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See a sample rate comparisonCPT 29894 Fee Schedule
Medicare rates as of October 2026
CPT 29894 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body 59Distinct Procedural Service |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600975Sign up to view all 3 |
| Medicare Fee Schedule | $474.96 national non-facility rate (2026)View Medicare rates for 29894 |
| Medicaid Fee Schedule | $419.82 median of the 8 states in the free previewView Medicaid rates for 29894 |
National average reimbursement for CPT 29894 by major payers:
$674.66
BCBS / Anthem
$685.02
UnitedHealthcare
$700.78
Aetna
$833.84
Cigna
Compare published rates across providers.
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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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Payer Contract Negotiation
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See a sample payer proposalCPT 29894 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 29894. 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) |
| 29893-CPT | 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 | 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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Frequently Asked Questions
What APC is CPT 29894 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 29894 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 29894 in an ambulatory surgery center?
CMS lists CPT 29894 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 29894?
Hospital price transparency files list CPT 29894 under these revenue codes: 0360, 0975 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.