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See a sample rate comparisonCPT 29905 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/ Synovectomy, Arthroscopy Subtalar Joint Surgical; With Synovectomy
| 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 29905 |
| Medicaid Fee Schedule | View Medicaid rates for 29905 |
National average reimbursement for CPT 29905 by major payers:
$739.12
$779.38
$769.68
$927.13
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CPT 29905
5 of 25 sample ratesHigher to lower in this preview
Amarillo Endoscopy Center, Lp
Amarillo Endoscopy Center Lp
$4,339.00Published rateRocky Mountain Surgery Center LLC
Rocky Mountain Surgery Center, LLC
$2,771.00Published rateCharleston Surgery Center Limited Partnership
$2,054.00Published rateUpstate Surgery Center, LLC
Upstate Surgery Center LLC
$1,581.00Published rateWashburn Surgery Center, LLC
Washburn Surgery Center LLC
$624.00Published rate
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See a sample payer proposalCPT 29905 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29905 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 29905 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 29905. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29905 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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