CPT code 20220: Bone biopsy, trocar or needle, superficial2026 Medicare rate & RVUs in Kentucky
A clinician obtains a sample from an anatomically superficial bone with a trocar or needle to evaluate suspected infection, neoplasm, or other bone disease.
In Kentucky, Medicare pays $204.47 for 20220 in the office and $74.11 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 20220 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 20220 covers
Code 20220 describes sampling bone through a trocar or biopsy needle at a site classified as superficial, rather than exposing bone through an open incision. Typical targets include the ilium, sternum, ribs, and spinous processes. The service may be performed by an interventional radiologist, orthopedic surgeon, or another clinician experienced in percutaneous bone sampling, often in an imaging or procedure suite; it may also be performed in an office setting when appropriate. The purpose may be to investigate a focal lesion, suspected bone infection, or unexplained abnormality and provide tissue for pathology or microbiology.
Choose 20220 based on the bone-site category and needle or trocar approach; use 20225 for a deep site and an open bone-biopsy code when bone is exposed surgically. Documentation should identify the target bone, approach, specimen obtained, and clinical indication. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeon and team-surgery reporting are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Kentucky compares for 20220
Across 109 of 109 payment localities, the office rate for 20220 runs from $197.29 in Arkansas to $298.74 in San Benito County, CA. Kentucky pays $204.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$204.47
- Los Angeles, CA · California$253.37+$48.90
- Washington, DC area · District of Columbia$255.80+$51.33
- Miami, FL · Florida$238.51+$34.04
- Chicago, IL · Illinois$231.67+$27.20
- Manhattan, NY · New York$256.40+$51.93
- Alaska · Alaska$258.09+$53.62
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $200.20 | $71.89 |
| ArkansasArkansas | $197.29 | $71.33 |
| ArizonaArizona | $217.23 | $75.14 |
| Bakersfield, CACalifornia | $237.63 | $76.92 |
| Chico, CACalifornia | $237.11 | $76.40 |
| El Centro, CACalifornia | $237.14 | $76.43 |
| Fresno, CACalifornia | $237.11 | $76.40 |
| Hanford, CACalifornia | $237.11 | $76.40 |
| Madera, CACalifornia | $237.11 | $76.40 |
| Merced, CACalifornia | $237.11 | $76.40 |
| Modesto, CACalifornia | $237.11 | $76.40 |
| Napa, CACalifornia | $275.76 | $82.50 |
| Oxnard, CACalifornia | $252.27 | $78.95 |
| Redding, CACalifornia | $237.11 | $76.40 |
| Rest of CaliforniaCalifornia | $237.11 | $76.40 |
| Riverside, CACalifornia | $238.96 | $78.26 |
| Sacramento, CACalifornia | $249.10 | $78.57 |
| Salinas, CACalifornia | $248.17 | $78.23 |
| San Diego, CACalifornia | $254.21 | $78.84 |
| Marin County, CACalifornia | $292.26 | $85.51 |
| San Francisco, CACalifornia | $292.06 | $85.32 |
| San Benito County, CACalifornia | $298.74 | $87.30 |
