20240 Bone biopsy open superficial
Also known as: open bone biopsy, open bone biopsy superficial
Open surgical biopsy of superficial bone to obtain diagnostic tissue sample through direct surgical visualization. This provides excellent access and tissue quality.
In Plain Language
surgically removing a bone sample
Clinical Context
Used for bone biopsy when percutaneous technique is inadequate or when larger samples are needed for comprehensive histologic evaluation.
RVU Breakdown
| Work RVU | 2.54 |
| Total RVU | 2.54 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.54, this code ranks in the 18th percentile among Surgery codes — 3.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20240?
CPT 20240 (Bone biopsy open superficial) is a Surgery code. Open surgical biopsy of superficial bone to obtain diagnostic tissue sample through direct surgical visualization. This provides excellent access and tissue quality.
What is the wRVU value for CPT 20240?
The work RVU for CPT 20240 is 2.54. This code is primarily used by Pathology, Orthopedic Surgery.
When is CPT 20240 used?
Used for bone biopsy when percutaneous technique is inadequate or when larger samples are needed for comprehensive histologic evaluation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.