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See a sample rate comparisonCPT 23065 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.
Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office None |
| Common Modifiers | None 51 - Multiple procedures LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23065 |
| Medicaid Fee Schedule | View Medicaid rates for 23065 |
National average reimbursement for CPT 23065 by major payers:
$294.05
$288.33
$295.71
$355.73
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CPT 23065
5 of 25 sample ratesHigher to lower in this preview
Newport Beach Endoscopy Center, LLC
Newport Beach Endoscopy Center LLC
$1,392.00Published rateOld Tesson Surgery Center, L.P., Old Tesson Surgery Center
Old Tesson Surgery Center Lp
$953.00Published ratePerimeter Center For Outpatient Surgery Lp
$500.00Published rateEye Surgery Center Of New Albany, LLC, Novamed Eye Surgery Center Of New Albany, LLC
Eye Surgery Center Of New Albany LLC
$371.00Published rateHarvard Surgery Center LLC
$235.00Published rate
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See a sample payer proposalCPT 23065 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23065 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 23065 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 |
|---|---|---|
| 23065-CPT | Moderate | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 23066-CPT | Moderate | Biopsy Soft Tissue Shoulder Deep |
| 23071-CPT | Moderate | Xcision Tumor Sft Tissue Of Shlder Area Subcutane 3 Cm Or G, Excision Tumor Soft Tissue Of Shoulder Area Subcutaneous; 3 Cm Or G |
| 23073-CPT | Moderate | Xcision Tumor Sft Tissue Of Shlder Area Subfasci (Eg Myomecto, Excision Tumor Soft Tissue Of Shoulder Area Subfascial (Eg Intramu |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23065. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23065 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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