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See a sample rate comparisonCPT 21502 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.
Incision And Drainage Deep Ab, Incision And Drainage Deep Abscess Or Hematoma Softtissues Of Neck Or Thorax With Partial Rib Ostectomy Incision And Drainage Deep Abscess Or Hematoma Soft
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures AG - Primary physician GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21502 |
| Medicaid Fee Schedule | View Medicaid rates for 21502 |
National average reimbursement for CPT 21502 by major payers:
$666.59
$693.01
$699.27
$830.77
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CPT 21502
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes-Gi Diagnostics LLC
Saint Lukesgi Diagnostics LLC
$4,074.00Published rateMedstar Surgery Center At Brandywine, LLC
Medstar Surgery Center At Bran
$2,430.00Published rateSouthwest Lincoln Surgery Center, LLC, Southwest Lincoln Surgery Center
Southwest Lincoln Surgery Center LLC
$2,186.00Published rateLewes De Endoscopy Asc LLC, Seaside Endoscopy Pavilion
Lewes De Endoscopy Asc LLC
$1,030.00Published ratePremier Endoscopy Center,LLC
$383.00Published rate
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See a sample payer proposalCPT 21502 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21502 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 21502 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 |
|---|---|---|
| 21501-CPT | Moderate | Incision And Drainage Deep Ab, Incision And Drainage Deep Abscess Or Hematoma Softtissues Of Neck Or Thorax Incision And Drainage Deep Abscess Or Hematoma Soft |
| 21502-CPT | Moderate | Incision And Drainage Deep Ab, Incision And Drainage Deep Abscess Or Hematoma Softtissues Of Neck Or Thorax With Partial Rib Ostectomy Incision And Drainage Deep Abscess Or Hematoma Soft |
| 21510-CPT | Moderate | Ncision Deep W/ Open Of Bone Cortex (Eg For Osteomyeli Or, Incision Deep With Opening Of Bone Cortex (Eg For Osteomyelitis Or |
| 21550-CPT | Moderate | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21502 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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