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See a sample rate comparisonCPT 29868 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.
Arthroscopy, Knee, Surgical; Meniscal Transplantation, Medial Or Lateral - Medicaid Rn Review>=11/14/2009. Commercial Rn Review=11/14/2009-3/31/2022
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 29868 |
| Medicaid Fee Schedule | View Medicaid rates for 29868 |
National average reimbursement for CPT 29868 by major payers:
$2,200.68
$2,266.71
$2,397.62
$2,738.89
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CPT 29868
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Stephenville
$16,164.00Published rateMinimally Invasive Surgicenter LLC
Minimally Invasive Surgicenter L
$6,365.00Published rateBirmingham Surgery Center, LLC
Birmingham Surgery Center LLC
$3,183.00Published ratePremier Surgery Center Of Louisville Lp, Premier Surgery Center Of Louisville
Premier Surgery Center Of Louisville Lp
$1,429.00Published rateCrystal River Endoscopy Asc Lp, Citrus Endoscopy & Surgery Center
Crystal River Endoscopy Asc Lp
$695.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 29868 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29868 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 29868 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 |
|---|---|---|
| 29866-CPT | High | Autgrft Implnt Knee W Scope, Arthroscopy Knee Surgical Osteochondral Autograft S Eg Mosaicplasty Includes Harvesting Of The Autograft S |
| 29867-CPT | High | Arthroscopy Knee Surg; Osteochondral Allogrft (Eg Mosaicplasty, Arthroscopy Knee Surgical; Osteochondral Allograft (Eg Mosaicplasty |
| 29868-CPT | High | Arthroscopy, Knee, Surgical; Meniscal Transplantation, Medial Or Lateral - Medicaid Rn Review>=11/14/2009. Commercial Rn Review=11/14/2009-3/31/2022 |
| 29877-CPT | Moderate | Scope Procedure To Repair Knee, Surgery Using A Scope (Arthroscopy) To Repair Or Remove Damaged Cartilage. The Procedure May Involve Reshaping One Or More Bones In The Joint To Stimulate Bone Growth. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29868. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29868 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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