{"procedure":{"code_type":"CPT","code":"20999","lay_name":"Unlisted procedure on bones, muscles or joints","blurb":"Used when a general musculoskeletal procedure has no specific billing code of its own; the surgeon's report describes what was done.","slug":"cpt-20999-unlisted-procedure-on-bones-muscles-or-joints","description":"PR Prodense Inj Pelvic Bone C/T 22513","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"163","label":"Other non-OR therapeutic procedures on musculoskeletal system","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":978,"n_usable":879,"n_not_usable":1,"n_labelled":49,"n_no_cash":46,"n_estimated":3,"n_states":50,"cash_p10":232.0,"cash_p20":308.0,"cash_p25":360.75,"cash_p50":1263.0,"cash_p75":4050.0,"cash_p80":4585.0,"cash_p90":9752.81,"cash_mean_trimmed":1704.76,"gross_p50":2519.19,"cash_to_gross_p50":0.6,"medicare_rate":252.01,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":5.0117,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":11,"p20":1428.0,"p50":8842.55,"p80":28180.06},{"state":"AR","n":7,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":8,"p20":null,"p50":null,"p80":null},{"state":"CA","n":70,"p20":464.0,"p50":593.6,"p80":1643.2},{"state":"CO","n":21,"p20":324.02,"p50":486.0,"p80":3056.18},{"state":"CT","n":10,"p20":381.37,"p50":539.4,"p80":9749.44},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":35,"p20":703.45,"p50":2760.6,"p80":13876.79},{"state":"GA","n":28,"p20":246.0,"p50":2141.1,"p80":4218.0},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":23,"p20":166.4,"p50":171.36,"p80":2043.88},{"state":"ID","n":10,"p20":1900.0,"p50":3639.0,"p80":4347.0},{"state":"IL","n":47,"p20":683.9,"p50":3718.4,"p80":4585.0},{"state":"IN","n":23,"p20":440.7,"p50":1049.29,"p80":1654.25},{"state":"KS","n":9,"p20":null,"p50":null,"p80":null},{"state":"KY","n":7,"p20":null,"p50":null,"p80":null},{"state":"LA","n":8,"p20":null,"p50":null,"p80":null},{"state":"MA","n":21,"p20":738.0,"p50":6409.39,"p80":7424.0},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":7,"p20":null,"p50":null,"p80":null},{"state":"MI","n":36,"p20":397.2,"p50":4013.7,"p80":24617.0},{"state":"MN","n":18,"p20":563.98,"p50":663.3,"p80":1263.0},{"state":"MO","n":28,"p20":245.3,"p50":2136.75,"p80":14832.42},{"state":"MS","n":8,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":23,"p20":567.78,"p50":567.78,"p80":2026.2},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":13,"p20":171.36,"p50":424.2,"p80":3145.35},{"state":"NH","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":32,"p20":265.74,"p50":4350.0,"p80":5855.0},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":40,"p20":283.86,"p50":310.52,"p80":1561.78},{"state":"OH","n":46,"p20":846.0,"p50":1290.75,"p80":3420.6},{"state":"OK","n":12,"p20":489.06,"p50":2614.14,"p80":2614.14},{"state":"OR","n":25,"p20":252.85,"p50":3749.4,"p80":6800.25},{"state":"PA","n":41,"p20":255.2,"p50":1517.0,"p80":27700.42},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":17,"p20":4154.73,"p50":8379.15,"p80":8379.15},{"state":"SD","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":60,"p20":314.66,"p50":387.05,"p80":3621.84},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":24,"p20":421.0,"p50":3479.0,"p80":5499.9},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":20,"p20":278.2,"p50":956.25,"p80":3693.42},{"state":"WI","n":28,"p20":90.03,"p50":769.97,"p80":1828.9},{"state":"WV","n":15,"p20":277.5,"p50":302.5,"p80":1946.5},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":736,"p20":314.66,"p50":1447.04,"p80":5051.0},{"key":"childrens","n":24,"p20":726.72,"p50":3264.0,"p80":8837.51},{"key":"critical_access","n":115,"p20":271.2,"p50":846.0,"p80":2614.14}],"ownership":[{"key":"for_profit","n":91,"p20":464.0,"p50":2884.23,"p80":8555.35},{"key":"government","n":130,"p20":240.8,"p50":567.78,"p80":3521.65},{"key":"nonprofit","n":654,"p20":314.66,"p50":1184.49,"p80":4585.0}],"affiliation":[{"key":"affiliated","n":739,"p20":310.52,"p50":1492.44,"p80":4874.4},{"key":"independent","n":140,"p20":274.12,"p50":864.91,"p80":3150.0}]},"histogram":[{"lo":156.6,"hi":256.9,"n":82},{"lo":256.9,"hi":421.44,"n":127},{"lo":421.44,"hi":691.35,"n":102},{"lo":691.35,"hi":1134.15,"n":75},{"lo":1134.15,"hi":1860.54,"n":85},{"lo":1860.54,"hi":3052.17,"n":82},{"lo":3052.17,"hi":5007.01,"n":123},{"lo":5007.01,"hi":8213.87,"n":47},{"lo":8213.87,"hi":13474.64,"n":47},{"lo":13474.64,"hi":22104.81,"n":23}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":665,"n_usable":600,"n_not_usable":0,"n_labelled":29,"n_no_cash":36,"n_estimated":0,"n_states":49,"cash_p10":171.36,"cash_p20":314.66,"cash_p25":378.03,"cash_p50":1056.0,"cash_p75":3621.84,"cash_p80":4218.0,"cash_p90":8379.15,"cash_mean_trimmed":1530.13,"gross_p50":1810.