CPT 0102T: Extracorporeal Shock Wave Therapy for Tennis Elbow

Commercial payers pay $433 on average nationally for this procedure.

CPT code 0102T describes an extracorporeal shock wave therapy procedure performed on an anesthetized patient targeting the lateral humeral epicondyle to treat epicondylitis (tennis elbow); the service is an operative musculoskeletal procedure typically performed in an outpatient surgical or ambulatory care setting under anesthesia other than local anesthetic.

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National Reimbursement Benchmarks

National commercial rates for CPT 0102T cluster around the BUCA average commercial benchmark of $432.60, with notable variation across major carriers. Blue Cross Blue Shield and UnitedHealth Group display higher central tendencies ($418.10 median and $433.50 median, respectively) while Aetna and Cigna sit lower on median/mean measures; BUCA represents the overall commercial mean at $432.60. Maximums are elevated for Blue Cross Blue Shield ($1,896.10) and UnitedHealth Group ($1,182.00), indicating occasional high-end contract outliers.

Dispersion measured as the interquartile range (P75 minus P25) highlights which payers are tight versus wide: Blue Cross Blue Shield has the widest IQR at $340.00 ($603.80 − $293.80), followed by UnitedHealth Group at $284.10 ($596.50 − $312.40). BUCA’s IQR is $254.70 ($530.30 − $267.60). Cigna’s IQR is $180.90 ($347.30 − $167.40) and Aetna is the tightest at $135.00 ($353.00 − $218.00). These dispersion differences reflect varying contract variability across carriers.

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CPT 0102T: Extracorporeal Shock Wave Therapy for Tennis Elbow

Commercial payers pay $433 on average nationally for this procedure.

Customize your policy alerts

Sign up for cpt 0102T policy alerts

Get alerted when payer policies referencing 0102T are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

A 46-year-old right-handed patient with a 9-month history of refractory lateral epicondylitis (tennis elbow) presents after failing conservative care including activity modification, nonsteroidal anti-inflammatory drugs, physical therapy, and corticosteroid injection. Imaging excludes acute fracture or advanced joint disease. The interventional pain or orthopaedic procedural workflow includes preoperative evaluation, informed consent, and anesthesia planning because the procedure requires anesthesia beyond a local block. In the operating room or ambulatory surgical center the physician performs extracorporeal shock wave or focused shock wave application to the lateral humeral epicondyle while the patient is anesthetized (general or regional). Intraoperative documentation includes indication, target site (lateral humeral epicondyle), anesthesia type and provider, laterality, energy settings and number of pulses, and immediate response. Post-procedure recovery includes monitoring in the PACU, discharge instructions for activity limitations and analgesia, and scheduled follow-up to assess pain, function, and need for further interventions.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`62287`	Aspiration or decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc	Listed related procedure typically used in lumbar disc decompression workflows; not directly related anatomically but appears as associated interventional spine code in the reference set.
`77002`	Fluoroscopic guidance for needle placement (e.g., epidural, facet)	Used when imaging guidance is required for needle localization in adjacent interventional procedures; may be billed when image guidance is used for needle placement related to an adjunct procedure.
`64483`	Injection(s), anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level	An epidural steroid injection code included in the related set for interventional spine care; not directly used for lateral epicondyle shock wave but relevant for providers performing other pain interventions.
`64635`	Destruction by neurolytic agent, paravertebral facet joint nerve (e.g., lateral branch)	A denervation procedure listed among associated interventional codes; may be performed by the same specialties managing chronic musculoskeletal pain, though anatomically distinct from epicondyle shock wave therapy.

Related Modifiers

10 rows

Modifier	Description	When to Use
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
51	Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…	- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
66	Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…	- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
73	Modifier 73 indicates a facility-level outpatient hospital or ASC procedure that was discontinued after the patient was prepared and taken to the procedure/operating room but before any anesthesia…	- When to use: Apply CPT modifier 73 on the FACILITY (outpatient hospital or ASC) claim when the patient has been fully prepared and physically taken into the procedure/operating room but the…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
208VP0000X	Pain Medicine Physician	Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on sc…
207LP2900X	Pain Medicine (Anesthesiology) Physician	An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
207XS0117X	Orthopaedic Surgery of the Spine Physician	Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with th…
101YA0400X	Addiction (Substance Use Disorder) Counselor	Behavioral Health & Social Service Providers · Counselor
207SG0207X	Medical Biochemical Genetics	A medical biochemical geneticist specializes in the diagnosis, evaluation, prevention, and treatment of patients with biochemical genetic disorders, d…
246X00000X	Cardiovascular Specialist/Technologist	An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three ar…
2471C1106X	Cardiac-Interventional Technology Radiologic Technologist	A radiologic technologist who specializes in cardiac interventional and is appropriately educated and trained, consistent with nationally recognized s…
341800000X	Military/U.S. Coast Guard Transport	Transportation Services · Military/U.S. Coast Guard Transport

