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See a sample rate comparisonCPT 29891 Fee Schedule
Last Verified: September 2026
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.
Ankle Arthroscopy Surgery, Arthroscopy Ankle Surgical Excision Of Osteochondral Defect Of Talus And Or Tibia Including Drilling Of The Defect
| 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 |
| Medicare Fee Schedule | View Medicare rates for 29891 |
| Medicaid Fee Schedule | View Medicaid rates for 29891 |
National average reimbursement for CPT 29891 by major payers:
$963.11
$911.93
$970.82
$1,111.53
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CPT 29891
5 of 25 sample ratesHigher to lower in this preview
Essentia Health Surgery Centers-Duluth LLC, Essentia Health Surgery Center-Miller Hill
Essentia Health Surgery Centersduluth LLC
$8,200.00Published rateMississippi Medical Plaza, Lc, Mississippi Valley Surgery Center
Mississippi Medical Plaza, L.C.
$3,857.00Published rateEndoscopy Center Of Washington Dc Lp, The Endoscopy Center Of Washington, D.C.
Endoscopy Center Of Washington Dc Lp
$2,724.00Published rateFriendship Ambulatory Surgery Center, Friendship Ambulatory Surgery Center
Friendship Ambulatory Surgery Center
$1,373.00Published rateAnn Nau
Deaconess Hospital Inc
$543.52Published rate
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See a sample payer proposalCPT 29891 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29891 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 29891 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 |
|---|---|---|
| 29891-CPT | Moderate | Ankle Arthroscopy Surgery, Arthroscopy Ankle Surgical Excision Of Osteochondral Defect Of Talus And Or Tibia Including Drilling Of The Defect |
| 29892-CPT | Moderate | Arthrs Aid Rpr Od Les/Tib Fx, Arthroscopically Aided Repair Of Large Osteochondritis Dissecans Lesion Talar Dome Fracture Or Tibial Plafond Fracture With Or Without Internal Fixation (Includes Arthroscopy) |
| 29894-CPT | Moderate | Arthroscopy Ankle (Tibiotalar, Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints)Surgical With Removal Of Loose Body Or Foreign Body Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints) |
| 29895-CPT | Moderate | Arthroscopy Ankle (Tibiotalar, Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints)Surgical Synovectomy Partial Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29891. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29891 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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