CPT 29823 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 | • 24 - Ambulatory Surgical Center • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | Moderate |
National average reimbursement for CPT 29823 by major payers:
$812.03
$847.81
$879.74
$1,017.68
| 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 29823 | ||||||
United | 29823 | $6365.00 | 1396919783 - SURGCENTER OF SOUTHERN MARYLAND, LLC | 261572885 - (MD) SURGCENTER OF SOUTHERN MARYLAND | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 29823 | $3765.00 | 1407206972 - HEART OF TEXAS SURGERY CENTER PLLC, WACO CENTER OF SURGICAL ARTS | 811843636 - (TX) HEART OF TEXAS SURGERY CENTER PLLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 29823 | $1829.00 | 1457968430 - PARK VENTURA ENDOSCOPY CENTER, LLC, DIGESTIVE HEALTH CENTER OF ALLEN | 412059014 - (TX) PARK VENTURA ENDOSCOPY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 29823 | $1853.53 | 1366889529 - MATTHEW KOCH | 591680273 - FLORIDA CLINICAL PRACTICE ASSOCIATION INC | MA | Neurological Surgery Physician (207T00000X) |
United | 29823 | $1017.84 | 1629796305 - EONE MEDICAL PLLC | 872892331 | MA | Orthopaedic Surgery Physician (207X00000X) |
United | 29823 | $786.77 | 1730156720 - MORGAN LORIO | 300885067 | TN | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 29823 | $2373.34 | 1982137741 - DAVID MATSON | 411762331 | MN | Orthopaedic Hand Surgery Physician (207XS0106X) |
United | 29823 | $1413.56 | 1194259754 - LUKAS KEIL | 571004971 | CA | Orthopaedic Surgery Physician (207X00000X) |
United | 29823 | $888.47 | 1447222047 - GILBERT BEAUPERTHUY | 10858704 | FL | Orthopaedic Surgery Physician (207X00000X) |
United | 29823 | $1600.88 | 1548351109 - FRANCES CUOMO | 205826243 | NY | Orthopaedic Surgery Physician (207X00000X) |
United | 29823 | $1163.86 | 1740285584 - KEVIN SETTER | 166081392 | NY | Orthopaedic Hand Surgery Physician (207XS0106X) |
United | 29823 | $743.57 | 1184676215 - ANTHONY FINUOLI | 113505479 | NY | Orthopaedic Hand Surgery Physician (207XS0106X) |
United | 29823 | $1117.78 | 1003810045 - DONALD DIVERIO | 232380812 | PA | Orthopaedic Surgery Physician (207X00000X) |
United | 29823 | $858.77 | 1083804066 - YANGGUAN WU | 132655001 | NY | Orthopaedic Surgery Physician (207X00000X) |
United | 29823 | $2592.87 | 1427081637 - PATRICIA SCHICK | 390808480 | WI | Pediatric Orthopaedic Surgery Physician (207XP3100X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 29823 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29823 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 29823 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 |
|---|---|---|
| 29822-CPT | Moderate | Arthroscopy Shoulder Surgical; Debridement Limited 1 Or 2 Discrete Structures (Eg Humeral Bone Humeral Articular Cartilage Glenoid Bone Glenoid Articular Cartilage Biceps Tendon Bicepsanchor Complex Labrum Articular Capsule Articular Side Of The Rotator Cuff Bursal Side Ofthe Rotator Cuff Subacromial Bursa Foreign Body[Ies]) (Desc Rvsd 1/1/21) |
| 29823-CPT | Moderate | Arthroscopy Shoulder Surgical; Debridement Extensive 3 Or More Discrete Structures (Eg Humeral Bone Humeral Articular Cartilage Glenoid Bone Glenoid Articular Cartilage Biceps Tendon Biceps Anchor Complex Labrum Articular Capsule Articular Side Of The Rotator Cuff Bursal Side Of The Rotator Cuff Subacromial Bursa Foreign Body[Ies]) (Desc Rvsd 1/1/21) |
| 29824-CPT | Moderate | Arthroscopy, Shoulder, Surgical; Distal Claviculectomy Including Distal Articular Surface (Mumford Procedure) |
| 29825-CPT | Moderate | Arthroscopy, Shoulder, Surgical; With Lysis And Resection Of Adhesions, With Or Without Manipulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29823. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29823 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 29823) and we'll show you how you compare in 15 minutes or less.