CPT 29125 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | • 23 - Emergency Room • 11 - Office |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 29125 |
National average reimbursement for CPT 29125 by major payers:
$83.47
$85.48
$94.14
$110.11
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 29125 | ||||||
United | 29125 | $92.00 | 1134300080 - METAIRIE LA ENDOSCOPY ASC LLC, MGA GASTROINTESTINAL DIAGNOSTIC AND THERAPEUTIC CENTER-METAIRIE | 205904604 | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 29125 | $1400.00 | 1174533343 - TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | 750972805 - (TX) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 29125 | $83.41 | 1245612068 - MICHAEL MEINHOLD | 260719814 - (LA) LAKE CHARLES MEDICAL SERVICES ORTHOPEDICS ASSOCIATES LLC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 29125 | $57.13 | 1538135868 - JOHN LOGAN | 473080164 - (LA) FREEDOM SPINE LLC | LA | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 29125 | $2749.00 | 1659559573 - ST LUKES COMMUNITY DEVELOPMENT CORPORATION, ST LUKES SUGAR LAND HOSPITAL | 261947374 - (TX) ST LUKES COMMUNITY DEVELOPMENT CORPORATION-SUGAR LAND | TX | General Acute Care Hospital (282N00000X) |
United | 29125 | $55.13 | 1326090077 - SOUTHERN ORTHOPAEDIC SPECIALISTS APMC | 720848728 - (LA) SOUTHERN ORTHOPAEDIC SPECIALISTS, INC., A MEDICAL CORPORATION | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 29125 | $420.00 | 1588631311 - SURGICAL SPECIALTY CENTER OF BATON ROUGE, LLC, SURGICAL SPECIALTY CENTER OF BATON ROUGE | 263120962 - (LA) SURGICAL SPECIALTY CENTER OF BATON ROUGE, LLC | LA | General Acute Care Hospital (282N00000X) |
United | 29125 | $1444.00 | 1578741849 - SCOTT AND WHITE HOSPITAL, BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | 741595711 - (TX) SCOTT & WHITE HOSPITAL-TAYLOR | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 29125 | $64.62 | 1447544465 - CHARLES SCHUMACHER | 144754446 | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 29125 | $66.66 | 1346611829 - AMARI THOMAS | 300520570 - (TX) METHODIST HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 29125 | $102.47 | 1295734465 - DAVID CLAUSE | 720720053 - (LA) OPELOUSAS ORTHOPAEDIC CLINIC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 29125 | $1085.00 | 1316361025 - TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN, TEXAS HEALTH KAUFMAN MIDWIFE CARE CENTER | 752771437 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | TX | General Acute Care Hospital (282N00000X) |
United | 29125 | $60.20 | 1629369210 - SPINE INSTITUTE OF LOUISIANA LLC, SPINE INSTITUTE OF LOUISIANA | 320353742 - (LA) SPINE INSTITUTE OF LOUISIANA, LLC | LA | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 29125 | $1643.00 | 1669542346 - NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT, NATCHITOCHES REGIONAL MEDICAL CENTER | 726013916 - (LA) NATCHITOCHES REGIONAL MEDICAL CENTER | LA | General Acute Care Hospital (282N00000X) |
United | 29125 | $71.08 | 1659466845 - ROCH HONTAS | 720478620 | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 29125 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29125 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 29125 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 29125. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29125 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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