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See a sample rate comparisonCPT 21029 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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 | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21029 |
| Medicaid Fee Schedule | View Medicaid rates for 21029 |
National average reimbursement for CPT 21029 by major payers:
$988.21
$1,008.08
$1,043.10
$1,029.06
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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 CPT 21029 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 21029 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 21013-CPT | Moderate | Exc Face Tum Deep 2 Cm, Excision Tumor Soft Tissue Of Face And Scalp Subfascial Eg Subgaleal Intramuscular Less Than 2 Cm |
| 21014-CPT | Moderate | Excision Tumor Soft Tissue O, Excision Tumor Soft Tissue Of Face And Scalp Subfascial (Eg Subgaleal Intramuscular) 2 Cm Or Greater |
| 21016-CPT | High | 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 | Moderate | 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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