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See a sample rate comparisonCPT 29999 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.
Joint Surgery Using A Scope, Joint Surgery Aided By A Scope (Arthroscopy).
| 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 29999 |
| Medicaid Fee Schedule | View Medicaid rates for 29999 |
National average reimbursement for CPT 29999 by major payers:
$1,735.75
$521.80
$762.01
$2,073.12
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CPT 29999
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$2,500.00Published rateAlliance Surgery Center At Johns Creek LLC
$500.00Published rateVivere Health Dallas, LLC, Vivere-Dallas Surgery Center
Vivere Health Dallas LLC
$232.00Published rateValley Endoscopy Center, Inc
$100.00Published rateNew Vision Surgical Center, LLC
New Vision Surgical Center LLC
$50.00Published rate
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See a sample payer proposalCPT 29999 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29999 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 29999 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 |
|---|---|---|
| 29893-CPT | Moderate | Scope-Assisted Foot Surgery, Surgery Aided By A Scope To Cut The Plantar Fascia A Band Of Tissue Along The Bottom Of The Foot. |
| 29894-CPT | Moderate | Arthroscopy Ankle (Tibiotalar, Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints)Surgical With Removal Of Loose Body Or Foreign Body Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints) |
| 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. |
| 29999-CPT | High | Joint Surgery Using A Scope, Joint Surgery Aided By A Scope (Arthroscopy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29999 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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