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CPT code 24066: Soft-tissue biopsy, deep arm or elbow2026 Medicare rate & RVUs in Iowa

Report this service when a surgeon obtains a biopsy from deep soft tissue in the upper arm or elbow area to diagnose a lesion or mass.

CMS RVU26DEffective Oct 1, 2026One payment locality122 Medicare services in 2024

In Iowa, Medicare pays $622.10 for 24066 in the office and $374.55 when it’s performed in a hospital or facility.

$622.10Office (non-facility)
$374.55Hospital or facility
−9.4%vs the national office rate ($686.39)

Check a contract rate as a % of Medicare · 24066 nationwide

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

We’ll open 24066 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 24066 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 24066 covers

A surgeon obtains tissue from a deep soft-tissue lesion in the upper arm or around the elbow for diagnostic evaluation. This is appropriate when the target lies beneath superficial tissues and sampling, rather than complete tumor removal, is the operative objective. Orthopedic surgeons, including orthopedic oncologists, commonly perform the procedure in a hospital or ambulatory surgery setting when the lesion requires operative access.

Report 24066 for a deep biopsy; distinguish it from the superficial biopsy in 24065. The operative report should identify the arm or elbow site, describe the target’s depth and the tissue sampled, and make clear that the service was a biopsy rather than excision. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral procedures reported with modifier 50, payment is 150%. Assistant-at-surgery payment is restricted; 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 Iowa compares for 24066

Across 109 of 109 payment localities, the office rate for 24066 runs from $600.40 in Arkansas to $895.57 in San Benito County, CA. Iowa pays $622.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

24066 in Iowa vs other payment areas
  1. Iowa · this page$622.10
  2. Los Angeles, CA · California$766.44+$144.34
  3. Washington, DC area · District of Columbia$784.34+$162.24
  4. Miami, FL · Florida$767.02+$144.92
  5. Chicago, IL · Illinois$741.87+$119.77
  6. Manhattan, NY · New York$797.49+$175.39
  7. Alaska · Alaska$786.25+$164.15

Other areas in Iowa first, then benchmark localities. Bars start at $0.

Every other payment area

24066 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$610.00$373.27
ArkansasArkansas$600.40$368.00
ArizonaArizona$665.99$403.83
Bakersfield, CACalifornia$719.34$422.82
Chico, CACalifornia$716.06$419.54
El Centro, CACalifornia$716.26$419.74
Fresno, CACalifornia$716.06$419.54
Hanford, CACalifornia$716.06$419.54

24066 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$600.40

$805.82

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
24066 office rate range by state
State / territoryOffice rate rangeLocalities
AK$786.251
AL$610.001
AR$600.401
AZ$665.991
CA$716.06–$895.5729
CO$709.911
CT$734.631
DC$784.341
DE$677.551
FL$685.78–$767.023
GA$643.11–$702.522
GU$734.171
HI$734.171
IA$622.101
ID$627.511
IL$667.89–$741.874
IN$631.331
KS$621.201
KY$630.591
LA$630.43–$663.992
MA$706.06–$780.692
MD$690.51–$784.343
ME$633.48–$667.352
MI$650.50–$697.372
MN$671.861
MO$620.22–$663.813
MS$610.331
MT$686.311
NC$640.301
ND$662.581
NE$625.121
NH$700.731
NJ$740.67–$775.612
NM$655.271
NV$680.171
NY$650.89–$821.105
OH$645.651
OK$626.951
OR$672.60–$731.302
PA$645.48–$716.612
PR$690.981
RI$700.951
SC$644.511
SD$659.771
TN$624.881
TX$641.07–$709.548
UT$653.981
VA$666.58–$784.342
VI$690.981
VT$661.871
WA$704.09–$794.912
WI$638.831
WV$641.841
WY$675.971

