CPT code 24065: Soft-tissue biopsy, superficial upper arm or elbow2026 Medicare rate & RVUs in Houston, TX
Reports diagnostic sampling of superficial soft tissue in the upper arm or elbow when tissue is obtained rather than the lesion being completely excised.
In Houston, TX, Medicare pays $264.99 for 24065 in the office and $152.22 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 24065 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 24065 covers
Code 24065 represents sampling of superficial soft tissue in the upper arm or elbow region to establish a diagnosis, rather than removing the entire lesion as definitive treatment. The surgeon obtains tissue from a mass or other abnormality in the superficial soft-tissue layer; orthopedic and other surgeons may perform the biopsy in an office procedure room or operating room. The specimen is submitted for pathologic examination. The superficial-versus-deep distinction is based on the tissue plane involved, not simply the lesion’s diameter.
Report this code when the operative note identifies the upper-arm or elbow site, superficial depth, sampling method, and reason tissue was obtained. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral biopsies, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery 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 Houston, TX compares for 24065
Across 109 of 109 payment localities, the office rate for 24065 runs from $231.81 in Arkansas to $346.55 in San Benito County, CA. Houston, TX pays $264.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Houston, TX · this page$264.99
- Austin, TX · Texas$271.91+$6.92
- Beaumont, TX · Texas$245.03−$19.96
- Brazoria, TX · Texas$259.05−$5.94
- Dallas, TX · Texas$260.76−$4.23
- Fort Worth, TX · Texas$259.05−$5.94
- Galveston, TX · Texas$259.86−$5.13
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $251.94 | $144.17 |
| Los Angeles, CACalifornia | $295.46 | $161.11 |
| Washington, DC areaDistrict of Columbia | $299.65 | $165.87 |
| Miami, FLFlorida | $284.01 | $165.80 |
| Chicago, ILIllinois | $275.71 | $161.58 |
| Manhattan, NYNew York | $301.83 | $169.87 |
| AlaskaAlaska | $304.65 | $183.71 |
| AlabamaAlabama | $235.22 | $135.85 |
| ArkansasArkansas | $231.81 | $134.26 |
| ArizonaArizona | $255.17 | $145.12 |
| Bakersfield, CACalifornia | $277.46 | $153.00 |
| Chico, CACalifornia | $276.64 | $152.18 |
| El Centro, CACalifornia | $276.69 | $152.22 |
| Fresno, CACalifornia | $276.64 | $152.18 |
| Hanford, CACalifornia | $276.64 | $152.18 |
| Madera, CACalifornia | $276.64 | $152.18 |
| Merced, CACalifornia | $276.64 | $152.18 |
| Modesto, CACalifornia | $276.64 | $152.18 |
| Napa, CACalifornia | $320.28 | $170.61 |
| Oxnard, CACalifornia | $293.99 | $159.76 |
| Redding, CACalifornia | $276.64 | $152.18 |
| Rest of CaliforniaCalifornia | $276.64 | $152.18 |
| Riverside, CACalifornia | $279.68 | $155.21 |
| Sacramento, CACalifornia | $290.25 | $158.17 |
| Salinas, CACalifornia | $289.17 | $157.55 |
| San Diego, CACalifornia | $295.94 | $160.12 |
| Marin County, CACalifornia | $338.92 | $178.80 |
| San Francisco, CACalifornia | $338.60 | $178.48 |
| San Benito County, CACalifornia | $346.55 | $182.79 |
| Santa Clara County, CACalifornia | $345.25 | $181.49 |
| San Luis Obispo, CACalifornia | $284.53 | $155.18 |
| Santa Cruz, CACalifornia | $298.74 | $160.76 |
