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See a sample rate comparisonCPT 20520 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.
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 | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20520 |
| Medicaid Fee Schedule | View Medicaid rates for 20520 |
National average reimbursement for CPT 20520 by major payers:
$267.14
$272.59
$286.78
$341.85
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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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See a sample payer proposalCPT 20520 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20520 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 20520 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 |
| 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 |
| 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 |
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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