See 24066 in every payment locality

How the 24066 rate is calculated

Each of 24066’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 · 24066

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.22

5.22 RVUs× 1.000 GPCI

Practice expense14.13

14.13 RVUs× 1.000 GPCI

Malpractice1.20

1.20 RVUs× 1.000 GPCI

Adjusted RVUs

20.5500

Conversion factor

$33.4009

Medicare rate

$686.39

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,259

Code
24066
Physician work
5.22
Practice expense
14.13
Malpractice
1.20

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 24066 in Iowa
ComponentRVULocality factorAdjusted
Physician work5.22× 1.0005.2200
Practice expense14.13× 0.91512.9290
Malpractice1.20× 0.3970.4764
Total RVUs18.6254
Conversion factor× 33.4009

Office rate, Iowa$622.10

Office: (5.22 × 1 + 14.13 × 0.915 + 1.2 × 0.397) × $33.4009 = $622.10

Facility: (5.22 × 1 + 6.03 × 0.915 + 1.2 × 0.397) × $33.4009 = $374.55

Open 24066 in the RVU calculator

Payment rules and modifiers for 24066

24066 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24066

Soft-tissue biopsy, deep arm or elbow

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 24066

Soft-tissue biopsy, deep arm or elbow

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

24066 without 50 · national office

$686.39

Soft-tissue biopsy, deep arm or elbow

24066-50 · Bilateral: 150%

$1,029.59

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).

When to use modifier 50

Codes related to 24066

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

Codes related to 24066
CodeHow it relatesOffice range, Iowa
Same family
24065Soft-tissue biopsy, superficial upper arm or elbowBiopsy of superficial, rather than deep, soft tissue in the upper arm or elbow area.$240.97
Used instead
24076Tumor excision, deep, under 5 cmRemoval of a deep arm or elbow tumor smaller than 5 cm, rather than diagnostic sampling.No office rate
24073Tumor excision, deep, 5 cm or largerRemoval of a deep arm or elbow tumor 5 cm or larger, rather than diagnostic sampling.No office rate
24075Soft-tissue excision, subcutaneous, under 3 cmRemoval of a small superficial arm or elbow lesion rather than biopsy of deep tissue.$517.23
24071Soft-tissue excision, subcutaneous, 3 cm or largerRemoval of a larger superficial arm or elbow lesion rather than biopsy of deep tissue.No office rate

How 24066 has changed in Iowa

24066 · Office / nonfacility

$622.10

Effective 2026-10-01

The base rate is $60.97 higher than on 2025-10-01, moving from $561.13 to $622.10 (10.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $561.13changed to$622.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.35 changed to 5.22
    • Practice expense RVU 12.56 changed to 14.13
    • Malpractice RVU 1.16 changed to 1.20
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $574.87changed to$561.13

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.48 changed to 12.56
    • Malpractice RVU 1.15 changed to 1.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $565.49changed to$574.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $579.49changed to$565.49

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.37 changed to 12.48
    • Malpractice RVU 1.12 changed to 1.15
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $582.94changed to$579.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.13 changed to 12.37
    • Malpractice RVU 1.16 changed to 1.12
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $592.39changed to$582.94

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.29 changed to 12.13
    • Malpractice RVU 1.13 changed to 1.16

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $583.05changed to$592.39

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.39 changed to 12.29
    • Malpractice RVU 1.12 changed to 1.13
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $587.86changed to$583.05

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.54 changed to 11.39
    • Malpractice RVU 1.17 changed to 1.12
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $578.77changed to$587.86

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.30 changed to 11.54
    • Malpractice RVU 1.13 changed to 1.17

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $577.52changed to$578.77

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.32 changed to 11.30
    • Malpractice RVU 1.16 changed to 1.13
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $575.36changed to$577.52

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 1.17 changed to 1.16
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $577.97changed to$575.36

