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CMS RVU26D · Effective 2026-10-01

24065 in Merced

Office / nonfacility

$276.64

Base rate per service

Facility setting

$152.18

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Musculoskeletal procedure

About 24065: Superficial upper-arm soft-tissue biopsy

Reports diagnostic sampling of superficial soft tissue in the upper arm or elbow when tissue is obtained rather than the lesion being completely excised.

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.

CMS billing rules for 24065

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.08 · 26%
  • Practice expense (office) RVU5.49 · 70%
  • Malpractice RVU0.28 · 4%

262

Medicare services in 2024 · #4097 by national volume

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.

24065 compared with similar codes

Office rates for Merced, from the same CMS release.

24066

Soft-tissue biopsy

Deep arm or elbow

$716.06

Choose 24065 for superficial soft tissue and 24066 for deep soft tissue; the relevant distinction is the tissue plane sampled.

24075

Soft-tissue excision

Subcutaneous, under 3 cm

$596.42

24075 describes excision of a small superficial arm or elbow lesion, rather than diagnostic biopsy sampling.

24071

Soft-tissue excision

Subcutaneous, 3 cm or larger

No office rate

24071 describes excision of a larger superficial arm or elbow lesion; 24065 is for biopsy sampling, not complete lesion removal.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 24065 is $277.46—$0.82 higher than the $276.64 rate in Merced. Both use the same code, release and participation basis.

24065 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $276.64

  2. Bakersfield

    $277.46

    $0.82 higher than Merced

  3. Chico

    $276.64

    The same base rate than Merced

  4. El Centro

    $276.69

    $0.05 higher than Merced

  5. Fresno

    $276.64

    The same base rate than Merced

  6. Hanford-Corcoran

    $276.64

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $295.46

    $18.82 higher than Merced

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 24065 ranges from $231.81 in Arkansas to $346.55 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 24065

    Office

    $276.64

    Facility

    $152.18

    The same base rate than Merced for the office setting.

  • Modesto

    California · 24065

    Office

    $276.64

    Facility

    $152.18

    The same base rate than Merced for the office setting.

  • Napa

    California · 24065

    Office

    $320.28

    Facility

    $170.61

    $43.64 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 24065

    Office

    $293.99

    Facility

    $159.76

    $17.35 higher than Merced for the office setting.

  • Redding

    California · 24065

    Office

    $276.64

    Facility

    $152.18

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 24065

    Office

    $276.64

    Facility

    $152.18

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 24065

    Office

    $279.68

    Facility

    $155.21

    $3.04 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 24065

    Office

    $290.25

    Facility

    $158.17

    $13.61 higher than Merced for the office setting.

  • Salinas

    California · 24065

    Office

    $289.17

    Facility

    $157.55

    $12.53 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 24065

    Office

    $295.94

    Facility

    $160.12

    $19.30 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 24065

    Office

    $338.92

    Facility

    $178.80

    $62.28 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 24065

    Office

    $338.60

    Facility

    $178.48

    $61.96 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 24065

    Office

    $346.55

    Facility

    $182.79

    $69.91 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 24065

    Office

    $345.25

    Facility

    $181.49

    $68.61 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 24065

    Office

    $284.53

    Facility

    $155.18

    $7.89 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 24065

    Office

    $298.74

    Facility

    $160.76

    $22.10 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 24065

    Office

    $290.24

    Facility

    $157.83

    $13.60 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 24065

    Office

    $301.75

    Facility

    $162.29

    $25.11 higher than Merced for the office setting.

  • Stockton

    California · 24065

    Office

    $276.64

    Facility

    $152.18

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 24065

    Office

    $319.83

    Facility

    $170.15

    $43.19 higher than Merced for the office setting.

  • Visalia

    California · 24065

    Office

    $276.64

    Facility

    $152.18

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 24065

    Office

    $276.64

    Facility

    $152.18

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 24065

    Office

    $299.65

    Facility

    $165.87

    $23.01 higher than Merced for the office setting.

  • Miami

    Florida · 24065

    Office

    $284.01

    Facility

    $165.80

    $7.37 higher than Merced for the office setting.

  • Chicago

    Illinois · 24065

    Office

    $275.71

    Facility

    $161.58

    $0.93 lower than Merced for the office setting.

  • Manhattan

    New York · 24065

    Office

    $301.83

    Facility

    $169.87

    $25.19 higher than Merced for the office setting.

  • Alaska*

    Alaska · 24065

    Office

    $304.65

    Facility

    $183.71

    $28.01 higher than Merced for the office setting.

  • Alabama

    Alabama · 24065

    Office

    $235.22

    Facility

    $135.85

    $41.42 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 24065

    Office

    $231.81

    Facility

    $134.26

    $44.83 lower than Merced for the office setting.

  • Arizona

    Arizona · 24065

    Office

    $255.17

    Facility

    $145.12

    $21.47 lower than Merced for the office setting.

  • Colorado

    Colorado · 24065

    Office

    $272.72

    Facility

    $151.89

    $3.92 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 24065

    Office

    $279.67

    Facility

    $157.36

    $3.03 higher than Merced for the office setting.

