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See a sample rate comparisonCPT 29085 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.
Application Hand And Lower Fo, Application Hand And Lower Forearm (Gauntlet)Application Hand And Lower Forearm (Gauntlet)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 29085 |
| Medicaid Fee Schedule | View Medicaid rates for 29085 |
National average reimbursement for CPT 29085 by major payers:
$119.79
$123.74
$132.04
$149.82
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CPT 29085
5 of 25 sample ratesHigher to lower in this preview
Kc Surgicenter, LLC
Kc Surgicenter LLC
$1,299.00Published ratePhysicians Outpatient Surgery Center LLC
$403.00Published rateAdvanced Surgery Center Of Lancaster, LLC
Advanced Surgery Center Of Lancaster LLC
$215.00Published rateSouth Carolina Endoscopy Center
S.C. Endoscopy Center LLC
$150.00Published rateWilliam Salinas
Deaconess Hospital Inc
$75.84Published rate
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See a sample payer proposalCPT 29085 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29085 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 29085 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 |
|---|---|---|
| 29075-CPT | Low | Cast Short Arm |
| 29085-CPT | Low | Application Hand And Lower Fo, Application Hand And Lower Forearm (Gauntlet)Application Hand And Lower Forearm (Gauntlet) |
| 29125-CPT | Low | Application Of Short Arm Splin, Application Of Short Arm Splint (Forearm To Hand)Staticapplication Of Short Arm Splint (Forearm To Hand) Static |
| 29130-CPT | Low | Application Of Finger Splint; Static |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29085. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29085 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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