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See a sample rate comparisonHCPCS G0289 Fee Schedule
Last Verified: September 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, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0289 |
National average reimbursement for HCPCS G0289 by major payers:
$120.63
$118.76
$104.20
$89.40
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HCPCS G0289
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$1,860.00Published rateUniversity Healthcare System, L.C., Tulane Lakeside Hospital
$809.00Published ratePerkins Plaza Ambulatory Surgery Center LLC, Lake Surgery Center
Lake Asc
$413.00Published rateHoumas Outpatient Surgery Center
Houma Outpatient Surgery Center
$112.00Published rateRegional Eye Surgery Center,LLC
Regional Eye Surgery Center, LLC
$64.00Published rate
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See a sample payer proposalHCPCS G0289 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The HCPCS G0289 code is part of the Procedures / Professional Services services used for Miscellaneous Diagnostic and Therapeutic Services. 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 HCPCS G0289 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 |
|---|---|---|
| G0288-HCPCS | Low | Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery |
| G0289-HCPCS | Low | Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee |
| G0293-HCPCS | Low | Noncovered surgical procedure(s) using conscious sedation, regional, general or spinal anesthesia in a Medicare qualifying clinical trial, per day |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0289. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0289 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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