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CPT 29907 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Subtalar Arthro W/Fusion
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

22 - On Campus Outpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelHigh

National average reimbursement for CPT 29907 by major payers:

bcbs

$1,198.16

uhc

$1,166.71

aetna

$1,194.67

cigna

$1,481.10

Preview provider-level rates for...
For billing codeCPT 29907
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 29907

United
29907$3871.001174258107 - FW SPECIALTY SURGICARE, LLC854261198 - (TX) FW SPECIALTY SURGICARE LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$3042.001538122569 - CENTENNIAL SURGERY CENTER LP621624530 - (TN) CENTENNIAL SURGERY CENTER LPTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$5484.001962568543 - ENDOSCOPY CENTER OF OCEAN COUNTY, LLC223461117 - (NJ) ENDOSCOPY CENTER OF OCEAN COUNTY, PCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$1300.001770796757 - LAPEER COUNTY SURGERY CENTER LLC202918877 - (MI) LAPEER COUNTY SURGERY CENTER LMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$3900.001184782203 - EASTERN OREGON REGIONAL SURGERY710881667 - (OR) EASTERN OREGON REGIONAL SURGERYORAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$2105.001285690073 - BIRMINGHAM OUTPATIENT SURGERY CENTER LTD, OUTPATIENT CARECENTER630984076 - (AL) BIRMINGHAM OUTPATIENT SURGERY CENTER LTDALAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$3700.001992022297 - MID VALLEY SURGERY CENTER LLC263177194 - (CA) MID VALLEY SURGERY CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$4542.001255796017 - GOSHEN HEALTH SURGERY CENTER, LLC475619052 - (IN) GOSHEN HEALTH SURGERY CENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$4189.001649735861 - KURESMART PAIN MANAGEMENT SURGERY CENTER-CATONSVILLE LLC, CLEARWAY SURGERY CENTER OF CATONSVILLE832414671 - (MD) KURESMART PAIN MANAGEMENT SURGERY CENTERCATONSVILLE LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$6588.001548217128 - GULFSHORE ENDOSCOPY CENTER LLC650615196 - (FL) GULFSHORE ENDOSCOPY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$1500.001487014361 - GRIFFIN CENTER FOR PAIN AND SPINE814348805GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$4042.001649925801 - MUSIC CITY SURGERY CENTER, LLC872654999 - (TN) MUSIC CITY SURGERY CENTER LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$6087.001659772648 - SURGICAL SPECIALTY CENTER OF MID ATLANTIC, LLC465727021 - (MD) SURGICAL SPECIALTY CENTER OF MID-ATLANTIC, LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$4500.001548827637 - HEDWIG ASC, HOUSTON PREMIERSURGERY CENTER THE VILLAGES831849530 - (TX) HEDWIG ASCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
29907$5851.001457891426 - PROLIANCE SURGEONS, INC., P.S., PROLIANCE CENTER FOR OUTPATIENT SPINE AND JOINT SURGERY911606533 - (WA) PROLIANCE SURGEONS, INC., P.S.WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 29907 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 29907 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 29907 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.

CodeComplexityDescription
29904-CPTModerateSubtalar Arthro W/Fb Rmvl
29905-CPTModerateArthroscopy Subtalar Joint Surgical; With Synovectomy
29906-CPTModerateRemoval Of Dead Or Infected Ankle Joint Tissue Using An Endoscope
29907-CPTHighSubtalar 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 29907. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 29907 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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