Related Payer Policy Updates

Specialty: Cardiology1 / 3

10 rows

Policy	Payer	Effective Date
Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)	univerahealthcare	2026-10-15
Cardiovascular Disease Risk Assessment	Oscar Health	2026-10-01
Biomarkers for Myocardial Infarction and Chronic Heart Failure	Oscar Health	2026-10-01
Multiple Procedure Payment Reduction for Diagnostic Cardiovascular Procedures	Blue Cross Blue Shield - Maine	2026-10-01
Cardiovascular Disease Risk Assessment	blue cross blue shield - louisiana	2026-09-15
Cardiovascular Disease Risk Assessment	Blue Cross Blue Shield - New Mexico	2026-09-04
Computed Tomography to Detect Coronary Artery Calcification	Bluecross Idaho	2026-09-01
Intracoronary Drug Delivery Balloon Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Cardiac Imaging Guidelines	evicore	2026-09-01
Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention	Ambetter Georgia	2026-08-26

CPT 0054T: Surgical Navigation for Orthopedic Implant Positioning

CPT-0055T-CT-MRI-GUIDED-ORTHOPEDIC-IMPLANT-NAVIGATION

CPT 0055T: Image-Guided Orthopedic Implant Navigation

CPT-0071T-MRGFUS-UTERINE-FIBROID-ABLATION

CPT 0071T: MRI‑guided Focused Ultrasound Ablation of Uterine Fibroids ≤200 cc

CPT-0072T-MRGFUS-ABLATION-UTERINE-FIBROIDS-200CC-PLUS

CPT 0072T: MRgFUS Ablation of Uterine Leiomyomata ≥200 cc

CPT-0075T-EXTRACRANIAL-VERTEBRAL-ARTERY-STENT-PLACEMENT

CPT 0075T: Extracranial Vertebral Artery Stent Placement

CPT-0076T-EXTRACRANIAL-VERTEBRAL-ARTERY-ADDITIONAL-STENT-PLACEMENT

CPT 0076T: Extracranial Vertebral Artery Additional Stent Placement

CPT-0095T-CERVICAL-ARTIFICIAL-DISC-REMOVAL-ADD-ON

CPT 0095T: Removal of Additional Cervical Artificial Disc

CPT-0098T-CERVICAL-ARTIFICIAL-DISC-REVISION-REPLACEMENT-ADD-ON

CPT 0098T: Cervical Artificial Disc Revision and Replacement (Add-on)

CPT-0100T-RETINAL-PROSTHESIS-IMPLANTATION-ARTIFICIAL-RETINA

CPT 0100T: Epiretinal Prosthesis (Retinal Implant) Attachment

CPT-0101T-SHOCK-WAVE-THERAPY-MUSCULOSKELETAL-PAIN

CPT 0101T: Extracorporeal Shock Wave Therapy, Other Site

Showing 1–10 of 42

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`62287`	Aspiration or decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc	Listed related procedure typically used in lumbar disc decompression workflows; not directly related anatomically but appears as associated interventional spine code in the reference set.
`77002`	Fluoroscopic guidance for needle placement (e.g., epidural, facet)	Used when imaging guidance is required for needle localization in adjacent interventional procedures; may be billed when image guidance is used for needle placement related to an adjunct procedure.
`64483`	Injection(s), anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level	An epidural steroid injection code included in the related set for interventional spine care; not directly used for lateral epicondyle shock wave but relevant for providers performing other pain interventions.
`64635`	Destruction by neurolytic agent, paravertebral facet joint nerve (e.g., lateral branch)	A denervation procedure listed among associated interventional codes; may be performed by the same specialties managing chronic musculoskeletal pain, though anatomically distinct from epicondyle shock wave therapy.

Related Modifiers

10 rows

Modifier	Description	When to Use
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
51	Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…	- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
66	Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…	- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
73	Modifier 73 indicates a facility-level outpatient hospital or ASC procedure that was discontinued after the patient was prepared and taken to the procedure/operating room but before any anesthesia…	- When to use: Apply CPT modifier 73 on the FACILITY (outpatient hospital or ASC) claim when the patient has been fully prepared and physically taken into the procedure/operating room but the…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
208VP0000X	Pain Medicine Physician	Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on sc…
207LP2900X	Pain Medicine (Anesthesiology) Physician	An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
207XS0117X	Orthopaedic Surgery of the Spine Physician	Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with th…
101YA0400X	Addiction (Substance Use Disorder) Counselor	Behavioral Health & Social Service Providers · Counselor
207SG0207X	Medical Biochemical Genetics	A medical biochemical geneticist specializes in the diagnosis, evaluation, prevention, and treatment of patients with biochemical genetic disorders, d…
246X00000X	Cardiovascular Specialist/Technologist	An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three ar…
2471C1106X	Cardiac-Interventional Technology Radiologic Technologist	A radiologic technologist who specializes in cardiac interventional and is appropriately educated and trained, consistent with nationally recognized s…
341800000X	Military/U.S. Coast Guard Transport	Transportation Services · Military/U.S. Coast Guard Transport

