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See a sample rate comparisonCPT 20555 Fee Schedule
Last Verified: October 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.
Placement Of Needles Or Cathet, Placement Of Needles Or Catheters Into Muscle Andor Soft Tissue For Subsequent Interstitial Radioelement Application (At The Time Of Or Subsequent Tothe Procedure)
| 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 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20555 |
| Medicaid Fee Schedule | View Medicaid rates for 20555 |
National average reimbursement for CPT 20555 by major payers:
$454.05
$442.50
$448.52
$555.86
Compare published rates across providers.
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CPT 20555
5 of 25 sample ratesHigher to lower in this preview
University Center For Ambulatory Surgery, LLC
University Center For Ambulatory Surgery LLC
$3,422.00Published rateSummit Ambulatory Surgical Center, LLC
$2,388.00Published rateCharlotte Surgery Center, LLC
Charlotte Surgery Center LLC
$1,507.00Published rateHemet Healthcare Surgicenter, Inc.
Hemet Healthcare Surgicenter
$1,080.00Published rateAmbulatory Surgical Care, LLC
Ambulatory Surgical Care LLC
$450.00Published rate
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See a sample payer proposalCPT 20555 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20555 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 20555 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 |
|---|---|---|
| 20220-CPT | Moderate | Biopsy Bone Trocar Or Needle, Biopsy Bone Trocar Or Needle Superficial (Eg Iliumsternum Spinous Process Ribs) Biopsy Bone Trocar Or Needle Superficial (Eg Ilium |
| 20245-CPT | Moderate | Biops Bone Open; Deep (Eg Humerus Ischium Femur), Biopsy Bone Open; Deep (Eg Humerus Ischium Femur) |
| 20555-CPT | Moderate | Placement Of Needles Or Cathet, Placement Of Needles Or Catheters Into Muscle Andor Soft Tissue For Subsequent Interstitial Radioelement Application (At The Time Of Or Subsequent Tothe Procedure) |
| 20694-CPT | Moderate | Remove External Bone Hardware, Removal Of External Fixation System (Metal Hardware Placed Outside Of The Skin To Stabilize Broken Bones). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20555 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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