| Santa Maria, CACalifornia | $290.24 | $157.83 |
| Santa Rosa, CACalifornia | $301.75 | $162.29 |
| Stockton, CACalifornia | $276.64 | $152.18 |
| Vallejo, CACalifornia | $319.83 | $170.15 |
| Visalia, CACalifornia | $276.64 | $152.18 |
| Yuba City, CACalifornia | $276.64 | $152.18 |
| ColoradoColorado | $272.72 | $151.89 |
| ConnecticutConnecticut | $279.67 | $157.36 |
| DelawareDelaware | $259.40 | $147.20 |
| Fort Lauderdale, FLFlorida | $272.14 | $157.10 |
| Rest of FloridaFlorida | $258.83 | $150.27 |
| Atlanta, GAGeorgia | $267.22 | $151.84 |
| Rest of GeorgiaGeorgia | $244.19 | $142.89 |
| Hawaii, Guam, HIHawaii | $283.38 | $154.26 |
| IowaIowa | $240.97 | $137.06 |
| IdahoIdaho | $242.60 | $138.12 |
| East St. Louis, ILIllinois | $257.01 | $152.53 |
| Rest of IllinoisIllinois | $251.51 | $147.83 |
| Suburban Chicago, ILIllinois | $274.85 | $158.23 |
| IndianaIndiana | $244.00 | $138.73 |
| KansasKansas | $239.95 | $137.29 |
| KentuckyKentucky | $241.05 | $140.09 |
| New Orleans, LALouisiana | $252.65 | $145.79 |
| Rest of LouisianaLouisiana | $240.72 | $140.21 |
| Metropolitan Boston, MAMassachusetts | $299.59 | $164.00 |
| Rest of MassachusettsMassachusetts | $271.13 | $151.55 |
| Baltimore area, MDMaryland | $278.91 | $157.06 |
| Rest of MarylandMaryland | $264.33 | $149.40 |
| Rest of MaineMaine | $243.99 | $139.51 |
| Southern Maine, MEMaine | $257.10 | $144.55 |
| Detroit, MIMichigan | $262.19 | $152.61 |
| Rest of MichiganMichigan | $247.45 | $143.77 |
| MinnesotaMinnesota | $260.93 | $144.07 |
| Metropolitan Kansas City, MOMissouri | $250.80 | $144.16 |
| Metropolitan St. Louis, MOMissouri | $253.41 | $145.30 |
| Rest of MissouriMissouri | $236.65 | $138.76 |
| MississippiMississippi | $234.27 | $136.49 |
| MontanaMontana | $262.18 | $148.62 |
| North CarolinaNorth Carolina | $246.54 | $140.58 |
| North DakotaNorth Dakota | $256.64 | $143.08 |
| NebraskaNebraska | $242.26 | $137.44 |
| New HampshireNew Hampshire | $268.55 | $150.33 |
| Northern New JerseyNew Jersey | $296.55 | $164.82 |
| Rest of New JerseyNew Jersey | $282.75 | $158.74 |
| New MexicoNew Mexico | $248.86 | $144.72 |
| NevadaNevada | $260.82 | $147.14 |
| NYC suburbs and Long Island, NYNew York | $309.32 | $174.29 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $284.71 | $160.36 |
| Queens, NYNew York | $304.15 | $169.92 |
| Rest of New YorkNew York | $250.25 | $142.37 |
| OhioOhio | $246.32 | $142.64 |
| OklahomaOklahoma | $240.49 | $139.08 |
| Portland, OROregon | $281.27 | $155.10 |
| Rest of OregonOregon | $258.69 | $145.58 |
| Metropolitan Philadelphia, PAPennsylvania | $272.77 | $154.55 |
| Rest of PennsylvaniaPennsylvania | $246.65 | $142.40 |
| Puerto RicoPuerto Rico | $264.07 | $149.26 |
| Rhode IslandRhode Island | $268.56 | $151.25 |
| South CarolinaSouth Carolina | $246.86 | $141.93 |
| South DakotaSouth Dakota | $255.99 | $142.42 |
| TennesseeTennessee | $241.18 | $137.95 |
| UtahUtah | $250.24 | $143.49 |
| VirginiaVirginia | $256.33 | $144.70 |
| Virgin Islands, VIUnited States Virgin Islands | $264.07 | $149.26 |
| VermontVermont | $255.74 | $143.32 |
| Rest of WashingtonWashington | $270.58 | $151.00 |
| King County, WAWashington | $305.58 | $166.24 |
| WisconsinWisconsin | $248.02 | $139.23 |
| West VirginiaWest Virginia | $242.21 | $143.52 |
| WyomingWyoming | $259.77 | $146.20 |
24065 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.
