CPT 29888 Fee Schedule
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.
| 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 • LT - Left side of body • RT - Right side of body |
| Complexity Level | High |
National average reimbursement for CPT 29888 by major payers:

$1,318.34

$1,340.52

$1,452.74

$1,640.65
| 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 29888 | ||||||
United | 29888 | $1136.66 | 1700097722 - WILLIAM COREY | 934624425 | SC | Orthopaedic Foot and Ankle Surgery Physician (207XX0004X) |
United | 29888 | $1040.82 | 1649272337 - DOUGLAS ROGER | 330914441 - (CA) DOUGLAS J ROGER MDINC A PROFESSIONAL CORPORATION | CA | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $5116.91 | 1891784633 - SCOTT VAN VALIN | 391990012 - (WI) CHILDRENS SPECIALTY GROUP INC | WI | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $860.72 | 1972701738 - E VALLEY ORTHO SPORTS MED PC | 861011614 - (AZ) E VALLEY ORTHO SPORTS MED PC | AZ | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1780.43 | 1720086382 - ROGER SESSIONS | 823426999 | TX | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $978.02 | 1861431561 - GREGG WOLFF | 520591531 - UPMC WESTERN MARYLAND CORPORATION | MD | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $2133.30 | 1538158472 - JOHN KELLY | 232743545 | PA | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1215.09 | 1154310290 - DAVID ALLEN | 562095763 - (NC) ALLEN ORTHOPEDICS P A | NC | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1277.57 | 1801247739 - JEFFREY LAMPING | 382948894 - (MI) SHORELINE ORTHOPAEDIC SPORTS MEDICINE CLINICPLC | MI | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1102.27 | 1700264009 - TERRENCE TSUI | 510064318 - BAYHEALTH MEDICAL CENTER INC | DE | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1758.69 | 1306074182 - NATHAN JOVE | 581095787 - (GA) DEKALB ORTHOPEDIC CLINIC PA | GA | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1616.91 | 1336483684 - TEXAS HEALTH CARE, P.L.L.C. | 710892430 - (TX) TEXAS HEALTH CARE, P.L.L.C. | TX | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $2291.97 | 1205087277 - JOHN JOHANSEN | 200503812 - (OH) ORTHOPEDIC ONE, INC. | OH | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $817.65 | 1629275102 - PASQUALE REINO | 810820816 - HUGHSTON ORTHOPAEDIC SOUTHEAST PC | FL | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1091.82 | 1043669138 - VANESSA CHARUBHUMI | 131740114 - MONTEFIORE MEDICAL CENTER | NY | Orthopaedic Surgery Physician (207X00000X) |
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 29888 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29888 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 29888 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 |
|---|---|---|
| 29884-CPT | Moderate | Arthroscopy,Knee,Surg;Lysis Adhesions W/ |
| 29885-CPT | High | Arthroscopy, Knee, Surgical; Drilling For Osteochondritis Dissecans With Bone Grafting, With Or Without Internal Fixation (Including Debridement Of Base Of Lesion) |
| 29886-CPT | Moderate | Arthrosc,Knee,Surg;Drill-Intact Ost.Diss |
| 29888-CPT | High | Arthroscopically Aided Anterior Cruciate Ligament Repair/ Augmentation Or Reconstruction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29888. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29888 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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