Related Payer Policy Updates

Specialty: Cardiology1 / 3

10 rows

Policy	Payer	Effective Date
Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)	univerahealthcare	2026-10-15
Cardiovascular Disease Risk Assessment	Oscar Health	2026-10-01
Biomarkers for Myocardial Infarction and Chronic Heart Failure	Oscar Health	2026-10-01
Multiple Procedure Payment Reduction for Diagnostic Cardiovascular Procedures	Blue Cross Blue Shield - Maine	2026-10-01
Cardiovascular Disease Risk Assessment	blue cross blue shield - louisiana	2026-09-15
Cardiovascular Disease Risk Assessment	Blue Cross Blue Shield - New Mexico	2026-09-04
Computed Tomography to Detect Coronary Artery Calcification	Bluecross Idaho	2026-09-01
Intracoronary Drug Delivery Balloon Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Cardiac Imaging Guidelines	evicore	2026-09-01
Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention	Ambetter Georgia	2026-08-26

CPT 0054T: Surgical Navigation for Orthopedic Implant Positioning

CPT-0055T-CT-MRI-GUIDED-ORTHOPEDIC-IMPLANT-NAVIGATION

CPT 0055T: Image-Guided Orthopedic Implant Navigation

CPT-0071T-MRGFUS-UTERINE-FIBROID-ABLATION

CPT 0071T: MRI‑guided Focused Ultrasound Ablation of Uterine Fibroids ≤200 cc

CPT-0072T-MRGFUS-ABLATION-UTERINE-FIBROIDS-200CC-PLUS

CPT 0072T: MRgFUS Ablation of Uterine Leiomyomata ≥200 cc

CPT-0075T-EXTRACRANIAL-VERTEBRAL-ARTERY-STENT-PLACEMENT

CPT 0075T: Extracranial Vertebral Artery Stent Placement

CPT-0076T-EXTRACRANIAL-VERTEBRAL-ARTERY-ADDITIONAL-STENT-PLACEMENT

CPT 0076T: Extracranial Vertebral Artery Additional Stent Placement

CPT-0095T-CERVICAL-ARTIFICIAL-DISC-REMOVAL-ADD-ON

CPT 0095T: Removal of Additional Cervical Artificial Disc

CPT-0098T-CERVICAL-ARTIFICIAL-DISC-REVISION-REPLACEMENT-ADD-ON

CPT 0098T: Cervical Artificial Disc Revision and Replacement (Add-on)

CPT-0100T-RETINAL-PROSTHESIS-IMPLANTATION-ARTIFICIAL-RETINA

CPT 0100T: Epiretinal Prosthesis (Retinal Implant) Attachment

CPT-0101T-SHOCK-WAVE-THERAPY-MUSCULOSKELETAL-PAIN

CPT 0101T: Extracorporeal Shock Wave Therapy, Other Site

Showing 1–10 of 42

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 0102T: Extracorporeal Shock Wave Therapy for Tennis Elbow

Sign up for cpt 0102T policy alerts

National Reimbursement Benchmarks

OpenPayer

CPT 0102T: Extracorporeal Shock Wave Therapy for Tennis Elbow

Sign up for cpt 0102T policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

CPT 0102T: Extracorporeal Shock Wave Therapy for Tennis Elbow

Sign up for cpt 0102T policy alerts

National Reimbursement Benchmarks

CPT 0102T: Extracorporeal Shock Wave Therapy for Tennis Elbow

Sign up for cpt 0102T policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What clinical scenario does CPT 0102T describe?

Where is CPT 0102T typically performed and what intraoperative documentation is expected?

Does CPT 0102T require anesthesia beyond a local anesthetic?

What post-procedure care elements are described for CPT 0102T?

Are there related CPT codes or diagnoses listed that commonly appear with providers performing this procedure?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What clinical scenario does CPT 0102T describe?

Where is CPT 0102T typically performed and what intraoperative documentation is expected?

Does CPT 0102T require anesthesia beyond a local anesthetic?

What post-procedure care elements are described for CPT 0102T?

Are there related CPT codes or diagnoses listed that commonly appear with providers performing this procedure?

References