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See a sample rate comparisonCPT 10010 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Fine Needle Aspiration Biopsy, Fine Needle Aspiration Biopsy Including Ct Guidance Each Additional Lesion (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery General Surgical Procedures |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service UA GC - Service performed by resident under supervision RT - Right side of body MG - The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 10010 |
| Medicaid Fee Schedule | View Medicaid rates for 10010 |
National average reimbursement for CPT 10010 by major payers:
$291.34
$363.69
$288.28
$426.71
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CPT 10010
5 of 25 sample ratesHigher to lower in this preview
Southwest Connecticut Surgery Center, LLC
$1,493.00Published ratePacific Endoscopy Center LLC
Pacific Endoscopy Center, LLC
$574.00Published rateThe Regents Of The University Of California
$186.00Published rateEye Health Eastside Surgery Center
$128.00Published rateEye Care Surgery Center Of Memphis, LLC
$70.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 10010 vs. Other General Surgical Procedures Codes
The CPT 10010 code is part of the Surgery services used for General Surgical Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 10010 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 10004-CPT | Low | Fine Needle Aspiration Biopsy, Fine Needle Aspiration Biopsy Without Imaging Guidance Each Additional Lesion (List Separately In Addition To Code For Primary Procedure) |
| 10005-CPT | Low | Obtain Tissue Through A Needle, Biopsy In Which A Thin Hollow Needle Is Inserted Through The Skin Guided By Ultrasound Into A Mass Or Fluid To Collect A Sample. |
| 10006-CPT | Low | Fine Needle Aspiration Biopsy, Fine Needle Aspiration Biopsy Including Ultrasound Guidance Each Additional Lesion (List Separately In Addition To Code For Primary Procedure) |
| 10010-CPT | Moderate | Fine Needle Aspiration Biopsy, Fine Needle Aspiration Biopsy Including Ct Guidance Each Additional Lesion (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 10010 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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