| Santa Clara County, CACalifornia | $297.95 | $86.51 |
| San Luis Obispo, CACalifornia | $244.15 | $77.14 |
| Santa Cruz, CACalifornia | $256.80 | $78.65 |
| Santa Maria, CACalifornia | $249.16 | $78.19 |
| Santa Rosa, CACalifornia | $259.41 | $79.35 |
| Stockton, CACalifornia | $237.11 | $76.40 |
| Vallejo, CACalifornia | $275.48 | $82.22 |
| Visalia, CACalifornia | $237.11 | $76.40 |
| Yuba City, CACalifornia | $237.11 | $76.40 |
| ColoradoColorado | $232.99 | $76.98 |
| ConnecticutConnecticut | $237.99 | $80.07 |
| DelawareDelaware | $220.85 | $75.98 |
| Fort Lauderdale, FLFlorida | $229.83 | $81.30 |
| Rest of FloridaFlorida | $218.77 | $78.59 |
| Atlanta, GAGeorgia | $227.04 | $78.06 |
| Rest of GeorgiaGeorgia | $206.53 | $75.74 |
| Hawaii, Guam, HIHawaii | $243.15 | $76.43 |
| IowaIowa | $205.78 | $71.62 |
| IdahoIdaho | $207.03 | $72.13 |
| East St. Louis, ILIllinois | $215.78 | $80.88 |
| Rest of IllinoisIllinois | $212.08 | $78.20 |
| Suburban Chicago, ILIllinois | $232.30 | $81.71 |
| IndianaIndiana | $208.25 | $72.33 |
| KansasKansas | $204.59 | $72.04 |
| New Orleans, LALouisiana | $214.23 | $76.26 |
| Rest of LouisianaLouisiana | $204.06 | $74.29 |
| Metropolitan Boston, MAMassachusetts | $256.45 | $81.37 |
| Rest of MassachusettsMassachusetts | $231.50 | $77.10 |
| Baltimore area, MDMaryland | $237.27 | $79.94 |
| Rest of MarylandMaryland | $225.15 | $76.76 |
| Rest of MaineMaine | $207.88 | $72.98 |
| Southern Maine, MEMaine | $219.55 | $74.24 |
| Detroit, MIMichigan | $221.28 | $79.79 |
| Rest of MichiganMichigan | $209.61 | $75.74 |
| MinnesotaMinnesota | $223.87 | $72.98 |
| Metropolitan Kansas City, MOMissouri | $213.00 | $75.32 |
| Metropolitan St. Louis, MOMissouri | $215.27 | $75.68 |
| Rest of MissouriMissouri | $200.38 | $73.99 |
| MississippiMississippi | $198.89 | $72.64 |
| MontanaMontana | $223.11 | $76.48 |
| North CarolinaNorth Carolina | $210.10 | $73.30 |
| North DakotaNorth Dakota | $219.75 | $73.12 |
| NebraskaNebraska | $206.98 | $71.64 |
| New HampshireNew Hampshire | $229.12 | $76.48 |
| Northern New JerseyNew Jersey | $253.08 | $82.99 |
| Rest of New JerseyNew Jersey | $240.88 | $80.76 |
| New MexicoNew Mexico | $210.68 | $76.22 |
| NevadaNevada | $222.33 | $75.56 |
| NYC suburbs and Long Island, NYNew York | $262.36 | $88.02 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $242.28 | $81.72 |
| Queens, NYNew York | $258.86 | $85.54 |
| Rest of New YorkNew York | $213.25 | $73.95 |
| OhioOhio | $208.92 | $75.05 |
| OklahomaOklahoma | $204.34 | $73.40 |
| Portland, OROregon | $240.69 | $77.79 |
| Rest of OregonOregon | $220.78 | $74.73 |
| Metropolitan Philadelphia, PAPennsylvania | $231.89 | $79.25 |
| Rest of PennsylvaniaPennsylvania | $209.39 | $74.78 |
| Puerto RicoPuerto Rico | $224.83 | $76.59 |
| Rhode IslandRhode Island | $228.93 | $77.46 |
| South CarolinaSouth Carolina | $209.83 | $74.34 |
| South DakotaSouth Dakota | $219.35 | $72.72 |
| TennesseeTennessee | $205.60 | $72.31 |
| Austin, TXTexas | $232.07 | $76.94 |
| Beaumont, TXTexas | $207.99 | $74.55 |
