$237.11
Both concern superficial bone sampling, but 20220 describes a trocar or needle approach; this code is for open sampling.
On this page
CMS RVU26D · Effective 2026-10-01
20240 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$126.43
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 20240: Open superficial bone biopsy
Report this service when a clinician uses an open approach to obtain a specimen from a superficial bone for diagnostic evaluation.
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.
CMS billing rules for 20240
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU2.54 · 67%
- Practice expense (office) RVU0.95 · 25%
- Malpractice RVU0.30 · 8%
6.6K
Medicare services in 2024 · #1691 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.
20240 compared with similar codes
Office rates for Redding, from the same CMS release.
$388.58
20225 is for deep bone sampling by trocar or needle. This code describes an open approach to superficial bone.
No office rate
Both use an open approach, but 20245 is selected for a deep bone site rather than a superficial one.
The same code, a different location
How does Redding compare?
20240 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 20240
Office
Unavailable
Facility
$126.43
No comparable office rate is available.
Merced
California · 20240
Office
Unavailable
Facility
$126.43
No comparable office rate is available.
Modesto
California · 20240
Office
Unavailable
Facility
$126.43
No comparable office rate is available.
Napa
California · 20240
Office
Unavailable
Facility
$137.09
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 20240
Office
Unavailable
Facility
$130.96
No comparable office rate is available.
Rest Of California
California · 20240
Office
Unavailable
Facility
$126.43
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 20240
Office
Unavailable
Facility
$129.69
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 20240
Office
Unavailable
Facility
$130.17
No comparable office rate is available.
Salinas
California · 20240
Office
Unavailable
Facility
$129.62
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 20240
Office
Unavailable
Facility
$130.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 20240
Office
Unavailable
Facility
$142.24
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 20240
Office
Unavailable
Facility
$141.90
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 20240
Office
Unavailable
Facility
$145.30
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 20240
Office
Unavailable
Facility
$143.90
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 20240
Office
Unavailable
Facility
$127.79
No comparable office rate is available.
Santa Cruz-Watsonville
California · 20240
Office
Unavailable
Facility
$130.54
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 20240
Office
Unavailable
Facility
$129.58
No comparable office rate is available.
Santa Rosa-Petaluma
California · 20240
Office
Unavailable
Facility
$131.72
No comparable office rate is available.
Stockton
California · 20240
Office
Unavailable
Facility
$126.43
No comparable office rate is available.
Vallejo
California · 20240
Office
Unavailable
Facility
$136.60
No comparable office rate is available.
Visalia
California · 20240
Office
Unavailable
Facility
$126.43
No comparable office rate is available.
Yuba City
California · 20240
Office
Unavailable
Facility
$126.43
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 20240
Office
Unavailable
Facility
$137.95
No comparable office rate is available.
Miami
Florida · 20240
Office
Unavailable
Facility
$143.21
No comparable office rate is available.
Chicago
Illinois · 20240
Office
Unavailable
Facility
$140.32
No comparable office rate is available.
Manhattan
New York · 20240
Office
Unavailable
Facility
$143.03
No comparable office rate is available.
Alaska*
Alaska · 20240
Office
Unavailable
Facility
$166.57
No comparable office rate is available.
Alabama
Alabama · 20240
Office
Unavailable
Facility
$118.27
No comparable office rate is available.
Arkansas
Arkansas · 20240
Office
Unavailable
Facility
$117.26
No comparable office rate is available.
Arizona
Arizona · 20240
Office
Unavailable
Facility
$124.16
No comparable office rate is available.
Colorado
Colorado · 20240
Office
Unavailable
Facility
$127.44
No comparable office rate is available.
Connecticut
Connecticut · 20240
Office
Unavailable
Facility
$132.83
No comparable office rate is available.
Delaware
Delaware · 20240
Office
Unavailable
Facility
$125.62
No comparable office rate is available.
Fort Lauderdale
Florida · 20240
Office
Unavailable
Facility
$135.10
No comparable office rate is available.
Rest Of Florida
Florida · 20240
Office
Unavailable
Facility
$130.23
No comparable office rate is available.
Atlanta
Georgia · 20240
Office
Unavailable
Facility
$129.37
No comparable office rate is available.
Rest Of Georgia
Georgia · 20240
Office
Unavailable
Facility
$125.09
No comparable office rate is available.
Hawaii, Guam
Hawaii · 20240
Office
Unavailable
Facility
$126.72
No comparable office rate is available.
Iowa
Iowa · 20240
Office
Unavailable
Facility
$117.85
No comparable office rate is available.