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 1.20 changed to 1.17

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $575.09changed to$577.97

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $560.99changed to$575.09

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.01 changed to 11.32
    • Malpractice RVU 1.03 changed to 1.20
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $574.20changed to$560.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.44 changed to 11.01
    • Malpractice RVU 1.08 changed to 1.03
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $574.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$622.10$374.55RVU26D
2026-07-01$622.10$374.55RVU26C
2026-04-01$622.10$374.55RVU26B
2026-01-01$622.10$374.55RVU26A
2025-10-01$561.13$384.82RVU25D
2025-07-01$561.13$384.82RVU25C
2025-04-01$561.13$384.82RVU25B
2025-01-01$561.13$384.82RVU25A
2024-10-01$574.87$390.39RVU24D
2024-07-01$574.87$390.39RVU24C
2024-04-01$574.87$390.39RVU24B
2024-03-09$574.87$390.39RVU24AR
2024-01-01$565.49$384.02RVU24A
2023-10-01$579.49$390.46RVU23D
2023-07-01$579.49$390.46RVU23C
2023-04-01$579.49$390.46RVU23B
2023-01-01$579.49$390.46RVU23A
2022-10-01$582.94$389.90RVU22D
2022-07-01$582.94$389.90RVU22C
2022-04-01$582.94$389.90RVU22B
2022-01-01$582.94$389.90RVU22A
2021-10-01$592.39$390.48RVU21D
2021-07-01$592.39$390.48RVU21C
2021-04-01$592.39$390.48RVU21B
2021-01-01$592.39$390.48RVU21A
2020-10-01$583.05$390.25RVU20D
2020-07-01$583.05$390.25RVU20C
2020-04-01$583.05$390.25RVU20B
2020-01-01$583.05$390.25RVU20A
2019-10-01$587.86$391.73RVU19D
2019-07-01$587.86$391.73RVU19C
2019-04-01$587.86$391.73RVU19B
2019-01-01$587.86$391.73RVU19A
2018-10-01$578.77$386.78RVU18D
2018-07-01$578.77$386.78RVU18C
2018-04-01$578.77$386.78RVU18B
2018-01-01$578.77$386.78RVU18AR1
2017-10-01$577.52$387.17RVU17D
2017-07-01$577.52$387.17RVU17C
2017-04-01$577.52$387.17RVU17B
2017-01-01$577.52$387.17RVU17A
2016-10-01$575.36$386.40RVU16D
2016-07-01$575.36$386.40RVU16C
2016-04-01$575.36$386.40RVU16B
2016-01-01$575.36$386.40RVU16A
2015-10-01$577.97$387.36RVU15D
2015-07-01$577.97$387.36RVU15C
2015-04-01$575.09$385.44RVU15B
2015-01-01$575.09$385.44RVU15A
2014-10-01$560.99$379.17RVU14D
2014-07-01$560.99$379.17RVU14C
2014-04-01$560.99$379.17RVU14B
2014-01-01$560.99$379.17RVU14A
2013-10-01$574.20$377.13RVU13D
2013-07-01$574.20$377.13RVU13C
2013-04-01$574.20$377.13RVU13B
2013-01-01$574.20$377.13RVU13AR

Price 24066 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

24066 billing questions

How do I choose between 24066 and 24065?

Use 24066 for a biopsy of deep soft tissue in the upper arm or elbow area. Use 24065 when the biopsied tissue is superficial.

When should the surgeon report an excision code instead?

Choose an excision code when the operative objective is removal of a lesion or tumor, rather than obtaining tissue for diagnosis. The relevant code depends on the tissue depth, size, and extent of removal.

Is the pathology examination included in 24066?

24066 describes the surgeon’s tissue acquisition. A pathology examination is a distinct service when separately performed and reported.

What documentation supports reporting 24066?

Document the upper-arm or elbow site, the target’s deep location, the tissue obtained, and the diagnostic biopsy intent. The operative note should distinguish sampling from removal of the lesion.

How does Medicare handle bilateral reporting and multiple procedures?

For a bilateral procedure reported with modifier 50, Medicare pays 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant, co-surgeon, or surgical team be reported?

Assistant-at-surgery payment is restricted for this code. Medicare does not permit co-surgeons or team surgery.

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
RVUs for 24066PPRRVU2026_Oct_nonQPP.csv, line 2,259 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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