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":62,"p20":464.0,"p50":593.6,"p80":1643.2},{"state":"CO","n":17,"p20":324.02,"p50":444.32,"p80":10054.85},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":23,"p20":2760.6,"p50":2760.6,"p80":31777.2},{"state":"GA","n":22,"p20":126.75,"p50":2141.1,"p80":4218.0},{"state":"IA","n":18,"p20":157.8,"p50":166.4,"p80":1682.1},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":35,"p20":310.0,"p50":3795.0,"p80":4585.0},{"state":"IN","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":18,"p20":2298.0,"p50":6409.39,"p80":8157.63},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":8,"p20":null,"p50":null,"p80":null},{"state":"MI","n":28,"p20":549.33,"p50":4296.75,"p80":24617.0},{"state":"MN","n":14,"p20":283.53,"p50":563.98,"p80":895.1},{"state":"MO","n":17,"p20":156.6,"p50":2136.75,"p80":3414.54},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":19,"p20":177.84,"p50":567.78,"p80":681.48},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":8,"p20":null,"p50":null,"p80":null},{"state":"NH","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":19,"p20":379.5,"p50":1029.0,"p80":4050.0},{"state":"OH","n":40,"p20":576.75,"p50":1056.0,"p80":1652.95},{"state":"OK","n":9,"p20":null,"p50":null,"p80":null},{"state":"OR","n":17,"p20":245.6,"p50":1485.14,"p80":6800.25},{"state":"PA","n":33,"p20":255.2,"p50":1517.0,"p80":27700.42},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":15,"p20":3588.0,"p50":8379.15,"p80":8379.15},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":2,"p20":null,"p50":null,"p80":null},{"state":"TX","n":51,"p20":354.07,"p50":387.05,"p80":3621.84},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":20,"p20":421.0,"p50":3479.0,"p80":3479.0},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":14,"p20":278.2,"p50":869.28,"p80":3693.42},{"state":"WI","n":19,"p20":90.03,"p50":90.03,"p80":2350.7},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":517,"p20":314.66,"p50":1066.7,"p80":4283.2},{"key":"childrens","n":14,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":65,"p20":246.4,"p50":801.47,"p80":3621.84}],"ownership":[{"key":"for_profit","n":43,"p20":378.03,"p50":1787.5,"p80":4324.0},{"key":"government","n":79,"p20":238.3,"p50":670.0,"p80":3588.0},{"key":"nonprofit","n":474,"p20":314.66,"p50":1056.0,"p80":4296.75}],"affiliation":[{"key":"affiliated","n":517,"p20":314.66,"p50":1056.0,"p80":4283.2},{"key":"independent","n":83,"p20":298.05,"p50":977.1,"p80":2903.4}]},"histogram":[{"lo":126.75,"hi":201.03,"n":45},{"lo":201.03,"hi":318.84,"n":53},{"lo":318.84,"hi":505.68,"n":67},{"lo":505.68,"hi":802.03,"n":76},{"lo":802.03,"hi":1272.03,"n":50},{"lo":1272.03,"hi":2017.48,"n":51},{"lo":2017.48,"hi":3199.77,"n":56},{"lo":3199.77,"hi":5074.91,"n":91},{"lo":5074.91,"hi":8048.93,"n":19},{"lo":8048.93,"hi":12765.81,"n":36}],"previous":null}},"related":[{"code_type":"CPT","code":"29705","lay_name":"Removal or splitting of a full arm or full leg cast","slug":"cpt-29705-removal-or-splitting-of-a-full-arm-or-full-leg-cast"},{"code_type":"CPT","code":"29700","lay_name":"Removal or splitting of a hand, foot or body cast","slug":"cpt-29700-removal-or-splitting-of-a-hand-foot-or-body-cast"},{"code_type":"CPT","code":"20982","lay_name":"Heat ablation of a bone tumor through the skin","slug":"cpt-20982-heat-ablation-of-a-bone-tumor-through-the-skin"},{"code_type":"CPT","code":"79445","lay_name":"Radioactive particle treatment injected into an artery","slug":"cpt-79445-radioactive-particle-treatment-injected-into-an-artery"},{"code_type":"CPT","code":"20983","lay_name":"Freezing ablation of a bone tumor through the skin","slug":"cpt-20983-freezing-ablation-of-a-bone-tumor-through-the-skin"},{"code_type":"CPT","code":"27599","lay_name":"Unlisted procedure on the thigh bone or knee","slug":"cpt-27599-unlisted-procedure-on-the-thigh-bone-or-knee"},{"code_type":"CPT","code":"23700","lay_name":"Shoulder manipulation under anesthesia","slug":"cpt-23700-shoulder-manipulation-under-anesthesia"},{"code_type":"CPT","code":"28899","lay_name":"Unlisted procedure on the foot or toes","slug":"cpt-28899-unlisted-procedure-on-the-foot-or-toes"},{"code_type":"CPT","code":"26989","lay_name":"Unlisted procedure on the hand or fingers","slug":"cpt-26989-unlisted-procedure-on-the-hand-or-fingers"},{"code_type":"CPT","code":"24999","lay_name":"Unlisted procedure on the upper arm or elbow","slug":"cpt-24999-unlisted-procedure-on-the-upper-arm-or-elbow"},{"code_type":"CPT","code":"27899","lay_name":"Unlisted procedure on the lower leg or ankle","slug":"cpt-27899-unlisted-procedure-on-the-lower-leg-or-ankle"},{"code_type":"CPT","code":"22999","lay_name":"Unlisted muscle or bone procedure of the abdomen","slug":"cpt-22999-unlisted-muscle-or-bone-procedure-of-the-abdomen"}]}