20245 Bone biopsy open deep
Also known as: open deep bone biopsy, deep bone biopsy surgical
Open surgical biopsy of deep bone to obtain diagnostic tissue sample from cancellous or deep cortical bone through direct visualization. This provides access to deep bone pathology.
In Plain Language
surgically removing a sample from deep bone
Clinical Context
Used for diagnosis of deep bone pathology not accessible with percutaneous technique, including infections, malignancies, or metabolic disorders.
RVU Breakdown
| Work RVU | 5.85 |
| Total RVU | 5.85 |
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 5.85, this code ranks in the 39th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20245?
CPT 20245 (Bone biopsy open deep) is a Surgery code. Open surgical biopsy of deep bone to obtain diagnostic tissue sample from cancellous or deep cortical bone through direct visualization. This provides access to deep bone pathology.
What is the wRVU value for CPT 20245?
The work RVU for CPT 20245 is 5.85. This code is primarily used by Pathology, Orthopedic Surgery.
When is CPT 20245 used?
Used for diagnosis of deep bone pathology not accessible with percutaneous technique, including infections, malignancies, or metabolic disorders.
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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.