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CMS RVU26D · Effective 2026-10-01

20200 in Wyoming**

Office / nonfacility

$238.61

Base rate per service

Facility setting

$86.97

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.

Surgical procedure

About 20200: Open superficial muscle biopsy

Reports an open biopsy of an accessible superficial skeletal muscle when tissue is needed to investigate suspected muscle disease.

A physician obtains a small sample of accessible skeletal muscle through an open incision for diagnostic examination. Neurologists and surgeons may perform this procedure when evaluation of conditions such as inflammatory myopathy, muscular dystrophy, or metabolic muscle disease requires tissue. The specimen may be sent for histologic or other laboratory studies. This code describes a superficial muscle biopsy, not a needle sample or an open biopsy of a deeper muscle.

Select the code based on the muscle’s depth and the approach documented in the operative report. Documentation should identify the sampled muscle and site, the open approach, and the diagnostic reason for obtaining tissue. The 0-day global period includes same-day preoperative and postoperative care. If 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% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.

CMS billing rules for 20200

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 RVU1.42 · 20%
  • Practice expense (office) RVU5.45 · 75%
  • Malpractice RVU0.37 · 5%

505

Medicare services in 2024 · #3553 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.

20200 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

20205

Muscle biopsy

Open deep-muscle approach

$333.04

Both describe open muscle biopsy. Choose 20200 for superficial muscle and 20205 when the muscle sampled is deep.

20206

Muscle biopsy

Percutaneous needle approach

$208.80

This code describes a percutaneous needle muscle biopsy; 20200 describes an open biopsy of superficial muscle.

The same code, a different location

How does Wyoming** compare?

20200 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $238.61

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

    $272.93

    $34.32 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $278.18

    $39.57 higher than Wyoming**

  4. Miami

    $268.18

    $29.57 higher than Wyoming**

  5. Chicago

    $259.07

    $20.46 higher than Wyoming**

  6. Manhattan

    $281.59

    $42.98 higher than Wyoming**

  7. Alaska*

    $271.82

    $33.21 higher than Wyoming**

Other payment areas listed in Wyoming 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, 20200 ranges from $210.16 in Arkansas to $321.76 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

  • Alabama

    Alabama · 20200

    Office

    $213.70

    Facility

    $81.02

    $24.91 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 20200

    Office

    $210.16

    Facility

    $79.90

    $28.45 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 20200

    Office

    $234.40

    Facility

    $87.46

    $4.21 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 20200

    Office

    $255.37

    Facility

    $89.17

    $16.76 higher than Wyoming** for the office setting.

  • Chico

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • El Centro

    California · 20200

    Office

    $254.43

    Facility

    $88.23

    $15.82 higher than Wyoming** for the office setting.

  • Fresno

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Madera

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Merced

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Modesto

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Napa

    California · 20200

    Office

    $296.62

    Facility

    $96.76

    $58.01 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 20200

    Office

    $271.62

    Facility

    $92.38

    $33.01 higher than Wyoming** for the office setting.

  • Redding

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 20200

    Office

    $258.33

    Facility

    $92.14

    $19.72 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 20200

    Office

    $267.47

    Facility

    $91.11

    $28.86 higher than Wyoming** for the office setting.

  • Salinas

    California · 20200

    Office

    $266.50

    Facility

    $90.75

    $27.89 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 20200

    Office

    $273.26

    Facility

    $91.90

    $34.65 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 20200

    Office

    $314.28

    Facility

    $100.46

    $75.67 higher than Wyoming** for the office setting.

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

    California · 20200

    Office

    $313.86

    Facility

    $100.04

    $75.25 higher than Wyoming** for the office setting.

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

    California · 20200

    Office

    $321.76

    Facility

    $103.10

    $83.15 higher than Wyoming** for the office setting.

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

    California · 20200

    Office

    $320.05

    Facility

    $101.38

    $81.44 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 20200

    Office

    $262.20

    Facility

    $89.48

    $23.59 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 20200

    Office

    $276.22

    Facility

    $91.98

    $37.61 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 20200

    Office

    $267.63

    Facility

    $90.82

    $29.02 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 20200

    Office

    $279.02

    Facility

    $92.80

    $40.41 higher than Wyoming** for the office setting.

  • Stockton

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Vallejo

    California · 20200

    Office

    $296.01

    Facility

    $96.15

    $57.40 higher than Wyoming** for the office setting.

