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See a sample rate comparisonCPT 29825 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.
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.
| 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 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 29825 |
| Medicaid Fee Schedule | View Medicaid rates for 29825 |
National average reimbursement for CPT 29825 by major payers:
$797.00
$792.41
$843.43
$967.51
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CPT 29825
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Azle
$20,777.00Published rateGamma Surgery Center LLC
$6,087.00Published rateNorthwest Community Day Surgery Center II LLC
$3,991.00Published rateWheeling Hospital Ambulatory Surgery Center LLC
$2,942.00Published rateBrooklyn Endoscopy Sc, LLC, Gnyesc
Brooklyn Endoscopy Sc LLC
$432.00Published rate
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See a sample payer proposalCPT 29825 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29825 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 29825 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 |
|---|---|---|
| 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. |
| 29826-CPT | Moderate | Sho Arthrs Srg Decompression, Arthroscopy Shoulder Surgical Decompression Of Subacromial Space With Partial Acromioplasty With Coracoacromial Ligament Ie Arch Release When Performed List Separately In Addition To Code For Primary Procedure |
| 29827-CPT | High | Rotator Cuff Repair Surgery, Surgery To Repair The Rotator Cuff Of The Shoulder. The Procedure May Involve Removing A Small Amount Of Bone Or Repairing Muscles And Ligaments In The Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29825. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29825 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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