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CMS RVU26D · Effective 2026-10-01

20983 Bone ablation Medicare reimbursement rates in Rhode Island

Report percutaneous cryoablation when an image-guided probe freezes one or more bone tumors, such as an osteoid osteoma or painful bone metastasis. Compare 20983 office and facility rates across CMS payment localities in Rhode Island.

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.

What does Medicare pay for 20983 in Rhode Island?

Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

$5060.77

1 of 1 localities have a supported rate.

Payment area: Rhode Island

One mapped payment locality.

Facility setting

$305.55

1 of 1 localities have a supported rate.

Payment area: Rhode Island

One mapped payment locality.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 20983 in your payment locality →

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 Rhode Island, from the same CMS release.

20982

Bone ablation

Radiofrequency, percutaneous

$3,589.01

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

$374.43

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.

Compare 20983 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 Rhode Island.

PPRRVU2026_Oct_nonQPP.csv

1,833

Code
20983
Physician work
6.71
Practice expense
139.34
Malpractice
0.83

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office / nonfacility calculation for 20983 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work6.71× 1.0196.8375
Practice expense139.34× 1.033143.9382
Malpractice0.83× 0.8920.7404
Total RVUs151.5161
Conversion factor× 33.4009

Office / nonfacility rate, Rhode Island$5060.77

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.711.019
Practice expense139.341.033
Malpractice0.830.892

(6.71 × 1.019 + 139.34 × 1.033 + 0.83 × 0.892) × $33.4009 = $5060.77

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.711.019
Practice expense1.521.033
Malpractice0.830.892

(6.71 × 1.019 + 1.52 × 1.033 + 0.83 × 0.892) × $33.4009 = $305.55

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.

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 Rhode IslandGPCI2026.csv, line 92 (RVU26D)