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See a sample rate comparisonCPT 24065 Fee Schedule
Medicare rates as of October 2026
CPT 24065 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 11Office |
| Common Modifiers | 51Multiple procedures RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5072 - Level 2 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | P3 - Office-based; paid from physician fee schedule practice expense |
| Common Revenue Codes | 03600361Sign up to view all 5 |
| Medicare Fee Schedule | $262.20 national non-facility rate (2026)View Medicare rates for 24065 |
| Medicaid Fee Schedule | $205.28 median of the 8 states in the free previewView Medicaid rates for 24065 |
National average reimbursement for CPT 24065 by major payers:
$330.06
BCBS / Anthem
$334.91
UnitedHealthcare
$344.32
Aetna
$407.83
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24065.
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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Payer Contract Negotiation
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See a sample payer proposalCPT 24065 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24065. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24065-CPT | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 24066-CPT | 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 | Xcision Tumor Sft Tissue Of Upper Arm Elbow Area Subcutane, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subcutaneous; |
| 24073-CPT | 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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Frequently Asked Questions
What APC is CPT 24065 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24065 to APC 5072 (Level 2 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24065 in an ambulatory surgery center?
CMS lists CPT 24065 with ASC payment indicator P3: Office-based; paid from physician fee schedule practice expense.
Which revenue codes are billed with CPT 24065?
Hospital price transparency files list CPT 24065 under these revenue codes: 0360, 0361, 0761, 0510 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.