  • Delaware

    Delaware · 24065

    Office

    $259.40

    Facility

    $147.20

    $17.24 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 24065

    Office

    $272.14

    Facility

    $157.10

    $4.50 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 24065

    Office

    $258.83

    Facility

    $150.27

    $17.81 lower than Merced for the office setting.

  • Atlanta

    Georgia · 24065

    Office

    $267.22

    Facility

    $151.84

    $9.42 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 24065

    Office

    $244.19

    Facility

    $142.89

    $32.45 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 24065

    Office

    $283.38

    Facility

    $154.26

    $6.74 higher than Merced for the office setting.

  • Iowa

    Iowa · 24065

    Office

    $240.97

    Facility

    $137.06

    $35.67 lower than Merced for the office setting.

  • Idaho

    Idaho · 24065

    Office

    $242.60

    Facility

    $138.12

    $34.04 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 24065

    Office

    $257.01

    Facility

    $152.53

    $19.63 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 24065

    Office

    $251.51

    Facility

    $147.83

    $25.13 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 24065

    Office

    $274.85

    Facility

    $158.23

    $1.79 lower than Merced for the office setting.

  • Indiana

    Indiana · 24065

    Office

    $244.00

    Facility

    $138.73

    $32.64 lower than Merced for the office setting.

  • Kansas

    Kansas · 24065

    Office

    $239.95

    Facility

    $137.29

    $36.69 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 24065

    Office

    $241.05

    Facility

    $140.09

    $35.59 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 24065

    Office

    $252.65

    Facility

    $145.79

    $23.99 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 24065

    Office

    $240.72

    Facility

    $140.21

    $35.92 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 24065

    Office

    $299.59

    Facility

    $164.00

    $22.95 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 24065

    Office

    $271.13

    Facility

    $151.55

    $5.51 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 24065

    Office

    $278.91

    Facility

    $157.06

    $2.27 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 24065

    Office

    $264.33

    Facility

    $149.40

    $12.31 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 24065

    Office

    $243.99

    Facility

    $139.51

    $32.65 lower than Merced for the office setting.

  • Southern Maine

    Maine · 24065

    Office

    $257.10

    Facility

    $144.55

    $19.54 lower than Merced for the office setting.

  • Detroit

    Michigan · 24065

    Office

    $262.19

    Facility

    $152.61

    $14.45 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 24065

    Office

    $247.45

    Facility

    $143.77

    $29.19 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 24065

    Office

    $260.93

    Facility

    $144.07

    $15.71 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 24065

    Office

    $250.80

    Facility

    $144.16

    $25.84 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 24065

    Office

    $253.41

    Facility

    $145.30

    $23.23 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 24065

    Office

    $236.65

    Facility

    $138.76

    $39.99 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 24065

    Office

    $234.27

    Facility

    $136.49

    $42.37 lower than Merced for the office setting.

  • Montana**

    Montana · 24065

    Office

    $262.18

    Facility

    $148.62

    $14.46 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 24065

    Office

    $246.54

    Facility

    $140.58

    $30.10 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 24065

    Office

    $256.64

    Facility

    $143.08

    $20.00 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 24065

    Office

    $242.26

    Facility

    $137.44

    $34.38 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 24065

    Office

    $268.55

    Facility

    $150.33

    $8.09 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 24065

    Office

    $296.55

    Facility

    $164.82

    $19.91 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 24065

    Office

    $282.75

    Facility

    $158.74

    $6.11 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 24065

    Office

    $248.86

    Facility

    $144.72

    $27.78 lower than Merced for the office setting.

  • Nevada**

    Nevada · 24065

    Office

    $260.82

    Facility

    $147.14

    $15.82 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 24065

    Office

    $309.32

    Facility

    $174.29

    $32.68 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 24065

    Office

    $284.71

    Facility

    $160.36

    $8.07 higher than Merced for the office setting.

  • Queens

    New York · 24065

    Office

    $304.15

    Facility

    $169.92

    $27.51 higher than Merced for the office setting.

  • Rest Of New York

    New York · 24065

    Office

    $250.25

    Facility

    $142.37

    $26.39 lower than Merced for the office setting.

  • Ohio

    Ohio · 24065

    Office

    $246.32

    Facility

    $142.64

    $30.32 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 24065

    Office

    $240.49

    Facility

    $139.08

    $36.15 lower than Merced for the office setting.

  • Portland

    Oregon · 24065

    Office

    $281.27

    Facility

    $155.10

    $4.63 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 24065

    Office

    $258.69

    Facility

    $145.58

    $17.95 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 24065

    Office

    $272.77

    Facility

    $154.55

    $3.87 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 24065

    Office

    $246.65

    Facility

    $142.40

    $29.99 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 24065

    Office

    $264.07

    Facility

    $149.26

    $12.57 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 24065

    Office

    $268.56

    Facility

    $151.25

    $8.08 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 24065

    Office

    $246.86

    Facility

    $141.93

    $29.78 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 24065

    Office

    $255.99

    Facility

    $142.42

    $20.65 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 24065

    Office

    $241.18

    Facility

    $137.95

    $35.46 lower than Merced for the office setting.