$231.81
$311.60
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 | $304.65 | 1 |
| AL | $235.22 | 1 |
| AR | $231.81 | 1 |
| AZ | $255.17 | 1 |
| CA | $276.64–$346.55 | 29 |
| CO | $272.72 | 1 |
| CT | $279.67 | 1 |
| DC | $299.65 | 1 |
| DE | $259.40 | 1 |
| FL | $258.83–$284.01 | 3 |
| GA | $244.19–$267.22 | 2 |
| GU | $283.38 | 1 |
| HI | $283.38 | 1 |
| IA | $240.97 | 1 |
| ID | $242.60 | 1 |
| IL | $251.51–$275.71 | 4 |
| IN | $244.00 | 1 |
| KS | $239.95 | 1 |
| KY | $241.05 | 1 |
| LA | $240.72–$252.65 | 2 |
| MA | $271.13–$299.59 | 2 |
| MD | $264.33–$299.65 | 3 |
| ME | $243.99–$257.10 | 2 |
| MI | $247.45–$262.19 | 2 |
| MN | $260.93 | 1 |
| MO | $236.65–$253.41 | 3 |
| MS | $234.27 | 1 |
| MT | $262.18 | 1 |
| NC | $246.54 | 1 |
| ND | $256.64 | 1 |
| NE | $242.26 | 1 |
| NH | $268.55 | 1 |
| NJ | $282.75–$296.55 | 2 |
| NM | $248.86 | 1 |
| NV | $260.82 | 1 |
| NY | $250.25–$309.32 | 5 |
| OH | $246.32 | 1 |
| OK | $240.49 | 1 |
| OR | $258.69–$281.27 | 2 |
| PA | $246.65–$272.77 | 2 |
| PR | $264.07 | 1 |
| RI | $268.56 | 1 |
| SC | $246.86 | 1 |
| SD | $255.99 | 1 |
| TN | $241.18 | 1 |
| TX | $245.03–$271.91 | 8 |
| UT | $250.24 | 1 |
| VA | $256.33–$299.65 | 2 |
| VI | $264.07 | 1 |
| VT | $255.74 | 1 |
| WA | $270.58–$305.58 | 2 |
| WI | $248.02 | 1 |
| WV | $242.21 | 1 |
| WY | $259.77 | 1 |
How the 24065 rate is calculated
Each of 24065’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 · 24065
RVUs × geographic indexes × conversion factor
Work2.08
2.08 RVUs× 1.000 GPCI
Practice expense5.49
5.49 RVUs× 1.000 GPCI
Malpractice0.28
0.28 RVUs× 1.000 GPCI
Adjusted RVUs
7.8500
Conversion factor
$33.4009
Medicare rate
$262.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Houston, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,258
- Code
- 24065
- Physician work
- 2.08
- Practice expense
- 5.49
- Malpractice
- 0.28
GPCI2026.csv
102
- Locality
- Houston, TX
- Physician work
- 1.008
- Practice expense
- 0.993
- Malpractice
- 1.376
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.08 | × 1.008 | 2.0966 |
| Practice expense | 5.49 | × 0.993 | 5.4516 |
| Malpractice | 0.28 | × 1.376 | 0.3853 |
| Total RVUs | 7.9335 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Houston, TX$264.99
Office: (2.08 × 1.008 + 5.49 × 0.993 + 0.28 × 1.376) × $33.4009 = $264.99
Facility: (2.08 × 1.008 + 2.09 × 0.993 + 0.28 × 1.376) × $33.4009 = $152.22
Payment rules and modifiers for 24065
24065 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24065
Soft-tissue biopsy, superficial upper arm or elbow
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24065
Soft-tissue biopsy, superficial upper arm or elbow
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24065 without 50 · national office
$262.20
Soft-tissue biopsy, superficial upper arm or elbow
24065-50 · Bilateral: 150%
$393.30
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 24065 has changed in Houston, TX
24065 · Office / nonfacility
$264.99
Effective 2026-10-01
The base rate is $8.99 higher than on 2025-10-01, moving from $256.00 to $264.99 (3.5%).
