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See a sample rate comparisonCPT 20200 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.
Biopsy Muscle Superficial
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20200 |
| Medicaid Fee Schedule | View Medicaid rates for 20200 |
National average reimbursement for CPT 20200 by major payers:
$250.38
$270.08
$297.05
$164.75
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CPT 20200
5 of 25 sample ratesHigher to lower in this preview
Los Gatos Surgical Center, A California Limited Partnership, Endoscopy Center Of Silicon Valley
$3,933.00Published rateCentral Maine Eye Surgery Center LLC
$1,276.00Published rateUpnt Surgery LLC
$774.00Published rateTglp, Lp, The Endoscopy Center Of Texarkana
Tglp Lp
$460.00Published rateKara Doucet
Deaconess Hospital Inc
$165.16Published rate
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See a sample payer proposalCPT 20200 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20200 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 20200 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 |
|---|---|---|
| 20200-CPT | Moderate | Biopsy Muscle Superficial |
| 20205-CPT | Moderate | Biopsy Muscle Deep |
| 20206-CPT | Moderate | Biopsy Muscle Percutaneous Needle |
| 20520-CPT | Moderate | Removal Of Foreign Body In Mu, Removal Of Foreign Body In Muscle Or Tendon Sheath Simple Removal Of Foreign Body In Muscle Or Tendon Sheath Simple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20200 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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