  • Austin

    Texas · 24065

    Office

    $271.91

    Facility

    $151.76

    $4.73 lower than Merced for the office setting.

  • Beaumont

    Texas · 24065

    Office

    $245.03

    Facility

    $141.69

    $31.61 lower than Merced for the office setting.

  • Brazoria

    Texas · 24065

    Office

    $259.05

    Facility

    $146.50

    $17.59 lower than Merced for the office setting.

  • Dallas

    Texas · 24065

    Office

    $260.76

    Facility

    $147.65

    $15.88 lower than Merced for the office setting.

  • Fort Worth

    Texas · 24065

    Office

    $259.05

    Facility

    $147.08

    $17.59 lower than Merced for the office setting.

  • Galveston

    Texas · 24065

    Office

    $259.86

    Facility

    $147.09

    $16.78 lower than Merced for the office setting.

  • Houston

    Texas · 24065

    Office

    $264.99

    Facility

    $152.22

    $11.65 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 24065

    Office

    $251.94

    Facility

    $144.17

    $24.70 lower than Merced for the office setting.

  • Utah

    Utah · 24065

    Office

    $250.24

    Facility

    $143.49

    $26.40 lower than Merced for the office setting.

  • Virginia

    Virginia · 24065

    Office

    $256.33

    Facility

    $144.70

    $20.31 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 24065

    Office

    $264.07

    Facility

    $149.26

    $12.57 lower than Merced for the office setting.

  • Vermont

    Vermont · 24065

    Office

    $255.74

    Facility

    $143.32

    $20.90 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 24065

    Office

    $270.58

    Facility

    $151.00

    $6.06 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 24065

    Office

    $305.58

    Facility

    $166.24

    $28.94 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 24065

    Office

    $248.02

    Facility

    $139.23

    $28.62 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 24065

    Office

    $242.21

    Facility

    $143.52

    $34.43 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 24065

    Office

    $259.77

    Facility

    $146.20

    $16.87 lower than Merced for the office setting.

See how rates vary across the country

24065 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$231.81

$311.60

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$304.651
AL$235.221
AR$231.811
AZ$255.171
CA$276.64–$346.5529
CO$272.721
CT$279.671
DC$299.651
DE$259.401
FL$258.83–$284.013
GA$244.19–$267.222
GU$283.381
HI$283.381
IA$240.971
ID$242.601
IL$251.51–$275.714
IN$244.001
KS$239.951
KY$241.051
LA$240.72–$252.652
MA$271.13–$299.592
MD$264.33–$299.653
ME$243.99–$257.102
MI$247.45–$262.192
MN$260.931
MO$236.65–$253.413
MS$234.271
MT$262.181
NC$246.541
ND$256.641
NE$242.261
NH$268.551
NJ$282.75–$296.552
NM$248.861
NV$260.821
NY$250.25–$309.325
OH$246.321
OK$240.491
OR$258.69–$281.272
PA$246.65–$272.772
PR$264.071
RI$268.561
SC$246.861
SD$255.991
TN$241.181
TX$245.03–$271.918
UT$250.241
VA$256.33–$299.652
VI$264.071
VT$255.741
WA$270.58–$305.582
WI$248.021
WV$242.211
WY$259.771

Explore 24065 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 24065 in Merced, the physician’s office rate is $276.64 and the facility-setting rate is $152.18: a difference of $124.46.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 24065 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$304.30

$276.64 × 110% = $304.30

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 24065 in Merced.

PPRRVU2026_Oct_nonQPP.csv

2,258

Code
24065
Physician work
2.08
Practice expense
5.49
Malpractice
0.28

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 24065 in Merced
ComponentRVULocality factorAdjusted
Physician work2.08× 1.0172.1154
Practice expense5.49× 1.0966.0170
Malpractice0.28× 0.5360.1501
Total RVUs8.2825
Conversion factor× 33.4009

Office / nonfacility rate, Merced$276.64

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 24065 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.081.017
Practice expense5.491.096
Malpractice0.280.536

(2.08 × 1.017 + 5.49 × 1.096 + 0.28 × 0.536) × $33.4009 = $276.64

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.081.017
Practice expense2.091.096
Malpractice0.280.536

(2.08 × 1.017 + 2.09 × 1.096 + 0.28 × 0.536) × $33.4009 = $152.18

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

24065 · Office / nonfacility

$276.64

Effective 2026-10-01

The base rate is $13.08 higher than on 2025-10-01, moving from $263.56 to $276.64 (5.0%).

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

    $263.56changed to$276.64

    • 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 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $263.56

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$276.64$152.18RVU26D
2026-07-01$276.64$152.18RVU26C
2026-04-01$276.64$152.18RVU26B
2026-01-01$276.64$152.18RVU26A
2025-10-01$263.56$164.21RVU25D
2025-07-01$263.56$164.21RVU25C
2025-04-01$263.56$164.21RVU25B
2025-01-01$263.56$164.21RVU25A

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 under the CMS facts for this code?

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 24065PPRRVU2026_Oct_nonQPP.csv, line 2,258 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet