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600361 |
| Medicare Fee Schedule | $813.65 national non-facility rate (2026)View Medicare rates for 21029 |
| Medicaid Fee Schedule | $645.615 median of the 8 states in the free previewView Medicaid rates for 21029 |
National average reimbursement for CPT 21029 by major payers:
$988.21
BCBS / Anthem
$1,008.08
UnitedHealthcare
$1,043.10
Aetna
$1,029.06
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 21029.
CPT 21029
5 of 25 sample ratesHigher to lower in this preview
Princess Anne Ambulatory Surgery Management LLC, Princess Anne Ambulatory Surgery Center
Princess Anne Ambulatory Surgery Management, LLC
$4,895.00Published rateWarner Park Surgery Center LLC, Center For Advanced Surgery
Warner Park Surgery Center LLC
$2,353.00Published rateEnt Surgery Center Of Augusta, LLC
Ent Surgery Center Of Augusta LLC
$1,600.00Published rateKings Eye Center Medical Group, Inc., Kings Eye Surgical Center
Kings Eye Center Medical Group, Inc.
$1,249.00Published rateAmerican Endoscopy Center, P.C.
American Endoscopy Center PC
$681.00Published rate
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See a sample payer proposalCPT 21029 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 21029. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 21013-CPT | Exc Face Tum Deep 2 Cm, Excision Tumor Soft Tissue Of Face And Scalp Subfascial Eg Subgaleal Intramuscular Less Than 2 Cm |
| 21014-CPT | Excision Tumor Soft Tissue O, Excision Tumor Soft Tissue Of Face And Scalp Subfascial (Eg Subgaleal Intramuscular) 2 Cm Or Greater |
| 21016-CPT | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Face Or Scalp, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Face Or Scalp |
| 21029-CPT | Remval By Contour Of Bnign Tumor Of Facial Bone (Eg Fibrous Dysp, Removal By Contouring Of Benign Tumor Of Facial Bone (Eg Fibrous Dysp |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21029. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21029 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
What APC is CPT 21029 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 21029 to APC 5164 (Level 4 ENT Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 21029 in an ambulatory surgery center?
CMS lists CPT 21029 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 21029?
Hospital price transparency files list CPT 21029 under these revenue codes: 0360 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.