CPT 29827 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-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 | High |
National average reimbursement for CPT 29827 by major payers:
$1,462.59
$1,455.46
$1,527.77
$1,797.93
| 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 29827 | ||||||
United | 29827 | $8180.00 | 1336288703 - VIRGINIA MASON MEDICAL CENTER, VIRGINIA MASON ISSAQUAH ASC | 910565539 - (WA) VIRGINIA MASON MEDICAL CENTER | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 29827 | $3280.67 | 1487812319 - HELEN JAN | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Internal Medicine Physician (207R00000X) |
United | 29827 | $1983.82 | 1972778603 - RYAN TROMBLY | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | FL | Neurological Surgery Physician (207T00000X) |
United | 29827 | $2703.90 | 1033280128 - ERAN BEN-LEVI | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 29827 | $3892.74 | 1295346542 - JOHANNE BLOUNT | 135562308 - NEW YORK UNIVERSITY | NY | Adult Health Nurse Practitioner (363LA2200X) |
United | 29827 | $4042.08 | 1649415290 - PUJA PARIKH | 112558775 - STONY BROOK INTERNISTS P C | NY | Cardiovascular Disease Physician (207RC0000X) |
United | 29827 | $2703.90 | 1043353642 - RAJEEVI MADANKUMAR | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 29827 | $5377.77 | 1376177428 - MISAGH FASAZADEH | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Physician Assistant (363A00000X) |
United | 29827 | $2131.20 | 1326035031 - PRABHAKAR KOCHERLAKOTA | 133956599 - BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP | NY | Neonatal-Perinatal Medicine Physician (2080N0001X) |
United | 29827 | $853.58 | 1396859252 - MARK BORNSTEIN | 270987840 | FL | Podiatrist (213E00000X) |
United | 29827 | $4205.00 | 1902043284 - AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE | 911886576 - (WA) ELIE LEVY, M.D., P.C. DBA AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 29827 | $3280.67 | 1134201742 - REUBEN GARCIA-CARRASQUILLO | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Gastroenterology Physician (207RG0100X) |
United | 29827 | $2163.12 | 1235691262 - NEHA GUPTA | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Internal Medicine Physician (207R00000X) |
United | 29827 | $2225.43 | 1912989641 - AUDREY RANDOLPH | 264709927 - WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, P.C | NY | Physical Medicine & Rehabilitation Physician (208100000X) |
United | 29827 | $1401.06 | 1275929119 - SARAH SHIPLEY | 461243081 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
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 29827 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29827 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 29827 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 |
|---|---|---|
| 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 |
| 29827-CPT | High | Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29827. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29827 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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