CPT code 20245: Bone biopsy, open approach, deep site2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $291.73 for 20245 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 20245 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 20245 covers

A surgeon obtains bone tissue from a deep site through an open approach, rather than through a percutaneous trocar or needle technique. The specimen may be taken to investigate suspected osteomyelitis, a primary bone tumor, metastatic disease, or another unexplained bone lesion. Orthopedic and orthopedic oncology surgeons commonly perform the procedure in an operating room; it may also be performed in an appropriately equipped office setting.

Select this code when the documented procedure is an open biopsy of a deep bone site. The operative note should identify the bone and site, describe the open approach and sampling, and state the clinical reason for obtaining tissue. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, 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 Virginia compares for 20245

Across 109 of 109 payment localities, the facility rate for 20245 runs from $275.86 in Nebraska to $389.96 in Alaska. Virginia pays $291.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

20245 rates by state

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

See 20245 in every payment locality

How the 20245 rate is calculated

Each of 20245’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 20245

The CMS indicators that decide how 20245 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 20245

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

How 20245 has changed in Virginia

Price 20245 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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