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See a sample rate comparisonCPT 29065 Fee Schedule
Last Verified: October 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.
Apply;Shoulder To Hand (Long Arm) Cast
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 29065 |
| Medicaid Fee Schedule | View Medicaid rates for 29065 |
National average reimbursement for CPT 29065 by major payers:
$118.23
$125.18
$135.96
$115.95
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CPT 29065
5 of 25 sample ratesHigher to lower in this preview
Our Lady Of Lourdes Regional Medical Center,Inc
Our Lady Of Lourdes Regional Medical Center Inc
$4,867.00Published rateLaguna Niguel Surgery Center LLC
$524.00Published rateColiseum Same Day Surgery Center Lp
$277.00Published rateSpine Center, LLC
Spine Center LLC
$146.58Published rateBoston Eye Surgery & Laser Center Trust, Boston Eye Surgery & Laser Center
Boston Eye Surgery & Laser Center Trust
$66.00Published rate
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See a sample payer proposalCPT 29065 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29065 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 29065 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29065. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29065 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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