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See a sample rate comparisonCPT 20102 Fee Schedule
Last Verified: September 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.
Explora Of Penetrat Wound (Sepa Proc); Abdom/Flank/B, Exploration Of Penetrating Wound (Separate Procedure); Abdomen/Flank/B
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20102 |
| Medicaid Fee Schedule | View Medicaid rates for 20102 |
National average reimbursement for CPT 20102 by major payers:
$648.48
$655.68
$767.66
$432.84
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CPT 20102
5 of 25 sample ratesHigher to lower in this preview
St. Mary'S Surgical Center LLC, St. Mary'S Surgical Center
St Marys Surgical Center LLC
$2,912.00Published rateSalmon Surgery Center LLC
$1,233.00Published ratePatrick Duffy
Deaconess Hospital Inc
$849.34Published rateHershey Endoscopy Center, LLC
$515.00Published rateSt Lukes Surgical Center Inc, St. Luke'S Surgical At Wesley Chapel
St Lukes Surgical Center Inc
$350.00Published rate
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See a sample payer proposalCPT 20102 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20102 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. 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 20102 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20102 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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