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See a sample rate comparisonCPT 29843 Fee Schedule
Medicare rates as of October 2026
CPT 29843 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arthroscopy,Wrist,Surg;Infection,Lavage,
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $469.62 national non-facility rate (2026)View Medicare rates for 29843 |
| Medicaid Fee Schedule | $375.48 median of the 8 states in the free previewView Medicaid rates for 29843 |
National average reimbursement for CPT 29843 by major payers:
$697.97
BCBS / Anthem
$652.24
UnitedHealthcare
$665.72
Aetna
$800.89
Cigna
Compare published rates across providers.
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CPT 29843
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgical Center Of Somerville LLC, Somerset Ambulatory Surgical Center
$4,696.00Published rateArapahoe Endoscopy Center Partnership Pllp
$2,771.00Published rateSouth Sound Surgery, PLLC, Auburn Surgical Center
South Sound Surgery PLLC
$1,948.00Published rateNovamed Surgery Center Of St Peters LLC, St Peters Ambulatory Surgery Center
Novamed Surgery Center Of St Peters LLC
$1,440.00Published rateSpokane Digestive Disease Center, P.S., South Asc
Spokane Digestive Disease Center P.S.
$651.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 29843 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 29843. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 29840-CPT | Wrist Surgery With Scope, Wrist Surgery Aided By A Scope (Arthroscopy). The Procedure May Include Taking A Sample Of Tissue Or Joint Fluid For Testing (Biopsy). |
| 29843-CPT | Arthroscopy,Wrist,Surg;Infection,Lavage, |
| 29844-CPT | Remove Wrist Joint Lining, Surgery Aided By A Scope (Arthroscopy) To Remove All Or A Portion Of The Lining Of The Wrist Joint. |
| 29845-CPT | Remove Wrist Joint Lining, Surgery Aided By A Scope (Arthroscopy) To Remove All Or A Portion Of The Lining Of The Wrist Joint. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29843. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29843 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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Frequently Asked Questions
What APC is CPT 29843 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 29843 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 29843 in an ambulatory surgery center?
CMS lists CPT 29843 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 29843?
Hospital price transparency files list CPT 29843 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.