Idaho
Idaho · 20240
Office
Unavailable
Facility
$118.77
No comparable office rate is available.
East St. Louis
Illinois · 20240
Office
Unavailable
Facility
$134.21
No comparable office rate is available.
Rest Of Illinois
Illinois · 20240
Office
Unavailable
Facility
$129.47
No comparable office rate is available.
Suburban Chicago
Illinois · 20240
Office
Unavailable
Facility
$135.78
No comparable office rate is available.
Indiana
Indiana · 20240
Office
Unavailable
Facility
$119.12
No comparable office rate is available.
Kansas
Kansas · 20240
Office
Unavailable
Facility
$118.57
No comparable office rate is available.
Kentucky
Kentucky · 20240
Office
Unavailable
Facility
$122.22
No comparable office rate is available.
New Orleans
Louisiana · 20240
Office
Unavailable
Facility
$126.08
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 20240
Office
Unavailable
Facility
$122.52
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 20240
Office
Unavailable
Facility
$135.12
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 20240
Office
Unavailable
Facility
$127.59
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 20240
Office
Unavailable
Facility
$132.64
No comparable office rate is available.
Rest Of Maryland
Maryland · 20240
Office
Unavailable
Facility
$127.00
No comparable office rate is available.
Rest Of Maine
Maine · 20240
Office
Unavailable
Facility
$120.26
No comparable office rate is available.
Southern Maine
Maine · 20240
Office
Unavailable
Facility
$122.61
No comparable office rate is available.
Detroit
Michigan · 20240
Office
Unavailable
Facility
$132.35
No comparable office rate is available.
Rest Of Michigan
Michigan · 20240
Office
Unavailable
Facility
$125.12
No comparable office rate is available.
Minnesota
Minnesota · 20240
Office
Unavailable
Facility
$120.46
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 20240
Office
Unavailable
Facility
$124.42
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 20240
Office
Unavailable
Facility
$125.09
No comparable office rate is available.
Rest Of Missouri
Missouri · 20240
Office
Unavailable
Facility
$121.95
No comparable office rate is available.
Mississippi
Mississippi · 20240
Office
Unavailable
Facility
$119.56
No comparable office rate is available.
Montana**
Montana · 20240
Office
Unavailable
Facility
$126.57
No comparable office rate is available.
North Carolina
North Carolina · 20240
Office
Unavailable
Facility
$120.85
No comparable office rate is available.
North Dakota**
North Dakota · 20240
Office
Unavailable
Facility
$120.64
No comparable office rate is available.
Nebraska
Nebraska · 20240
Office
Unavailable
Facility
$117.91
No comparable office rate is available.
New Hampshire
New Hampshire · 20240
Office
Unavailable
Facility
$126.64
No comparable office rate is available.
Northern Nj
New Jersey · 20240
Office
Unavailable
Facility
$137.69
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 20240
Office
Unavailable
Facility
$133.87
No comparable office rate is available.
New Mexico
New Mexico · 20240
Office
Unavailable
Facility
$125.97
No comparable office rate is available.
Nevada**
Nevada · 20240
Office
Unavailable
Facility
$124.95
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 20240
Office
Unavailable
Facility
$146.60
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 20240
Office
Unavailable
Facility
$135.53
No comparable office rate is available.
Queens
New York · 20240
Office
Unavailable
Facility
$142.22
No comparable office rate is available.
Rest Of New York
New York · 20240
Office
Unavailable
Facility
$122.03
No comparable office rate is available.
Ohio
Ohio · 20240
Office
Unavailable
Facility
$123.91
No comparable office rate is available.
Oklahoma
Oklahoma · 20240
Office
Unavailable
Facility
$120.96
No comparable office rate is available.
Portland
Oregon · 20240
Office
Unavailable
Facility
$128.90
No comparable office rate is available.
Rest Of Oregon
Oregon · 20240
Office
Unavailable
Facility
$123.49
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 20240
Office
Unavailable
Facility
$131.35
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 20240
Office
Unavailable
Facility
$123.44
No comparable office rate is available.
Puerto Rico
Puerto Rico · 20240
Office
Unavailable
Facility
$126.79
No comparable office rate is available.
Rhode Island
Rhode Island · 20240
Office
Unavailable
Facility
$128.17
No comparable office rate is available.
South Carolina
South Carolina · 20240
Office
Unavailable
Facility
$122.67
No comparable office rate is available.
South Dakota**
South Dakota · 20240
Office
Unavailable
Facility
$119.94
No comparable office rate is available.
