CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 20220
Related Codes Table
| CPT Code | Description |
|---|---|
| 20225 | Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) |
| 20240 | Biopsy, muscle; deep (eg, quadriceps) |
| 20245 | Biopsy, soft tissue of back or flank; deep (eg, subfascial) |
| 20250 | Biopsy, muscle; superficial (eg, nontraumatic) without imaging guidance |
| 20251 | Biopsy, muscle; superficial (eg, nontraumatic) with imaging guidance |
Commonly Billed With
CPT code 76942 - Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation.
Clinical Scenarios
Bone Biopsy:
A patient presents with unexplained bone pain. A biopsy of the superficial bone is performed using CPT code 20220 to determine the cause of the pain.
Trocar Biopsy:
In cases where a trocar biopsy is needed for a superficial lesion or mass in the bone, CPT code 20220 would be appropriate for billing.
Needle Biopsy:
If a physician performs a needle biopsy on a superficial area of bone to obtain tissue samples for analysis, CPT code 20220 would apply.
FAQ
Can CPT code 20220 be used for deep bone biopsies?
No, CPT code 20220 is specifically for superficial bone biopsies. Deep bone biopsies have separate codes such as 20225.
Is imaging guidance included in CPT code 20220?
No, CPT code 20220 does not include imaging guidance. Additional codes are available for procedures with imaging guidance.
Can CPT code 76942 be billed separately with CPT code 20220?
Yes, CPT code 76942 for ultrasonic guidance can be billed separately when performed along with CPT code 20220.
What is the difference between superficial and deep biopsies?
Superficial biopsies involve sampling tissues close to the surface of the body while deep biopsies require accessing tissues deeper within the body.
When should modifier -59 be used with CPT code 20220?
The modifier -59 may be necessary to indicate that a procedure was distinct or independent from other services performed on the same day.
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