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See a sample rate comparisonCPT 25066 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.
Biops Sft Tissue Of Forearm Wrist; Deep (Subfasci Or Intra, Biopsy Soft Tissue Of Forearm And/Or Wrist; Deep (Subfascial Or Intra
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25066 |
| Medicaid Fee Schedule | View Medicaid rates for 25066 |
National average reimbursement for CPT 25066 by major payers:
$535.52
$498.59
$520.17
$614.10
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CPT 25066
5 of 25 sample ratesHigher to lower in this preview
St. Francis Mooresville Surgery Center, LLC
$7,688.00Published ratePark Ridge Surgery Center, LLC
Park Ridge Surgery Center LLC
$2,564.00Published rateCapital Region Ambulatory Surgery Center, L.L.C.
Capital Region Ambulatory Surgery Center LLC
$1,864.00Published rateKingsport Tn Ophthalmology Asc LLC, The Regional Eye Surgery Center
$1,259.00Published rateWarren Gastro Endoscopy Ctr Inc
$776.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25066 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25066 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 25066 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 |
|---|---|---|
| 25028-CPT | Moderate | Drain Arm Or Wrist Infection, Surgery To Cut Open And Drain A Deep Infection Or Collection Of Blood (Hematoma) From The Lower Arm Or Wrist. |
| 25031-CPT | Moderate | Drain Arm Or Wrist Infection, Surgery To Cut Open And Drain A Deep Infection Or Collection Of Blood (Hematoma) From The Lower Arm Or Wrist. |
| 25035-CPT | Moderate | Ncision Deep Bone Cortex Forearm Wrist (Eg Osteomyeli, Incision Deep Bone Cortex Forearm And/Or Wrist (Eg Osteomyelitis O |
| 25066-CPT | Moderate | Biops Sft Tissue Of Forearm Wrist; Deep (Subfasci Or Intra, Biopsy Soft Tissue Of Forearm And/Or Wrist; Deep (Subfascial Or Intra |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25066. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25066 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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