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
$256.00changed to$264.99
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.13 changed to 2.08
- Practice expense RVU 5.33 changed to 5.49
- Malpractice RVU 0.29 changed to 0.28
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.003 changed to 0.993
- Malpractice GPCI 1.409 changed to 1.376
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$266.19changed to$256.00
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.37 changed to 5.33
- Malpractice RVU 0.32 changed to 0.29
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$261.85changed to$266.19
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$269.77changed to$261.85
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.35 changed to 5.37
- Malpractice RVU 0.30 changed to 0.32
- Work GPCI 1.023 changed to 1.014
- Practice expense GPCI 1.016 changed to 1.003
- Malpractice GPCI 1.154 changed to 1.409
January 1, 2023
RVU23A
$278.02changed to$269.77
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.40 changed to 5.35
- Malpractice RVU 0.31 changed to 0.30
- Work GPCI 1.032 changed to 1.023
- Practice expense GPCI 1.029 changed to 1.016
- Malpractice GPCI 0.900 changed to 1.154
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$277.85changed to$278.02
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.34 changed to 5.40
- Malpractice RVU 0.30 changed to 0.31
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$272.20changed to$277.85
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.00 changed to 5.34
- Malpractice RVU 0.28 changed to 0.30
- Work GPCI 1.026 changed to 1.032
- Practice expense GPCI 1.020 changed to 1.029
- Malpractice GPCI 0.918 changed to 0.900
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$269.60changed to$272.20
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.94 changed to 5.00
- Malpractice RVU 0.33 changed to 0.28
- Work GPCI 1.020 changed to 1.026
- Practice expense GPCI 1.012 changed to 1.020
- Malpractice GPCI 0.936 changed to 0.918
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$267.51changed to$269.60
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.90 changed to 4.94
- Malpractice RVU 0.32 changed to 0.33
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$264.78changed to$267.51
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.84 changed to 4.90
- Malpractice RVU 0.34 changed to 0.32
- Practice expense GPCI 1.009 changed to 1.012
- Malpractice GPCI 0.946 changed to 0.936
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$263.67changed to$264.78
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.019 changed to 1.020
- Practice expense GPCI 1.006 changed to 1.009
- Malpractice GPCI 0.955 changed to 0.946
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$263.56changed to$263.67
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.82 changed to 4.84
- Malpractice RVU 0.33 changed to 0.34
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$262.24changed to$263.56
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$259.31changed to$262.24
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.75 changed to 4.82
- Work GPCI 1.014 changed to 1.019
- Practice expense GPCI 1.004 changed to 1.006
- Malpractice GPCI 0.939 changed to 0.955
Held through RVU15B.
January 1, 2014
RVU14A
$266.53changed to$259.31
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 5.36 changed to 4.75
- Malpractice RVU 0.34 changed to 0.33
- Work GPCI 1.009 changed to 1.014
- Practice expense GPCI 1.002 changed to 1.004
- Malpractice GPCI 0.923 changed to 0.939
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $266.53
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $264.99 | $152.22 | RVU26D |
| 2026-07-01 | $264.99 | $152.22 | RVU26C |
| 2026-04-01 | $264.99 | $152.22 | RVU26B |
