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See a sample rate comparisonCPT 29894 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.
Arthroscopy Ankle (Tibiotalar, Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints)Surgical With Removal Of Loose Body Or Foreign Body Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints)
| 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 | RT - Right side of body None 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 29894 |
| Medicaid Fee Schedule | View Medicaid rates for 29894 |
National average reimbursement for CPT 29894 by major payers:
$674.66
$685.02
$700.78
$833.84
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CPT 29894
5 of 25 sample ratesHigher to lower in this preview
Saint Francis Surgery Center, LLC, Saint Francis Surgery Center
Saint Francis Surgery Center LLC
$4,516.00Published rateSf Nassau Asc LLC
$2,081.00Published rateGulf Coast Surgical Partners LLC
$1,520.00Published rateTracy Surgery Center, LLC, Tracy Surgery Center, LLC
Tracy Surgery Center
$840.00Published rateMelissa Eisenhauer
Deaconess Hospital Inc
$400.91Published rate
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See a sample payer proposalCPT 29894 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29894 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 29894 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) |
| 29893-CPT | Moderate | Scope-Assisted Foot Surgery, Surgery Aided By A Scope To Cut The Plantar Fascia A Band Of Tissue Along The Bottom Of The Foot. |
| 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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29894. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29894 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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