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See a sample rate comparisonCPT 20975 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.
Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20975 |
| Medicaid Fee Schedule | View Medicaid rates for 20975 |
National average reimbursement for CPT 20975 by major payers:
$241.67
$241.36
$252.68
$287.32
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CPT 20975
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Granbury LLC, Baylor Scott & White Surgicare-Granbury
$1,301.00Published ratePediatric Surgery Centers, LLC
$566.00Published rateExecutive Woods Ambulatory Surgery Center LLC
$455.00Published rateMacon Outpatient Surgery Inc
$175.00Published rateTri-County Vascular Care, LLC
Tricounty Vascular Care LLC
$44.00Published rate
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See a sample payer proposalCPT 20975 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20975 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 20975 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 |
|---|---|---|
| 20962-CPT | High | Bone Graft With Microvascular, Bone Graft With Microvascular Anastomosis Other Thanfibula Iliac Crest Or Metatarsal Bone Graft With Microvascular Anastomosis Other Than |
| 20974-CPT | Low | Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing. |
| 20975-CPT | Moderate | Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing. |
| 20979-CPT | Low | Low Intens Ultrasou Stimul To Aid Bone Healing Noninvasi, Low Intensity Ultrasound Stimulation To Aid Bone Healing Noninvasive |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20975. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20975 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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