| 2026-01-01 | $264.99 | $152.22 | RVU26A |
| 2025-10-01 | $256.00 | $164.84 | RVU25D |
| 2025-07-01 | $256.00 | $164.84 | RVU25C |
| 2025-04-01 | $256.00 | $164.84 | RVU25B |
| 2025-01-01 | $256.00 | $164.84 | RVU25A |
| 2024-10-01 | $266.19 | $169.70 | RVU24D |
| 2024-07-01 | $266.19 | $169.70 | RVU24C |
| 2024-04-01 | $266.19 | $169.70 | RVU24B |
| 2024-03-09 | $266.19 | $169.70 | RVU24AR |
| 2024-01-01 | $261.85 | $166.93 | RVU24A |
| 2023-10-01 | $269.77 | $169.24 | RVU23D |
| 2023-07-01 | $269.77 | $169.24 | RVU23C |
| 2023-04-01 | $269.77 | $169.24 | RVU23B |
| 2023-01-01 | $269.77 | $169.24 | RVU23A |
| 2022-10-01 | $278.02 | $171.19 | RVU22D |
| 2022-07-01 | $278.02 | $171.19 | RVU22C |
| 2022-04-01 | $278.02 | $171.19 | RVU22B |
| 2022-01-01 | $278.02 | $171.19 | RVU22A |
| 2021-10-01 | $277.85 | $170.86 | RVU21D |
| 2021-07-01 | $277.85 | $170.86 | RVU21C |
| 2021-04-01 | $277.85 | $170.86 | RVU21B |
| 2021-01-01 | $277.85 | $170.86 | RVU21A |
| 2020-10-01 | $272.20 | $172.81 | RVU20D |
| 2020-07-01 | $272.20 | $172.81 | RVU20C |
| 2020-04-01 | $272.20 | $172.81 | RVU20B |
| 2020-01-01 | $272.20 | $172.81 | RVU20A |
| 2019-10-01 | $269.60 | $174.04 | RVU19D |
| 2019-07-01 | $269.60 | $174.04 | RVU19C |
| 2019-04-01 | $269.60 | $174.04 | RVU19B |
| 2019-01-01 | $269.60 | $174.04 | RVU19A |
| 2018-10-01 | $267.51 | $174.97 | RVU18D |
| 2018-07-01 | $267.51 | $174.97 | RVU18C |
| 2018-04-01 | $267.51 | $174.97 | RVU18B |
| 2018-01-01 | $267.51 | $174.97 | RVU18AR1 |
| 2017-10-01 | $264.78 | $174.97 | RVU17D |
| 2017-07-01 | $264.78 | $174.97 | RVU17C |
| 2017-04-01 | $264.78 | $174.97 | RVU17B |
| 2017-01-01 | $264.78 | $174.97 | RVU17A |
| 2016-10-01 | $263.67 | $173.98 | RVU16D |
| 2016-07-01 | $263.67 | $173.98 | RVU16C |
| 2016-04-01 | $263.67 | $173.98 | RVU16B |
| 2016-01-01 | $263.67 | $173.98 | RVU16A |
| 2015-10-01 | $263.56 | $174.27 | RVU15D |
| 2015-07-01 | $263.56 | $174.27 | RVU15C |
| 2015-04-01 | $262.24 | $173.40 | RVU15B |
| 2015-01-01 | $262.24 | $173.40 | RVU15A |
| 2014-10-01 | $259.31 | $171.55 | RVU14D |
| 2014-07-01 | $259.31 | $171.55 | RVU14C |
| 2014-04-01 | $259.31 | $171.55 | RVU14B |
| 2014-01-01 | $259.31 | $171.55 | RVU14A |
| 2013-10-01 | $266.53 | $171.41 | RVU13D |
| 2013-07-01 | $266.53 | $171.41 | RVU13C |
| 2013-04-01 | $266.53 | $171.41 | RVU13B |
| 2013-01-01 | $266.53 | $171.41 | RVU13AR |
Where the Houston, TX rate applies
Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 24065 in Houston · multiple payment areas
- Aldine
- Atascocita
- Barrett
- 24065 in Baytown · multiple payment areas
- Bellaire
- Bunker Hill Village
- Channelview
24065 billing questions
How does 24065 differ from 24066?
Use 24065 for biopsy of superficial soft tissue in the upper arm or elbow region. Code 24066 is for biopsy of deep soft tissue.
Can 24065 be reported when the entire lesion is removed?
This code describes biopsy sampling. When the surgeon removes a lesion, evaluate the applicable excision code based on the site, tissue depth, and lesion size.
What documentation supports the superficial biopsy code?
Document the upper-arm or elbow location, the tissue plane or depth, the sampling performed, and the clinical reason for obtaining tissue.
How are bilateral biopsies reported?
Modifier 50 identifies a bilateral procedure; CMS pays the bilateral procedure at 150%.
Are postoperative visits separately paid during the global period?
Related postoperative visits for 10 days are included in the minor-procedure global period.
How does Medicare handle an assistant or additional procedures in the same session?
An assistant at surgery is not paid for this code. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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
Show the CMS file lines behind this rate
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