| Brazoria, TXTexas | $220.83 | $75.52 |
| Dallas, TXTexas | $222.14 | $76.10 |
| Fort Worth, TXTexas | $220.58 | $76.00 |
| Galveston, TXTexas | $221.43 | $75.82 |
| Houston, TXTexas | $224.54 | $78.93 |
| Rest of TexasTexas | $214.22 | $75.07 |
| UtahUtah | $212.72 | $74.89 |
| VirginiaVirginia | $218.67 | $74.53 |
| Virgin Islands, VIUnited States Virgin Islands | $224.83 | $76.59 |
| VermontVermont | $218.68 | $73.51 |
| Rest of WashingtonWashington | $231.13 | $76.73 |
| King County, WAWashington | $261.92 | $82.00 |
| WisconsinWisconsin | $212.31 | $71.84 |
| West VirginiaWest Virginia | $204.13 | $76.70 |
| WyomingWyoming | $221.64 | $75.01 |
20220 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$197.29
$267.93
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $258.09 | 1 |
| AL | $200.20 | 1 |
| AR | $197.29 | 1 |
| AZ | $217.23 | 1 |
| CA | $237.11–$298.74 | 29 |
| CO | $232.99 | 1 |
| CT | $237.99 | 1 |
| DC | $255.80 | 1 |
| DE | $220.85 | 1 |
| FL | $218.77–$238.51 | 3 |
| GA | $206.53–$227.04 | 2 |
| GU | $243.15 | 1 |
| HI | $243.15 | 1 |
| IA | $205.78 | 1 |
| ID | $207.03 | 1 |
| IL | $212.08–$232.30 | 4 |
| IN | $208.25 | 1 |
| KS | $204.59 | 1 |
| KY | $204.47 | 1 |
| LA | $204.06–$214.23 | 2 |
| MA | $231.50–$256.45 | 2 |
| MD | $225.15–$255.80 | 3 |
| ME | $207.88–$219.55 | 2 |
| MI | $209.61–$221.28 | 2 |
| MN | $223.87 | 1 |
| MO | $200.38–$215.27 | 3 |
| MS | $198.89 | 1 |
| MT | $223.11 | 1 |
| NC | $210.10 | 1 |
| ND | $219.75 | 1 |
| NE | $206.98 | 1 |
| NH | $229.12 | 1 |
| NJ | $240.88–$253.08 | 2 |
| NM | $210.68 | 1 |
| NV | $222.33 | 1 |
| NY | $213.25–$262.36 | 5 |
| OH | $208.92 | 1 |
| OK | $204.34 | 1 |
| OR | $220.78–$240.69 | 2 |
| PA | $209.39–$231.89 | 2 |
| PR | $224.83 | 1 |
| RI | $228.93 | 1 |
| SC | $209.83 | 1 |
| SD | $219.35 | 1 |
| TN | $205.60 | 1 |
| TX | $207.99–$232.07 | 8 |
| UT | $212.72 | 1 |
| VA | $218.67–$255.80 | 2 |
| VI | $224.83 | 1 |
| VT | $218.68 | 1 |
| WA | $231.13–$261.92 | 2 |
| WI | $212.31 | 1 |
| WV | $204.13 | 1 |
| WY | $221.64 | 1 |
How the 20220 rate is calculated
Each of 20220’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 20220
RVUs × geographic indexes × conversion factor
Work1.61
1.61 RVUs× 1.000 GPCI
Practice expense4.90
4.90 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
6.6800
Conversion factor
$33.4009
Medicare rate
$223.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,732
- Code
- 20220
- Physician work
- 1.61
- Practice expense
- 4.90
- Malpractice
- 0.17
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.61 | × 1.000 | 1.6100 |
| Practice expense | 4.90 | × 0.889 | 4.3561 |
| Malpractice | 0.17 | × 0.915 | 0.1556 |
| Total RVUs | 6.1217 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kentucky$204.47
Office: (1.61 × 1 + 4.9 × 0.889 + 0.17 × 0.915) × $33.4009 = $204.47
Facility: (1.61 × 1 + 0.51 × 0.889 + 0.17 × 0.915) × $33.4009 = $74.11
Payment rules and modifiers for 20220
The CMS indicators that decide how 20220 is paid alongside other services.
