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See a sample rate comparisonCPT 29915 Fee Schedule
Last Verified: October 2026
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.
Scope Surgery With Hip Repair, Surgery Using A Scope (Arthroscopy) To Repair Damage To The Hip Joint. The Surgery Can Involve Trimming Reshaping Or Reattaching Various Tissues And Bone Within The Joint.
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 29915 |
| Medicaid Fee Schedule | View Medicaid rates for 29915 |
National average reimbursement for CPT 29915 by major payers:
$1,462.57
$1,439.87
$1,477.13
$1,716.13
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CPT 29915
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$24,492.00Published rateFocus Hand Surgicenter LLC, Focus Hand And Arm Surgery Center
$4,646.00Published rateOrthovirginia Operatory
Orthovirginia, Inc.
$3,199.00Published rateCenter For The Surgical Arts LLC, Csa
Center For The Surgical Arts LLC
$1,800.00Published rateMary Walker
Deaconess Hospital Inc
$817.95Published rate
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See a sample payer proposalCPT 29915 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29915 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 29915 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 |
|---|---|---|
| 29860-CPT | Moderate | Hip Exam Using A Scope, Exam Of The Hip Joint Using A Scope (Arthroscopy). The Procedure May Include Taking A Sample Of Joint Fluid For Testing (Biopsy). |
| 29914-CPT | High | Scope Surgery With Hip Repair, Surgery Using A Scope (Arthroscopy) To Repair Damage To The Hip Joint. The Surgery Can Involve Trimming Reshaping Or Reattaching Various Tissues And Bone Within The Joint. |
| 29915-CPT | High | Scope Surgery With Hip Repair, Surgery Using A Scope (Arthroscopy) To Repair Damage To The Hip Joint. The Surgery Can Involve Trimming Reshaping Or Reattaching Various Tissues And Bone Within The Joint. |
| 29916-CPT | High | Scope Surgery With Hip Repair, Surgery Using A Scope (Arthroscopy) To Repair Damage To The Hip Joint. The Surgery Can Involve Trimming Reshaping Or Reattaching Various Tissues And Bone Within The Joint. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29915. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29915 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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