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See a sample rate comparisonCPT 29845 Fee Schedule
Medicare rates as of October 2026
CPT 29845 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Remove Wrist Joint Lining, Surgery Aided By A Scope (Arthroscopy) To Remove All Or A Portion Of The Lining Of The Wrist Joint.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft 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 | $546.77 national non-facility rate (2026)View Medicare rates for 29845 |
| Medicaid Fee Schedule | $438.875 median of the 8 states in the free previewView Medicaid rates for 29845 |
National average reimbursement for CPT 29845 by major payers:
$816.82
BCBS / Anthem
$780.03
UnitedHealthcare
$825.14
Aetna
$959.53
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 29845.
CPT 29845
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Center For Endoscopy, LLC, Hudson Bergen Endo-Surgical Center
$4,434.00Published rateSurgcenter Of Silver Spring, LLC
Surgcenter Of Silver Spring LLC
$3,188.00Published rateRmc Surgery Center LLC, Rmc Surgery Center
$1,872.00Published rateTallahassee Neurosugery Pain Management LLC, Tallahassee Memorial Center For Pain Management
Tallahassee Neurosugery Pain Management LLC
$1,368.00Published rateSkin & Mohs Surgery Center, LLC
Skin Mohs Surgery Center LLC
$800.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 29845 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 29845. 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 29845. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29845 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 29845 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 29845 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 29845 in an ambulatory surgery center?
CMS lists CPT 29845 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 29845?
Hospital price transparency files list CPT 29845 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.