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CMS RVU26D · Effective 2026-10-01

20983 in Wyoming**

Office / nonfacility

$4898.72

Base rate per service

Facility setting

$295.40

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 procedures

About 20983: Percutaneous bone tumor cryoablation

Report percutaneous cryoablation when an image-guided probe freezes one or more bone tumors, such as an osteoid osteoma or painful bone metastasis.

Percutaneous cryoablation uses a probe inserted through the skin to freeze and destroy one or more bone tumors. An interventional radiologist or orthopedic oncologist typically performs the procedure in a hospital or other image-guided procedural setting, often using CT to position and monitor the probe. Treatment may target a painful primary bone lesion or a bone metastasis. Imaging guidance is included in the service.

Choose this code for cryoablation; radiofrequency ablation of bone tumors is reported with 20982. Document the tumor site and number, the cryoablation method, probe placement, imaging guidance, and the treatment performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. When reported bilaterally with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 20983

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 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 RVU6.71 · 5%
  • Practice expense (office) RVU139.34 · 95%
  • Malpractice RVU0.83 · 1%

223

Medicare services in 2024 · #4222 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.

20983 compared with similar codes

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

20982

Bone ablation

Radiofrequency, percutaneous

$3,473.00

Both codes cover percutaneous ablation of bone tumors with imaging guidance included. Select 20983 for cryoablation and 20982 for radiofrequency ablation.

20225

Bone biopsy

Deep, needle or trocar

$362.48

This code represents a deep bone needle biopsy to obtain tissue; 20983 destroys a tumor by freezing it.

20999

Unlisted px muscskel general

No office rate

20999 is for a musculoskeletal procedure without a specific code. Use 20983 when the bone tumor is treated by percutaneous cryoablation.

The same code, a different location

How does Wyoming** compare?

20983 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $4898.72

  2. $858.78 higher than Wyoming**

  3. $850.87 higher than Wyoming**

  4. Miami

    $5139.13

    $240.41 higher than Wyoming**

  5. Chicago

    $4966.66

    $67.94 higher than Wyoming**

  6. Manhattan

    $5690.47

    $791.75 higher than Wyoming**

  7. Alaska*

    $5308.05

    $409.33 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, 20983 ranges from $4236.25 in Arkansas to $6974.82 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 · 20983

    Office

    $4312.13

    Facility

    $284.23

    $586.59 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 20983

    Office

    $4236.25

    Facility

    $282.01

    $662.47 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 20983

    Office

    $4757.66

    Facility

    $297.05

    $141.06 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 20983

    Office

    $5346.13

    Facility

    $300.90

    $447.41 higher than Wyoming** for the office setting.

  • Chico

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • El Centro

    California · 20983

    Office

    $5343.80

    Facility

    $298.57

    $445.08 higher than Wyoming** for the office setting.

  • Fresno

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Madera

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Merced

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Modesto

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Napa

    California · 20983

    Office

    $6386.40

    Facility

    $319.24

    $1487.68 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 20983

    Office

    $5748.79

    Facility

    $307.68

    $850.07 higher than Wyoming** for the office setting.

  • Redding

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 20983

    Office

    $5352.67

    Facility

    $307.44

    $453.95 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 20983

    Office

    $5659.74

    Facility

    $306.09

    $761.02 higher than Wyoming** for the office setting.

  • Salinas

    California · 20983

    Office

    $5640.01

    Facility

    $304.77

    $741.29 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 20983

    Office

    $5812.15

    Facility

    $306.59

    $913.43 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 20983

    Office

    $6820.39

    Facility

    $329.72

    $1921.67 higher than Wyoming** for the office setting.

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

    California · 20983

    Office

    $6819.45

    Facility

    $328.78

    $1920.73 higher than Wyoming** for the office setting.

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

    California · 20983

    Office

    $6974.82

    Facility

    $336.84

    $2076.10 higher than Wyoming** for the office setting.

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

    California · 20983

    Office

    $6970.96

    Facility

    $332.99

    $2072.24 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 20983

    Office

    $5543.79

    Facility

    $300.62

    $645.07 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 20983

    Office

    $5898.39

    Facility

    $305.37

    $999.67 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 20983

    Office

    $5671.91

    Facility

    $304.45

    $773.19 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 20983

    Office

    $5960.91

    Facility

    $308.05

    $1062.19 higher than Wyoming** for the office setting.

  • Stockton

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Vallejo

    California · 20983

    Office

    $6385.04

    Facility

    $317.88

    $1486.32 higher than Wyoming** for the office setting.

