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See a sample rate comparisonCPT 29892 Fee Schedule
Medicare rates as of October 2026
CPT 29892 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $597.54 national non-facility rate (2026)View Medicare rates for 29892 |
| Medicaid Fee Schedule | $485.17 median of the 8 states in the free previewView Medicaid rates for 29892 |
National average reimbursement for CPT 29892 by major payers:
$863.65
BCBS / Anthem
$891.76
UnitedHealthcare
$900.41
Aetna
$1,073.26
Cigna
Compare published rates across providers.
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CPT 29892
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
$13,172.00Published rateShawnee Mission Surgery Center LLC, Adventhealth Surgery Center Shawnee Mission
Shawnee Mission Surgery Center LLC
$4,992.00Published rateNorth Suburban Spine Center Lp, North Metro Surgery Center
$2,781.00Published rateDelmar Surgical Center LLC
$1,284.00Published rateMedical Eye Associates, Inc.
$799.00Published rate
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See a sample payer proposalCPT 29892 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 29892. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 29891-CPT | Ankle Arthroscopy Surgery, Arthroscopy Ankle Surgical Excision Of Osteochondral Defect Of Talus And Or Tibia Including Drilling Of The Defect |
| 29892-CPT | 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 | 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 | 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 29892. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29892 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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Frequently Asked Questions
What APC is CPT 29892 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 29892 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 29892 in an ambulatory surgery center?
CMS lists CPT 29892 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 29892?
Hospital price transparency files list CPT 29892 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.