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See a sample rate comparisonCPT 20612 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.
Treatment Of Fluid Sac (Cyst), Procedure To Remove Thick Fluid From A Ganglion (Near A Joint Or Tendon) Or Bone Cyst (Fluid-Filled Sac). The Area Is Injected With Medication To Help Shrink Or Remove The Cyst.
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 20612 |
| Medicaid Fee Schedule | View Medicaid rates for 20612 |
National average reimbursement for CPT 20612 by major payers:
$81.70
$80.80
$87.91
$71.09
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CPT 20612
5 of 25 sample ratesHigher to lower in this preview
Indiana Endoscopy Centers LLC, Indiana Endoscopy Center West
$4,613.00Published rateSurgical Elite Of Avondale, LLC
Surgical Elite Of Avondale LLC
$574.00Published rateHanover Surgicenter, L.L.C.
$300.00Published rateCarolina Interventional Pain Institute, LLC, Carolina Interventional Pain Institute, LLC
Carolina Interventional Pain Institute LLC
$108.00Published rateSamantha Sollman
Deaconess Hospital Inc
$48.38Published rate
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See a sample payer proposalCPT 20612 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20612 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 20612 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 |
|---|---|---|
| 20550-CPT | Low | Inject(S); Sngle Tndon Sheath Or Ligamnt Aponeurosis, Injection(S); Single Tendon Sheath Or Ligament Aponeurosis (Eg Plan |
| 20600-CPT | Low | Arthrocentesis Aspiration An, Arthrocentesis Aspiration Andor Injection Small Jointbursa Or Ganglion Cyst (Eg Fingers Toes)Arthrocentesis Aspiration Andor Injection Sm All Joint |
| 20610-CPT | Low | Arthrocentesis Aspiration An, Arthrocentesis Aspiration Andor Injection Major Joint Orbursa (Eg Shoulder Hip Knee Joint Subacromial Bursa) Arthrocentesis Aspiration Andor Injection Major Joint Or |
| 20612-CPT | Low | Treatment Of Fluid Sac (Cyst), Procedure To Remove Thick Fluid From A Ganglion (Near A Joint Or Tendon) Or Bone Cyst (Fluid-Filled Sac). The Area Is Injected With Medication To Help Shrink Or Remove The Cyst. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20612. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20612 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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