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See a sample rate comparisonCPT 10011 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.
Sample Tissue Using A Needle, Removal Of Body Fluid Or Tissue By Aspiration (Suction) Using A Fine Needle.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery General Surgical Procedures |
| Common Place of Service | 11 - Office None 20 - Urgent Care Facility 22 - On Campus Outpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | None RT - Right side of body 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 10011 |
| Medicaid Fee Schedule | View Medicaid rates for 10011 |
National average reimbursement for CPT 10011 by major payers:
$490.63
$503.84
$375.47
$532.31
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CPT 10011
5 of 25 sample ratesHigher to lower in this preview
Freehold Endoscopy Associates, LLC, Endoscopy Center Of Monmouth County
Freehold Endoscopy Associates
$1,886.00Published rateAdvanced Surgery Center Of Northern Louisiana LLC
Advanced Surgery Center Of Northern Louisiana, LLC
$893.00Published rateResurgens Fayette Surgery Center, LLC
Resurgens Fayette Surgery Center LLC
$544.00Published rateThe Pennsylvania Surgery And Laser Center LLC
Pennsylvania Surgery And Laser
$350.00Published ratePain Management & Surgery Center Of Southern Indiana
$197.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 10011 vs. Other General Surgical Procedures Codes
The CPT 10011 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 10011 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) |
| 10011-CPT | Moderate | Sample Tissue Using A Needle, Removal Of Body Fluid Or Tissue By Aspiration (Suction) Using A Fine Needle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10011. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 10011 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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