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See a sample rate comparisonCPT 24065 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.
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 RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24065 |
| Medicaid Fee Schedule | View Medicaid rates for 24065 |
National average reimbursement for CPT 24065 by major payers:
$330.06
$334.91
$344.32
$407.83
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CPT 24065
5 of 25 sample ratesHigher to lower in this preview
Mt Kisco Surgery Center LLC, The Ambulatory Surgery Center Of Westchester
Mount Kisco Surgery Center, L.L.C.
$2,018.00Published rateEndoscopic Ambulatory Specialty Center Of Bay Ridge Inc
Endoscopic Ambulatory Specialty Center Of Bay Ridge, Inc.
$940.00Published rateCentral Texas Endoscopy Center LLC, Central Texas Endoscopy Center
Central Texas Endoscopy Center LLC
$773.00Published rateMid Missouri Surgery Center, LLC, Surgery Center At The Forum
Mid-Missouri Surgery Center, LLC
$473.00Published rateOutpatient Surgical Care Ltd
$361.00Published rate
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See a sample payer proposalCPT 24065 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24065 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 24065 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 |
|---|---|---|
| 24065-CPT | Moderate | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 24066-CPT | Moderate | Biops Sft Tissue Of Upper Arm Elbow Area; Deep (Subfasci Or, Biopsy Soft Tissue Of Upper Arm Or Elbow Area; Deep (Subfascial Or In |
| 24071-CPT | Moderate | Xcision Tumor Sft Tissue Of Upper Arm Elbow Area Subcutane, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subcutaneous; |
| 24073-CPT | Moderate | Ex Arm Elbow Tum Deep 5 Cm, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subfascial Eg Intramuscular 5 Cm Or Greater |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24065. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24065 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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