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See a sample rate comparisonCPT 29916 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 29916 |
| Medicaid Fee Schedule | View Medicaid rates for 29916 |
National average reimbursement for CPT 29916 by major payers:
$1,410.66
$1,440.69
$1,483.47
$1,715.33
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CPT 29916
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$12,899.00Published rateChristus Cabrini Surgery Center, LLC, Christus Cabrini Surgery Center
Christus Cabrini Surgery Center LLC
$5,450.00Published rateFreeman Surgical Center Of Pittsburg, LLC
$3,350.00Published rateThe Surgery Center, Howland, Humility Of Mary Health Partners
The Surgery Center Howland
$1,175.00Published rateElkins Asc LLC, Gila Valley Procedure Center
Elkins Asc LLC
$795.00Published rate
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See a sample payer proposalCPT 29916 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29916 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 29916 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 |
|---|---|---|
| 29906-CPT | Moderate | Scope Procedure Of Ankle Joint, Scope Procedure To Remove Dead Damaged Or Infected Tissue From Inside An Ankle Joint. |
| 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 29916. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29916 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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