Tennessee
Tennessee · 20240
Office
Unavailable
Facility
$119.06
No comparable office rate is available.
Austin
Texas · 20240
Office
Unavailable
Facility
$127.46
No comparable office rate is available.
Beaumont
Texas · 20240
Office
Unavailable
Facility
$123.02
No comparable office rate is available.
Brazoria
Texas · 20240
Office
Unavailable
Facility
$124.78
No comparable office rate is available.
Dallas
Texas · 20240
Office
Unavailable
Facility
$125.80
No comparable office rate is available.
Fort Worth
Texas · 20240
Office
Unavailable
Facility
$125.62
No comparable office rate is available.
Galveston
Texas · 20240
Office
Unavailable
Facility
$125.32
No comparable office rate is available.
Houston
Texas · 20240
Office
Unavailable
Facility
$130.81
No comparable office rate is available.
Rest Of Texas
Texas · 20240
Office
Unavailable
Facility
$124.00
No comparable office rate is available.
Utah
Utah · 20240
Office
Unavailable
Facility
$123.66
No comparable office rate is available.
Virginia
Virginia · 20240
Office
Unavailable
Facility
$123.10
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 20240
Office
Unavailable
Facility
$126.79
No comparable office rate is available.
Vermont
Vermont · 20240
Office
Unavailable
Facility
$121.32
No comparable office rate is available.
Rest Of Washington
Washington · 20240
Office
Unavailable
Facility
$126.98
No comparable office rate is available.
Seattle (King Cnty)
Washington · 20240
Office
Unavailable
Facility
$136.20
No comparable office rate is available.
Wisconsin
Wisconsin · 20240
Office
Unavailable
Facility
$118.32
No comparable office rate is available.
West Virginia
West Virginia · 20240
Office
Unavailable
Facility
$126.75
No comparable office rate is available.
Wyoming**
Wyoming · 20240
Office
Unavailable
Facility
$123.98
No comparable office rate is available.
See how rates vary across the country
20240 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 20240 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$139.07
$126.43 × 110% = $139.07
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.
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 20240 in Redding.
PPRRVU2026_Oct_nonQPP.csv
1,736
- Code
- 20240
- Physician work
- 2.54
- Practice expense
- 0.95
- Malpractice
- 0.30
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.54 | × 1.017 | 2.5832 |
| Practice expense | 0.95 | × 1.096 | 1.0412 |
| Malpractice | 0.30 | × 0.536 | 0.1608 |
| Total RVUs | 3.7852 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$126.43
Open 20240 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.54 | 1.017 |
| Practice expense | 0.95 | 1.096 |
| Malpractice | 0.3 | 0.536 |
(2.54 × 1.017 + 0.95 × 1.096 + 0.3 × 0.536) × $33.4009 = $126.43
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
20240 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $126.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $126.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $126.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $126.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $136.82 | RVU25D |
| 2025-07-01 | Not available in this setting | $136.82 | RVU25C |
| 2025-04-01 | Not available in this setting | $136.82 | RVU25B |
| 2025-01-01 | Not available in this setting | $136.82 | RVU25A |
20240 billing questions
How is this distinguished from a needle bone biopsy?
Use this code for an open approach to superficial bone. A trocar or needle approach is reported with the corresponding percutaneous bone-biopsy code.
When should the deep open bone biopsy code be used instead?
Use the deep open code when the documented biopsy site is deep rather than superficial. The operative note should support the site and approach selected.
Is modifier 50 appropriate for bilateral biopsies?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are same-session procedures affected by the multiple procedure rule?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard 50% reduction.
Can an assistant surgeon, co-surgeon, or surgical team be reported?
Assistant-at-surgery payment is restricted for this code. Co-surgeon and team-surgery billing are not permitted.
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.
1,73320225,,Bone biopsy trocar/ndl deep,A,,2.39,8.27,,0.74,,0.26,10.92,3.39,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,7342022F,,Dilat rta xm evc rtnopthy,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,7352023F,,Dilat rta xm w/o rtnopthy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,73620240,,Bone biopsy open superficial,A,,2.54,0.95,NA,0.95,,0.30,3.79,3.79,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,73720245,,Bone biopsy open deep,A,,5.85,2.18,NA,2.18,,1.05,9.08,9.08,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,7382024F,,7 fld rta photo evc rtnopthy,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,73920250,,Biopsy vrt bdy open thoracic,A,,5.06,5.08,NA,5.08,,1.46,11.60,11.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536