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 |
| Medicare Fee Schedule | View Medicare rates for 29888 |
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 | $1591.06 | 1811284839 - VINAYAK PERAKE | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | AL | 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 | $860.72 | 1972701738 - E VALLEY ORTHO SPORTS MED PC | 861011614 - (AZ) E VALLEY ORTHO SPORTS MED PC | AZ | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $946.34 | 1992762629 - MARK POWELL | 710821612 - (AR) POWELL ORTHOPEDICS PA | AR | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1216.85 | 1306040548 - JAMES CHEN | 455051429 - (CA) JAMES L CHEN MD INC | CA | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 29888 | $992.53 | 1346257870 - TIMOTHY SPIRES | 720700507 - (LA) ORTHOPAEDIC CLINIC OF MONROE | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $5628.54 | 1306367354 - RAFID KASIR | 943281657 | CA | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $817.65 | 1629275102 - PASQUALE REINO | 810820816 - HUGHSTON ORTHOPAEDIC SOUTHEAST PC | FL | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $2737.93 | 1710275151 - CHRISTOPHER WALSH | 202935692 - MCLEOD PHYSICIAN ASSOCIATES II | SC | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1994.72 | 1508897018 - JARED PATTERSON | 593598056 - TALLAHASSEE ORTHOPEDIC CLINIC III | FL | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1462.03 | 1659532893 - NEIL PATHARE | 941458282 - NORTHBAY HEALTHCARE GROUP | CA | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 29888 | $941.17 | 1144475856 - JOHN BRAUT | 141864791 - (FL) ASSOCIATES IN ORTHOPEDICS P A | FL | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $1699.81 | 1275506503 - DAVID AUSTIN | 250815795 - GUTHRIE MEDICAL GROUP PC | NY | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $2126.00 | 1376047977 - ALEX LANCASTER | 272006180 | OR | Orthopaedic Surgery Physician (207X00000X) |
United | 29888 | $2291.97 | 1205087277 - JOHN JOHANSEN | 200503812 - (OH) ORTHOPEDIC ONE, INC. | OH | 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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