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See a sample rate comparisonCPT 29828 Fee Schedule
Last Verified: October 2026
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.
Biceps Tendon Surgery, Surgery Aided By A Scope (Arthroscopy) To Cut The Biceps Tendon At The Shoulder Socket And Reattach It To The Upper Arm Bone. The Procedure Is Done To Stop Inflammation And Irritation Of The Biceps Tendon.
| 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 |
| Medicare Fee Schedule | View Medicare rates for 29828 |
| Medicaid Fee Schedule | View Medicaid rates for 29828 |
National average reimbursement for CPT 29828 by major payers:
$1,183.58
$1,228.85
$1,300.00
$1,506.16
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CPT 29828
5 of 25 sample ratesHigher to lower in this preview
Texas Orthopedics Surgery Center, LLC, Texas Orthopedics Surgery Center Limited Partnership, Ll
Texas Orthopedics Surgery Center LLC
$6,492.00Published rateAmbulatory Surgery Center Of Spartanburg, LLC
Ambulatory Surgery Center Of Spartanburg
$3,686.00Published rateDoctors Gi Partnership Ltd, Hf Surgery Center At Babcock
Doctors Gi Partnership Ltd
$2,295.00Published rateKim Volz
Deaconess Hospital Inc
$1,593.41Published rateErin Pope
Deaconess Hospital Inc
$732.10Published rate
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See a sample payer proposalCPT 29828 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29828 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 29828 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 |
| 29828-CPT | High | Biceps Tendon Surgery, Surgery Aided By A Scope (Arthroscopy) To Cut The Biceps Tendon At The Shoulder Socket And Reattach It To The Upper Arm Bone. The Procedure Is Done To Stop Inflammation And Irritation Of The Biceps Tendon. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29828. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29828 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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