CMS payment indicators · 20220
Bone biopsy, trocar or needle, superficial
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
20220 without 51 · national office
$223.12
Bone biopsy, trocar or needle, superficial
20220-51 · Second procedure: 50%
$111.56
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 20220 has changed in Kentucky
20220 · Office / nonfacility
$204.47
Effective 2026-10-01
The base rate is $4.82 higher than on 2025-10-01, moving from $199.65 to $204.47 (2.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$199.65changed to$204.47
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.65 changed to 1.61
- Practice expense RVU 4.99 changed to 4.90
- Malpractice RVU 0.16 changed to 0.17
- Practice expense GPCI 0.877 changed to 0.889
- Malpractice GPCI 0.913 changed to 0.915
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$209.26changed to$199.65
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.12 changed to 4.99
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$205.84changed to$209.26
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$216.83changed to$205.84
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.27 changed to 5.12
- Malpractice RVU 0.17 changed to 0.16
- Practice expense GPCI 0.873 changed to 0.877
- Malpractice GPCI 0.870 changed to 0.913
January 1, 2023
RVU23A
$223.20changed to$216.83
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.39 changed to 5.27
- Malpractice RVU 0.14 changed to 0.17
- Practice expense GPCI 0.869 changed to 0.873
- Malpractice GPCI 0.827 changed to 0.870
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$231.10changed to$223.20
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.58 changed to 5.39
- Malpractice RVU 0.15 changed to 0.14
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$229.32changed to$231.10
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.26 changed to 5.58
- Malpractice RVU 0.13 changed to 0.15
- Practice expense GPCI 0.874 changed to 0.869
- Malpractice GPCI 0.823 changed to 0.827
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$157.16changed to$229.32
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 1.27 changed to 1.65
- Practice expense RVU 3.41 changed to 5.26
- Malpractice RVU 0.11 changed to 0.13
- Practice expense GPCI 0.880 changed to 0.874
- Malpractice GPCI 0.819 changed to 0.823
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$156.36changed to$157.16
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.39 changed to 3.41
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$155.34changed to$156.36
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.876 changed to 0.880
- Malpractice GPCI 0.807 changed to 0.819
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$155.35changed to$155.34
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.41 changed to 3.39
- Malpractice RVU 0.12 changed to 0.11
- Practice expense GPCI 0.872 changed to 0.876
- Malpractice GPCI 0.795 changed to 0.807
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$155.60changed to$155.35
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.40 changed to 3.41
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$154.83changed to$155.60
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$153.50changed to$154.83
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.36 changed to 3.40
- Malpractice RVU 0.11 changed to 0.12
- Malpractice GPCI 0.774 changed to 0.795
Held through RVU15B.
January 1, 2014
RVU14A
$153.30changed to$153.50
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.62 changed to 3.36
- Practice expense GPCI 0.871 changed to 0.872
- Malpractice GPCI 0.752 changed to 0.774
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $153.30
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $204.47 | $74.11 | RVU26D |
