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See a sample rate comparisonHealthcare 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 |
| Medicare Fee Schedule | View Medicare rates for 29824 |
| Medicaid Fee Schedule | View Medicaid rates for 29824 |
National average reimbursement for CPT 29824 by major payers:

$910.16

$906.71

$962.51

$1,109.65
Choose a payer to see a sample of rates for CPT 29824.
Dmg Pain Management Surgery Center LLC
Orthoatlanta Surgery Center Of Austell LLC
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Rate Benchmarking
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See a sample payer proposalCPT 29824 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29824 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 29824 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 |
|---|---|---|
| 29805-CPT | Moderate | Scope Exam Of Shoulder, Exam Of A Shoulder Using A Scope (Arthroscopy). The Procedure May Include Taking A Sample Of Tissue For Testing (Biopsy). |
| 29823-CPT | Moderate | Sho Arthrs Srg Xtnsv Dbrdmt, 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 |
| 29824-CPT | Moderate | Shoulder Surgery With A Scope, Surgery On The Shoulder Aided By A Scope (Arthroscopy). This Surgery May Be Done To Remove Part Of The Collarbone (Clavicle) Or To Remove Scar Tissue That Is Causing Pain Or Restricting Movement. |
| 29825-CPT | Moderate | Shoulder Surgery With A Scope, Surgery On The Shoulder Aided By A Scope (Arthroscopy). This Surgery May Be Done To Remove Part Of The Collarbone (Clavicle) Or To Remove Scar Tissue That Is Causing Pain Or Restricting Movement. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29824. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29824 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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