CPT 20150
Global 090 ActiveExcision epiphyseal bar
CPT 20150 Billing & Documentation Guide
CPT code 20150 (Excision epiphyseal bar) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 14.38, a non-facility practice expense RVU of 10.14, and a malpractice RVU of 3.05, a total non-facility RVU of 27.57 and facility RVU of 27.57. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $930.78, though rates vary from $823.7 to $1137.29 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 20150, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 20150 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 20150 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 20150
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 14.38 | 14.38 |
| Practice Expense RVU | 10.14 | 10.14 |
| Malpractice RVU | 3.05 | 3.05 |
| Total RVU | 27.57 | 27.57 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 20150
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $953.52 | $953.52 | $914.27 - $1076.13 | 29 |
| Florida | $1018.43 | $1018.43 | $957.2 - $1090.51 | 3 |
| Georgia | $926.02 | $926.02 | $903.84 - $948.2 | 2 |
| Illinois | $1003.92 | $1003.92 | $948.75 - $1057.84 | 4 |
| Michigan | $941.71 | $941.71 | $904.54 - $978.89 | 2 |
| North Carolina | $861.39 | $861.39 | $861.39 - $861.39 | 1 |
| New York | $1019.41 | $1019.41 | $873.67 - $1102.92 | 5 |
| Ohio | $892.21 | $892.21 | $892.21 - $892.21 | 1 |
| Pennsylvania | $925.28 | $925.28 | $887.49 - $963.06 | 2 |
| Texas | $911.01 | $911.01 | $883.15 - $960.64 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 20150
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 20150 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0282T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0283T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0284T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0424T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0427T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0428T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 20150
What does CPT code 20150 mean? +
CPT code 20150 represents: Excision epiphyseal bar. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 20150? +
The 2026 Medicare national average non-facility payment for CPT 20150 is $930.78. Rates range from $823.7 to $1137.29 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 20150? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 20150? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on April 17, 2026.
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