| 2026-07-01 | $204.47 | $74.11 | RVU26C |
| 2026-04-01 | $204.47 | $74.11 | RVU26B |
| 2026-01-01 | $204.47 | $74.11 | RVU26A |
| 2025-10-01 | $199.65 | $80.22 | RVU25D |
| 2025-07-01 | $199.65 | $80.22 | RVU25C |
| 2025-04-01 | $199.65 | $80.22 | RVU25B |
| 2025-01-01 | $199.65 | $80.22 | RVU25A |
| 2024-10-01 | $209.26 | $81.97 | RVU24D |
| 2024-07-01 | $209.26 | $81.97 | RVU24C |
| 2024-04-01 | $209.26 | $81.97 | RVU24B |
| 2024-03-09 | $209.26 | $81.97 | RVU24AR |
| 2024-01-01 | $205.84 | $80.64 | RVU24A |
| 2023-10-01 | $216.83 | $83.71 | RVU23D |
| 2023-07-01 | $216.83 | $83.71 | RVU23C |
| 2023-04-01 | $216.83 | $83.71 | RVU23B |
| 2023-01-01 | $216.83 | $83.71 | RVU23A |
| 2022-10-01 | $223.20 | $83.66 | RVU22D |
| 2022-07-01 | $223.20 | $83.66 | RVU22C |
| 2022-04-01 | $223.20 | $83.66 | RVU22B |
| 2022-01-01 | $223.20 | $83.66 | RVU22A |
| 2021-10-01 | $231.10 | $84.64 | RVU21D |
| 2021-07-01 | $231.10 | $84.64 | RVU21C |
| 2021-04-01 | $231.10 | $84.64 | RVU21B |
| 2021-01-01 | $231.10 | $84.64 | RVU21A |
| 2020-10-01 | $229.32 | $87.70 | RVU20D |
| 2020-07-01 | $229.32 | $87.70 | RVU20C |
| 2020-04-01 | $229.32 | $87.70 | RVU20B |
| 2020-01-01 | $229.32 | $87.70 | RVU20A |
| 2019-10-01 | $157.16 | $70.58 | RVU19D |
| 2019-07-01 | $157.16 | $70.58 | RVU19C |
| 2019-04-01 | $157.16 | $70.58 | RVU19B |
| 2019-01-01 | $157.16 | $70.58 | RVU19A |
| 2018-10-01 | $156.36 | $70.82 | RVU18D |
| 2018-07-01 | $156.36 | $70.82 | RVU18C |
| 2018-04-01 | $156.36 | $70.82 | RVU18B |
| 2018-01-01 | $156.36 | $70.82 | RVU18AR1 |
| 2017-10-01 | $155.34 | $70.77 | RVU17D |
| 2017-07-01 | $155.34 | $70.77 | RVU17C |
| 2017-04-01 | $155.34 | $70.77 | RVU17B |
| 2017-01-01 | $155.34 | $70.77 | RVU17A |
| 2016-10-01 | $155.35 | $71.05 | RVU16D |
| 2016-07-01 | $155.35 | $71.05 | RVU16C |
| 2016-04-01 | $155.35 | $71.05 | RVU16B |
| 2016-01-01 | $155.35 | $71.05 | RVU16A |
| 2015-10-01 | $155.60 | $71.31 | RVU15D |
| 2015-07-01 | $155.60 | $71.31 | RVU15C |
| 2015-04-01 | $154.83 | $70.96 | RVU15B |
| 2015-01-01 | $154.83 | $70.96 | RVU15A |
| 2014-10-01 | $153.50 | $70.72 | RVU14D |
| 2014-07-01 | $153.50 | $70.72 | RVU14C |
| 2014-04-01 | $153.50 | $70.72 | RVU14B |
| 2014-01-01 | $153.50 | $70.72 | RVU14A |
| 2013-10-01 | $153.30 | $67.95 | RVU13D |
| 2013-07-01 | $153.30 | $67.95 | RVU13C |
| 2013-04-01 | $153.30 | $67.95 | RVU13B |
| 2013-01-01 | $153.30 | $67.95 | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
20220 billing questions
How do I choose between 20220 and 20225?
Use 20220 for a bone site classified as superficial, such as the ilium, sternum, ribs, or spinous process. Use 20225 for a deep bone site; the distinction is not determined only by how far the needle travels.
Does 20220 include an open surgical exposure?
No. This code is for needle or trocar sampling. When the bone is exposed through an incision, consider the applicable open bone-biopsy code, such as 20240 for a superficial site.
Can imaging guidance be billed separately?
The code describes bone sampling, not image guidance itself. Separately report guidance only when a distinct guidance service is performed, documented, and meets the requirements of the applicable guidance code.
How are other procedures in the same session paid?
Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are reduced by 50% when performed in the same session.
Can I append modifier 50 or report an assistant?
Modifier 50 is inappropriate for this code. CMS also restricts assistant-at-surgery payment and does not permit co-surgeon or team-surgery reporting.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care. Document the biopsy target, needle or trocar approach, specimen, and indication.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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