  • Visalia

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Yuba City

    California · 20983

    Office

    $5343.66

    Facility

    $298.43

    $444.94 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 20983

    Office

    $5200.40

    Facility

    $302.48

    $301.68 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 20983

    Office

    $5274.59

    Facility

    $316.83

    $375.87 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 20983

    Office

    $4848.40

    Facility

    $300.32

    $50.32 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 20983

    Office

    $4988.83

    Facility

    $325.67

    $90.11 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 20983

    Office

    $4715.09

    Facility

    $314.32

    $183.63 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 20983

    Office

    $4986.63

    Facility

    $309.67

    $87.91 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 20983

    Office

    $4408.61

    Facility

    $302.45

    $490.11 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 20983

    Office

    $5531.86

    Facility

    $297.90

    $633.14 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 20983

    Office

    $4493.61

    Facility

    $281.58

    $405.11 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 20983

    Office

    $4518.99

    Facility

    $283.94

    $379.73 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 20983

    Office

    $4561.71

    Facility

    $326.66

    $337.01 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 20983

    Office

    $4516.63

    Facility

    $313.80

    $382.09 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 20983

    Office

    $5054.56

    Facility

    $326.95

    $155.84 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 20983

    Office

    $4551.93

    Facility

    $284.66

    $346.79 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 20983

    Office

    $4445.38

    Facility

    $283.99

    $453.34 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 20983

    Office

    $4386.96

    Facility

    $294.62

    $511.76 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 20983

    Office

    $4635.10

    Facility

    $303.39

    $263.62 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 20983

    Office

    $4369.54

    Facility

    $295.61

    $529.18 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 20983

    Office

    $5814.96

    Facility

    $318.60

    $916.24 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 20983

    Office

    $5150.55

    Facility

    $303.26

    $251.83 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 20983

    Office

    $5255.83

    Facility

    $316.47

    $357.11 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 20983

    Office

    $4961.74

    Facility

    $303.19

    $63.02 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 20983

    Office

    $4523.12

    Facility

    $288.07

    $375.60 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 20983

    Office

    $4853.81

    Facility

    $291.93

    $44.91 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 20983

    Office

    $4762.05

    Facility

    $319.85

    $136.67 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 20983

    Office

    $4504.60

    Facility

    $301.77

    $394.12 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 20983

    Office

    $5021.38

    Facility

    $284.57

    $122.66 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 20983

    Office

    $4621.39

    Facility

    $298.88

    $277.33 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 20983

    Office

    $4682.58

    Facility

    $300.23

    $216.14 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 20983

    Office

    $4262.94

    Facility

    $294.89

    $635.78 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 20983

    Office

    $4251.77

    Facility

    $288.32

    $646.95 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 20983

    Office

    $4905.87

    Facility

    $302.56

    $7.15 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 20983

    Office

    $4584.09

    Facility

    $289.20

    $314.63 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 20983

    Office

    $4889.46

    Facility

    $286.14

    $9.26 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 20983

    Office

    $4530.32

    Facility

    $281.46

    $368.40 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 20983

    Office

    $5093.28

    Facility

    $301.23

    $194.56 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 20983

    Office

    $5666.58

    Facility

    $326.74

    $767.86 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 20983

    Office

    $5345.75

    Facility

    $318.94

    $447.03 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 20983

    Office

    $4525.21

    Facility

    $303.97

    $373.51 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 20983

    Office

    $4905.95

    Facility

    $298.03

    $7.23 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 20983

    Office

    $5823.65

    Facility

    $350.31

    $924.93 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 20983

    Office

    $5363.97

    Facility

    $323.34

    $465.25 higher than Wyoming** for the office setting.

  • Queens

    New York · 20983

    Office

    $5779.56

    Facility

    $338.45

    $880.84 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 20983

    Office

    $4664.99

    Facility

    $291.84

    $233.73 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 20983

    Office

    $4501.24

    Facility

    $298.42

    $397.48 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 20983

    Office

    $4401.76

    Facility

    $291.00

    $496.96 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 20983

    Office

    $5419.02

    Facility

    $304.74

    $520.30 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 20983

    Office

    $4879.07

    Facility

    $294.18

    $19.65 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 20983

    Office

    $5106.13

    Facility

    $314.08

    $207.41 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 20983

    Office

    $4522.76

    Facility

    $296.92

    $375.96 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 20983

    Office

    $4956.70

    Facility

    $302.75

    $57.98 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 20983

    Office

    $5060.77

    Facility

    $305.55

    $162.05 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 20983

    Office

    $4548.06

    Facility

    $294.60

    $350.66 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 20983

    Office

    $4887.52

    Facility

    $284.20

    $11.20 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 20983

    Office

    $4469.57

    Facility

    $285.16

    $429.15 lower than Wyoming** for the office setting.

  • Austin

    Texas · 20983

    Office

    $5173.15

    Facility

    $302.84

    $274.43 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 20983

    Office

    $4485.09

    Facility

    $296.07

    $413.63 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 20983

    Office

    $4859.73

    Facility

    $297.85

    $38.99 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 20983

    Office

    $4885.39

    Facility

    $300.49

    $13.33 lower than Wyoming** for the office setting.

  • Fort Worth

    Texas · 20983

    Office

    $4839.21

    Facility

    $300.34

    $59.51 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 20983

    Office

    $4870.37

    Facility

    $299.28

    $28.35 lower than Wyoming** for the office setting.

