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See a sample rate comparisonCPT 29843 Fee Schedule
Last Verified: September 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.
Arthroscopy,Wrist,Surg;Infection,Lavage,
| 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 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 29843 |
| Medicaid Fee Schedule | View Medicaid rates for 29843 |
National average reimbursement for CPT 29843 by major payers:
$697.97
$652.24
$665.72
$800.89
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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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See a sample payer proposalCPT 29843 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29843 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 29843 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 |
|---|---|---|
| 29840-CPT | Moderate | 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 | Moderate | Arthroscopy,Wrist,Surg;Infection,Lavage, |
| 29844-CPT | Moderate | 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 | Moderate | 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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