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See a sample rate comparisonCPT 20615 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), Treatment Of A Ganglion (Near A Joint Or Tendon) Or Bone Cyst (Fluid-Filled Sac). A Sample Of Fluid Is Withdrawn From The Cyst Then Medicine Is Injected Into It.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20615 |
| Medicaid Fee Schedule | View Medicaid rates for 20615 |
National average reimbursement for CPT 20615 by major payers:
$309.30
$318.79
$339.69
$278.89
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CPT 20615
5 of 25 sample ratesHigher to lower in this preview
Greater Dayton Surgery Center LLC
Greater Dayton Surgery Center
$4,351.00Published rateSsm St. Joseph Surgery Center, LLC, The Surgery Center At St. Joseph Medical Park
Ssm St Joseph Surgery Center LLC
$1,183.00Published rateTreasure Coast Asc, LLC, Treasure Coast Center For Surgery
$893.00Published rateAtlantic Gastro Surgicenter, LLC, T/A Access
Atlantic Gastro Surgicenter LLC
$400.00Published rateLakeforest Ambulatory Surgery Center, District Heights Ambulatory Surgery Center
Lakeforest Ambulatory Surgery Center
$184.00Published rate
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See a sample payer proposalCPT 20615 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20615 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 20615 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 |
|---|---|---|
| 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 |
| 20611-CPT | Low | Drain Inj Joint Bursa W Us, Arthrocentesis Aspiration And Or Injection Major Joint Or Bursa Eg Shoulder Hip Knee Subacromial Bursa With Ultrasound Guidance With Permanent Recording And Reporting |
| 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. |
| 20615-CPT | Moderate | Treatment Of Fluid Sac (Cyst), Treatment Of A Ganglion (Near A Joint Or Tendon) Or Bone Cyst (Fluid-Filled Sac). A Sample Of Fluid Is Withdrawn From The Cyst Then Medicine Is Injected Into It. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20615 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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