  • Houston

    Texas · 20983

    Office

    $4885.56

    Facility

    $314.47

    $13.16 lower than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 20983

    Office

    $4665.88

    Facility

    $297.33

    $232.84 lower than Wyoming** for the office setting.

  • Utah

    Utah · 20983

    Office

    $4623.85

    Facility

    $296.74

    $274.87 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 20983

    Office

    $4818.65

    Facility

    $293.60

    $80.07 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 20983

    Office

    $4956.70

    Facility

    $302.75

    $57.98 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 20983

    Office

    $4845.69

    Facility

    $288.41

    $53.03 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 20983

    Office

    $5148.88

    Facility

    $301.59

    $250.16 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 20983

    Office

    $5968.53

    Facility

    $320.27

    $1069.81 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 20983

    Office

    $4691.27

    Facility

    $281.30

    $207.45 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 20983

    Office

    $4308.19

    Facility

    $307.91

    $590.53 lower than Wyoming** for the office setting.

See how rates vary across the country

20983 · 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.

$4,236.25

$6,159.24

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$5,308.051
AL$4,312.131
AR$4,236.251
AZ$4,757.661
CA$5,343.66–$6,974.8229
CO$5,200.401
CT$5,274.591
DC$5,749.591
DE$4,848.401
FL$4,715.09–$5,139.133
GA$4,408.61–$4,986.632
GU$5,531.861
HI$5,531.861
IA$4,493.611
ID$4,518.991
IL$4,516.63–$5,054.564
IN$4,551.931
KS$4,445.381
KY$4,386.961
LA$4,369.54–$4,635.102
MA$5,150.55–$5,814.962
MD$4,961.74–$5,749.593
ME$4,523.12–$4,853.812
MI$4,504.60–$4,762.052
MN$5,021.381
MO$4,262.94–$4,682.583
MS$4,251.771
MT$4,905.871
NC$4,584.091
ND$4,889.461
NE$4,530.321
NH$5,093.281
NJ$5,345.75–$5,666.582
NM$4,525.211
NV$4,905.951
NY$4,664.99–$5,823.655
OH$4,501.241
OK$4,401.761
OR$4,879.07–$5,419.022
PA$4,522.76–$5,106.132
PR$4,956.701
RI$5,060.771
SC$4,548.061
SD$4,887.521
TN$4,469.571
TX$4,485.09–$5,173.158
UT$4,623.851
VA$4,818.65–$5,749.592
VI$4,956.701
VT$4,845.691
WA$5,148.88–$5,968.532
WI$4,691.271
WV$4,308.191
WY$4,898.721

Explore 20983 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.

Why are the office and facility amounts different?

For 20983 in Wyoming**, the physician’s office rate is $4898.72 and the facility-setting rate is $295.40: a difference of $4603.32.

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 20983 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$5388.59

$4898.72 × 110% = $5388.59

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.

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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 20983 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

1,833

Code
20983
Physician work
6.71
Practice expense
139.34
Malpractice
0.83

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 20983 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work6.71× 1.0006.7100
Practice expense139.34× 1.000139.3400
Malpractice0.83× 0.7400.6142
Total RVUs146.6642
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$4898.72

Open 20983 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.711
Practice expense139.341
Malpractice0.830.74

(6.71 × 1 + 139.34 × 1 + 0.83 × 0.74) × $33.4009 = $4898.72

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.711
Practice expense1.521
Malpractice0.830.74

(6.71 × 1 + 1.52 × 1 + 0.83 × 0.74) × $33.4009 = $295.40

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

20983 · Office / nonfacility

$4898.72

Effective 2026-10-01

The base rate is $203.26 higher than on 2025-10-01, moving from $4695.46 to $4898.72 (4.3%).

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

    $4695.46changed to$4898.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.88 changed to 6.71
    • Practice expense RVU 137.69 changed to 139.34
    • Malpractice RVU 0.80 changed to 0.83
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $4695.46

    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$4898.72$295.40RVU26D
2026-07-01$4898.72$295.40RVU26C
2026-04-01$4898.72$295.40RVU26B
2026-01-01$4898.72$295.40RVU26A
2025-10-01$4695.46$322.86RVU25D
2025-07-01$4695.46$322.86RVU25C
2025-04-01$4695.46$322.86RVU25B
2025-01-01$4695.46$322.86RVU25A

20983 billing questions

How is 20983 different from 20982?

20983 is for percutaneous cryoablation of bone tumors. Use 20982 for the radiofrequency method.

Is imaging guidance separately reported with 20983?

Imaging guidance is included in 20983. Do not separately report guidance for positioning and monitoring the ablation probe as part of this service.

What documentation supports reporting 20983?

Record the bone tumor site and number, the cryoablation technique, probe placement, imaging guidance, and the treatment performed.

How does CMS pay when other procedures are performed in the same session?

CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple procedure reduction.

Can 20983 be reported bilaterally, and how is it paid?

For a bilateral procedure, report modifier 50. CMS pays the bilateral service at 150%.

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 20983PPRRVU2026_Oct_nonQPP.csv, line 1,833 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)