CPT 29881 Fee Schedule
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.
| 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 | Moderate |
National average reimbursement for CPT 29881 by major payers:

$747.50

$766.34

$838.00

$933.78
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 29881 | ||||||
United | 29881 | $5643.00 | 1174539522 - TALLAHASSEE MEMORIAL HEALTHCARE INC | 591917016 - TALLAHASSEE MEMORIAL HEALTHCARE INC | FL | Home Health Agency (251E00000X) |
United | 29881 | $943.00 | 1205838414 - AHMAD KARIM | 350593390 - DEACONESS HOSPITAL INC | IN | Hospitalist Physician (208M00000X) |
United | 29881 | $971.01 | 1053314849 - ROBERT MOORE | 311131099 - (KY) OHIO COUNTY HOSPITAL CORPORATION | KY | Orthopaedic Surgery Physician (207X00000X) |
United | 29881 | $2057.51 | 1285052811 - VICTOR ADORNO | 135562308 - NEW YORK UNIVERSITY | NY | Internal Medicine Physician (207R00000X) |
United | 29881 | $716.16 | 1003901539 - JOSEPH GONZALES | 273045117 - (LA) CHILDRENS HOSPITAL | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 29881 | $629.18 | 1154651503 - NIA COULIBALY | 274181529 - HARLEM MEDICAL ASSOCIATES PC | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 29881 | $1362.41 | 1770044778 - MATTHEW DIAMOND | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Student in an Organized Health Care Education/Training Program (390200000X) |
United | 29881 | $2386.12 | 1104089895 - STEVEN CARUSO | 223700669 | PA | Orthopaedic Surgery Physician (207X00000X) |
United | 29881 | $1362.41 | 1366852428 - SHWETA CHAUDHARY | 453023019 - NORTH SHORE-LIJ MEDICAL PC | KY | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | 29881 | $1089.92 | 1245252477 - HARVEY MARCHBEIN | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 29881 | $2871.92 | 1831205798 - MICHELLE LOGOZZO | 300831483 - MSK HARRISON | NY | Internal Medicine Physician (207R00000X) |
United | 29881 | $1362.41 | 1346293420 - JERRY WEINBERG | 474539584 - WESTCHESTER HEALTH MEDICAL PC | NY | Urology Physician (208800000X) |
United | 29881 | $3496.04 | 1497168538 - LINDSEY ROEKER | 133278575 - MEMORIAL HEMATOLOGY LYMPHOMA GROUP | NY | Internal Medicine Physician (207R00000X) |
United | 29881 | $1238.65 | 1700879293 - BRADLEY ADAMS | 208298902 - (OR) EASTERN OREGON ORTHOPAEDIC SURGERY FRACTURE CLINIC INC | OR | Orthopaedic Surgery Physician (207X00000X) |
United | 29881 | $2057.51 | 1235209461 - DANIEL MAZZUCHIN | 135562308 - NEW YORK UNIVERSITY | NY | Surgical Physician Assistant (363AS0400X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 29881 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29881 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 29881 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 | Arthroscopy, Knee, Surgical; Osteochondral Autograft - Medicaid Rn Review>=6/13/2009. Commercial Rn Review=6/13/2009-3/31/2022 |
| 29867-CPT | High | Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) |
| 29877-CPT | Moderate | Arthroscopy,Knee,Surg;Debride/Shave A.Ca |
| 29881-CPT | Moderate | Arthroscopy Knee Surgical; With Meniscectomy (Medial Or Lateral Including Any Meniscal Shaving) Including Debridement/Shaving Of Articular Cartilage (Chondroplasty) Same Or Separate Compartment(S) When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29881. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29881 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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