  • Visalia

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Yuba City

    California · 20200

    Office

    $254.37

    Facility

    $88.17

    $15.76 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 20200

    Office

    $251.34

    Facility

    $89.99

    $12.73 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 20200

    Office

    $259.38

    Facility

    $96.07

    $20.77 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 20200

    Office

    $238.63

    Facility

    $88.81

    $0.02 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 20200

    Office

    $254.17

    Facility

    $100.56

    $15.56 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 20200

    Office

    $240.03

    Facility

    $95.06

    $1.42 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 20200

    Office

    $247.36

    Facility

    $93.30

    $8.75 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 20200

    Office

    $224.54

    Facility

    $89.27

    $14.07 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 20200

    Office

    $261.56

    Facility

    $89.14

    $22.95 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 20200

    Office

    $218.90

    Facility

    $80.15

    $19.71 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 20200

    Office

    $220.75

    Facility

    $81.24

    $17.86 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 20200

    Office

    $239.79

    Facility

    $100.28

    $1.18 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 20200

    Office

    $232.94

    Facility

    $94.50

    $5.67 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 20200

    Office

    $256.61

    Facility

    $100.88

    $18.00 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 20200

    Office

    $222.18

    Facility

    $81.61

    $16.43 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 20200

    Office

    $218.22

    Facility

    $81.13

    $20.39 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 20200

    Office

    $220.57

    Facility

    $85.76

    $18.04 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 20200

    Office

    $232.76

    Facility

    $90.07

    $5.85 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 20200

    Office

    $220.37

    Facility

    $86.17

    $18.24 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 20200

    Office

    $277.72

    Facility

    $96.66

    $39.11 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 20200

    Office

    $249.72

    Facility

    $90.04

    $11.11 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 20200

    Office

    $258.80

    Facility

    $96.09

    $20.19 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 20200

    Office

    $243.47

    Facility

    $90.01

    $4.86 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 20200

    Office

    $222.59

    Facility

    $83.08

    $16.02 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 20200

    Office

    $235.62

    Facility

    $85.35

    $2.99 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 20200

    Office

    $243.93

    Facility

    $97.60

    $5.32 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 20200

    Office

    $227.58

    Facility

    $89.13

    $11.03 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 20200

    Office

    $238.40

    Facility

    $82.36

    $0.21 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 20200

    Office

    $230.43

    Facility

    $88.04

    $8.18 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 20200

    Office

    $233.11

    Facility

    $88.75

    $5.50 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 20200

    Office

    $216.38

    Facility

    $85.67

    $22.23 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 20200

    Office

    $213.29

    Facility

    $82.73

    $25.32 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 20200

    Office

    $241.80

    Facility

    $90.16

    $3.19 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 20200

    Office

    $225.16

    Facility

    $83.68

    $13.45 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 20200

    Office

    $234.48

    Facility

    $82.84

    $4.13 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 20200

    Office

    $220.12

    Facility

    $80.16

    $18.49 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 20200

    Office

    $247.74

    Facility

    $89.88

    $9.13 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 20200

    Office

    $274.78

    Facility

    $98.87

    $36.17 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 20200

    Office

    $261.67

    Facility

    $96.07

    $23.06 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 20200

    Office

    $229.20

    Facility

    $90.14

    $9.41 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 20200

    Office

    $239.94

    Facility

    $88.15

    $1.33 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 20200

    Office

    $289.85

    Facility

    $109.55

    $51.24 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 20200

    Office

    $263.85

    Facility

    $97.80

    $25.24 higher than Wyoming** for the office setting.

  • Queens

    New York · 20200

    Office

    $283.45

    Facility

    $104.21

    $44.84 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 20200

    Office

    $229.05

    Facility

    $84.99

    $9.56 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 20200

    Office

    $226.08

    Facility

    $87.64

    $12.53 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 20200

    Office

    $219.59

    Facility

    $84.17

    $19.02 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 20200

    Office

    $259.62

    Facility

    $91.15

    $21.01 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 20200

    Office

    $237.42

    Facility

    $86.39

    $1.19 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 20200

    Office

    $252.52

    Facility

    $94.67

    $13.91 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 20200

    Office

    $226.22

    Facility

    $87.01

    $12.39 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 20200

    Office

    $243.64

    Facility

    $90.33

    $5.03 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 20200

    Office

    $247.40

    Facility

    $90.75

    $8.79 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 20200

    Office

    $226.13

    Facility

    $86.02

    $12.48 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 20200

    Office

    $233.62

    Facility

    $81.98

    $4.99 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 20200

    Office

    $219.54

    Facility

    $81.69

    $19.07 lower than Wyoming** for the office setting.

  • Austin

    Texas · 20200

    Office

    $251.07

    Facility

    $90.63

    $12.46 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 20200

    Office

    $224.56

    Facility

    $86.57

    $14.05 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 20200

    Office

    $237.84

    Facility

    $87.57

    $0.77 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 20200

    Office

    $239.77

    Facility

    $88.73

    $1.16 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 20200

    Office

    $238.11

    Facility

    $88.59

    $0.50 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 20200

    Office

    $238.80

    Facility

    $88.22

    $0.19 higher than Wyoming** for the office setting.

