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See a sample rate comparisonCPT 20500 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.
Dye Injection To View Sinuses, An Injection Of Contrast Material Into A Sinus In Order To Identify The Location Of An Infection Or Fluid-Filled Area.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 20500 |
| Medicaid Fee Schedule | View Medicaid rates for 20500 |
National average reimbursement for CPT 20500 by major payers:
$159.59
$157.52
$161.80
$157.42
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CPT 20500
5 of 25 sample ratesHigher to lower in this preview
River Valley Asc LLC, River Valley Asc, LLC
River Valley Asc LLC
$2,573.00Published rateOrthoarizona Scottsdale Asc, LLC
Orthoarizona Scottsdale Asc LLC
$1,146.00Published ratePrime Surgical Suites, LLC, Scsv, LLC
Prime Surgical Suites LLC
$736.00Published rateMadison Street Surgery Center, LLC
Madison Street Surgery Center LLC
$555.00Published rateInger Reynolds
Deaconess Hospital Inc
$88.01Published rate
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See a sample payer proposalCPT 20500 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20500 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 20500 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 |
|---|---|---|
| 20500-CPT | Low | Dye Injection To View Sinuses, An Injection Of Contrast Material Into A Sinus In Order To Identify The Location Of An Infection Or Fluid-Filled Area. |
| 20501-CPT | Low | Dye Injection To View Sinuses, An Injection Of Contrast Material Into A Sinus In Order To Identify The Location Of An Infection Or Fluid-Filled Area. |
| 20525-CPT | Moderate | Removal Of Foreign Body In Mus, Removal Of Foreign Body In Muscle Or Tendon Sheath Deep Or Complicated Removal Of Foreign Body In Muscle Or Tendon Sheath Deep Or |
| 20660-CPT | Moderate | Device To Stop Head Movement, Immobilization (Stop Movement) Of The Head And Neck By Attaching A Device Such As Cranial Tongs A Caliper Or A Frame. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20500 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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