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See a sample rate comparisonCPT 20704 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.
Manual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Intra-Articular (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 20704 |
| Medicaid Fee Schedule | View Medicaid rates for 20704 |
National average reimbursement for CPT 20704 by major payers:
$188.06
$203.77
$204.37
$249.58
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CPT 20704
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Bay Area Endoscopy Center, LLC, Bay Area Endoscopy
$2,079.00Published rateSurgcenter Of The Potomac, LLC
$566.00Published ratePremier Surgical Center, Inc
Premier Surgical Center Inc
$365.00Published rateCapital Orthopaedic Surgery Center, LLC, Capital Orthopaedic Surgery Center
Capital Orthopaedic Surgery Center LLC
$143.00Published rateComprehensive Surgical Care Of Reno-Tahoe, LLC
Comprehensive Surgical Care Of Renotahoe LLC
$100.00Published rate
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See a sample payer proposalCPT 20704 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20704 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 20704 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 |
|---|---|---|
| 20700-CPT | Low | Manual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Deep (Eg Subfascial) (List Separately In Addition To Code For Primary Procedure) |
| 20704-CPT | Low | Manual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Intra-Articular (List Separately In Addition To Code For Primary Procedure) |
| 20705-CPT | Low | Removal Of Drug-Delivery Devic, Removal Of Drug-Delivery Device(S) Intra-Articular (List Separately In Addition To Code For Primaryprocedure) |
| 20936-CPT | Low | Sp Bone Agrft Local Add On, Autograft For Spine Surgery Only Includes Harvesting The Graft Local Eg Ribs Spinous Process Or Laminar Fragments Obtained From Same Incision List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20704. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20704 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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