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See a sample rate comparisonCPT 20520 Fee Schedule
Medicare rates as of October 2026
CPT 20520 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 20Urgent Care Facility |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5072 - Level 2 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | P3 - Office-based; paid from physician fee schedule practice expense |
| Add-on Codes | 77002 |
| Common Revenue Codes | 04500360Sign up to view all 13 |
| Medicare Fee Schedule | $229.80 national non-facility rate (2026)View Medicare rates for 20520 |
| Medicaid Fee Schedule | $179.465 median of the 8 states in the free previewView Medicaid rates for 20520 |
National average reimbursement for CPT 20520 by major payers:
$267.14
BCBS / Anthem
$272.59
UnitedHealthcare
$286.78
Aetna
$341.85
Cigna
Compare published rates across providers.
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CPT 20520
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Bay Area Endoscopy Center, LLC, Bay Area Endoscopy
$2,350.00Published rateRiverside Park Surgicenter LLC
$893.00Published rateMission Ambulatory Surgicenter Ltd., Mission Surgery Center
Mission Ambulatory Surgicenter Ltd
$588.00Published rateNovamed Surgery Center Of Tyler, Lp, Cataract Center Of East Texas
Novamed Surgery Center Of Tyler Lp
$390.00Published ratePark Endoscopy Center, LLC
Park Endoscopy Center LLC
$261.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20520 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20520. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20200-CPT | Biopsy Muscle Superficial |
| 20205-CPT | Biopsy Muscle Deep |
| 20520-CPT | 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 |
| 20525-CPT | 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20520 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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Frequently Asked Questions
What APC is CPT 20520 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20520 to APC 5072 (Level 2 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 20520 in an ambulatory surgery center?
CMS lists CPT 20520 with ASC payment indicator P3: Office-based; paid from physician fee schedule practice expense.
Which add-on codes are billed with CPT 20520?
CMS add-on code edits list CPT 20520 as a primary code for these add-on codes: 77002.
Which revenue codes are billed with CPT 20520?
Hospital price transparency files list CPT 20520 under these revenue codes: including 0450, 0360, 0361, 0981 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.