  • Houston

    Texas · 20200

    Office

    $245.57

    Facility

    $95.00

    $6.96 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 20200

    Office

    $231.34

    Facility

    $87.43

    $7.27 lower than Wyoming** for the office setting.

  • Utah

    Utah · 20200

    Office

    $229.64

    Facility

    $87.10

    $8.97 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 20200

    Office

    $235.09

    Facility

    $86.03

    $3.52 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 20200

    Office

    $243.64

    Facility

    $90.33

    $5.03 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 20200

    Office

    $233.90

    Facility

    $83.77

    $4.71 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 20200

    Office

    $249.13

    Facility

    $89.46

    $10.52 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 20200

    Office

    $283.25

    Facility

    $97.19

    $44.64 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 20200

    Office

    $225.63

    Facility

    $80.35

    $12.98 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 20200

    Office

    $223.30

    Facility

    $91.53

    $15.31 lower than Wyoming** for the office setting.

See how rates vary across the country

20200 · 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.

$210.16

$288.07

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$271.821
AL$213.701
AR$210.161
AZ$234.401
CA$254.37–$321.7629
CO$251.341
CT$259.381
DC$278.181
DE$238.631
FL$240.03–$268.183
GA$224.54–$247.362
GU$261.561
HI$261.561
IA$218.901
ID$220.751
IL$232.94–$259.074
IN$222.181
KS$218.221
KY$220.571
LA$220.37–$232.762
MA$249.72–$277.722
MD$243.47–$278.183
ME$222.59–$235.622
MI$227.58–$243.932
MN$238.401
MO$216.38–$233.113
MS$213.291
MT$241.801
NC$225.161
ND$234.481
NE$220.121
NH$247.741
NJ$261.67–$274.782
NM$229.201
NV$239.941
NY$229.05–$289.855
OH$226.081
OK$219.591
OR$237.42–$259.622
PA$226.22–$252.522
PR$243.641
RI$247.401
SC$226.131
SD$233.621
TN$219.541
TX$224.56–$251.078
UT$229.641
VA$235.09–$278.182
VI$243.641
VT$233.901
WA$249.13–$283.252
WI$225.631
WV$223.301
WY$238.611

Explore 20200 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 20200 in Wyoming**, the physician’s office rate is $238.61 and the facility-setting rate is $86.97: a difference of $151.64.

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 20200 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$262.47

$238.61 × 110% = $262.47

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 20200 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

1,727

Code
20200
Physician work
1.42
Practice expense
5.45
Malpractice
0.37

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 20200 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0001.4200
Practice expense5.45× 1.0005.4500
Malpractice0.37× 0.7400.2738
Total RVUs7.1438
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$238.61

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

Open 20200 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.421
Practice expense5.451
Malpractice0.370.74

(1.42 × 1 + 5.45 × 1 + 0.37 × 0.74) × $33.4009 = $238.61

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.421
Practice expense0.911
Malpractice0.370.74

(1.42 × 1 + 0.91 × 1 + 0.37 × 0.74) × $33.4009 = $86.97

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

20200 · Office / nonfacility

$238.61

Effective 2026-10-01

The base rate is $34.15 higher than on 2025-10-01, moving from $204.46 to $238.61 (16.7%).

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

    $204.46changed to$238.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.46 changed to 1.42
    • Practice expense RVU 4.58 changed to 5.45
    • Malpractice RVU 0.38 changed to 0.37
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $204.46

    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$238.61$86.97RVU26D
2026-07-01$238.61$86.97RVU26C
2026-04-01$238.61$86.97RVU26B
2026-01-01$238.61$86.97RVU26A
2025-10-01$204.46$90.60RVU25D
2025-07-01$204.46$90.60RVU25C
2025-04-01$204.46$90.60RVU25B
2025-01-01$204.46$90.60RVU25A

20200 billing questions

How does this differ from 20205?

Use 20200 for an open biopsy of superficial muscle. Code 20205 describes an open biopsy of deep muscle.

When is 20206 more appropriate?

Code 20206 describes a percutaneous needle muscle biopsy. Use 20200 when the documented method is an open biopsy of superficial muscle.

Can modifier 50 be used for biopsies on both sides?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

Is same-day postoperative care separately included?

The code has a 0-day global period, which includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon report this procedure?

Medicare does not pay an assistant-at-surgery claim for 20200. Co-surgeons and team surgery are not permitted.

What documentation supports reporting 20200?

The operative report should identify the muscle and site, establish that the biopsy was open and superficial, and state why tissue was obtained.

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 20200PPRRVU2026_Oct_nonQPP.csv, line 1,727 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet