CPT code 20240: Bone biopsy, open, superficial2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $126.57 for 20240 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 20240 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 20240 covers

The clinician makes an incision and obtains bone tissue directly from a superficial site for diagnostic evaluation, such as investigation of a suspected bone lesion or infection. An orthopedic surgeon or another qualified proceduralist may perform the biopsy in an operating room or an office-based setting, depending on the clinical circumstances. The tissue may be submitted for pathologic or microbiologic examination according to the diagnostic question.

Choose this code when the documented method is open and the sampled bone is superficial; a needle or trocar technique, or a deep bone site, points to a different code. The operative note should identify the bone and site, explain the reason for sampling, and describe the open approach and specimen obtained. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same 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 restricted, and co-surgeon and team-surgery billing 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 Montana compares for 20240

Across 109 of 109 payment localities, the facility rate for 20240 runs from $117.26 in Arkansas to $166.57 in Alaska. Montana pays $126.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

20240 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 20240 in every payment locality

How the 20240 rate is calculated

Each of 20240’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.

Payment rules and modifiers for 20240

The CMS indicators that decide how 20240 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 20240

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 20240 has changed in Montana

Price 20240 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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

Open CMS sourceHow we calculate rates