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CPT 23929 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Surgery-Musculoskeletal System
Key FactDetail
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

RT - Right side of body

LT - Left side of body

Complexity LevelHigh

National average reimbursement for CPT 23929 by major payers:

bcbs

$1,283.74

uhc

$192.83

aetna

$287.00

cigna

$165.40

Preview provider-level rates for...
For billing codeCPT 23929
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 23929

United
23929$574.001477700516 - SUMMIT AMBULATORY SURGICAL CENTER LLC522148280MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$650.001730151168 - HAWTHORN PLACE OUTPATIENT SURGERY CENTER LP, HAWTHORN SURGERY CENTER582065044 - (IL) HAWTHORN PLACE OUTPATIENT SURGERY CENTER LPILAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$121.001508839473 - NEWARK ENDOSCOPY ASC LLC, ENDOSCOPY CENTER OF DELAWARE621867825 - (DE) NEWARK ENDOSCOPY ASC LLCDEAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$155.001386177376 - EXECUTIVE SURGERY CENTER OF LITTLE ROCK, LLC820817194 - (AR) EXECUTIVE SURGERY CENTER OF LITTLE ROCK LLCARAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$186.001538608138 - THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, UCLA DEPT OF MEDICINE954373071CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$249.001881129351 - OCONTO HOSPITAL & MEDICAL CENTER, INC., BELLIN HEALTH MARINETTE SURGERY CENTER61745397 - OCONTO HOSPITAL & MEDICAL CENTER INCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$1543.001922576818 - GREATER NEW HAVEN ASC, LLC814648930 - (CT) GREATER NEW HAVEN ASC LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$163.001275501512 - NORTHWEST KANSAS SURGERY CENTER, LLC481209668 - (KS) NORTHWEST KANSAS SURGERY CENTER LLCKSAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$499.001750481453 - LONGVIEW SURGICAL CENTER LLC, PACIFIC SURGICAL CENTER161678767 - (WA) LONGVIEW SURGICAL CENTER, LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$528.001578534459 - BOSTON OUT-PATIENT SURGICAL SUITES, LLC270050256 - (MA) BOSTON OUT-PATIENT SURGICAL SUITES, LLCMAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$86.001720606932 - PHYSICIANS CLINIC INC470687317 - PHYSICIANS CLINIC INCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$643.001326309394 - ADVANCED SURGERY CENTER OF ORLANDO LLC453785008 - (FL) ADVANCED SURGERY CENTER OF ORLANDO LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$2347.001356124309 - SAINT LUKE'S NORTH SURGERY CENTER, LLC920591506 - (MO) SAINT LUKES NORTH SURGERY CENTER LLCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$613.001902063605 - PENN PRESBYTERIAN MEDICAL CENTER SPU232810852 - PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTHPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23929$122.001699711556 - ESCNC LLC, EYE SURGERY CENTER OF NORTHERN CALIFORNIA462800751 - (CA) ESCNC LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 23929 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 23929 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 23929 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.

CodeComplexityDescription
23929-CPTHighSurgery-Musculoskeletal System

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23929. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 23929 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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