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See a sample rate comparisonCPT 29904 Fee Schedule
Last Verified: October 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 Subtalar Joint Surg; W/Remval Of Loose Body Or F, Arthroscopy Subtalar Joint Surgical; With Removal Of Loose Body Or F
| 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 29904 |
| Medicaid Fee Schedule | View Medicaid rates for 29904 |
National average reimbursement for CPT 29904 by major payers:
$843.01
$845.82
$868.08
$1,052.15
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CPT 29904
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Preston Road, Ltd., Doctors United Surgery Center
Memorial Hermann Surgery Center Preston Road Ltd
$6,904.00Published rateMt Kisco Surgery Center LLC, The Ambulatory Surgery Center Of Westchester
Mount Kisco Surgery Center, L.L.C.
$3,727.00Published rateGeorgia Urology Fayette Asc
$2,204.00Published rateDigestive Diseases Diagnostic & Treatment Center LLC
Digestive Diseases Diagnostic Treatment Center LLC
$1,391.00Published rateNorth Pinellas Surgery Center LLC
North Pinellas Surgery Center, LLC
$595.00Published rate
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See a sample payer proposalCPT 29904 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29904 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 29904 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 |
|---|---|---|
| 29904-CPT | Moderate | Arthroscopy Subtalar Joint Surg; W/Remval Of Loose Body Or F, Arthroscopy Subtalar Joint Surgical; With Removal Of Loose Body Or F |
| 29905-CPT | Moderate | Arthroscopy Subtalar Joint Surg; W/ Synovectomy, Arthroscopy Subtalar Joint Surgical; With Synovectomy |
| 29906-CPT | Moderate | Scope Procedure Of Ankle Joint, Scope Procedure To Remove Dead Damaged Or Infected Tissue From Inside An Ankle Joint. |
| 29907-CPT | High | Subtalar Arthro W/Fusion |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29904. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29904 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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