CPT code 20902: Bone graft harvest, major or large graft2026 Medicare rate & RVUs in Arkansas
Reports harvesting a major or large autogenous bone graft from a donor site, such as the iliac crest, for use in reconstruction or fusion.
In Arkansas, Medicare pays $219.24 for 20902 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 20902 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 20902 covers
This service covers taking a substantial amount of the patient’s own bone from a donor site for use elsewhere in a reconstructive procedure. A common source is the iliac crest. Orthopedic and reconstructive surgeons may harvest bone for procedures such as treating a nonunion, filling a defect, or supporting a fusion. The code represents the harvest, not the work of placing the graft at the recipient site.
Choose this level when the harvest is major or large, rather than a small graft or bone obtained locally through the operative exposure. The operative report should identify the donor site, describe the extent of the harvest, and explain the graft’s intended use. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Arkansas compares for 20902
Across 109 of 109 payment localities, the facility rate for 20902 runs from $219.24 in Arkansas to $308.24 in Alaska. Arkansas pays $219.24. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$219.24
- Los Angeles, CA · California$250.49+$31.25
- Washington, DC area · District of Columbia$264.55+$45.31
- Miami, FL · Florida$286.87+$67.63
- Chicago, IL · Illinois$279.09+$59.85
- Manhattan, NY · New York$278.12+$58.88
- Alaska · Alaska$308.24+$89.00
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $221.69 |
| ArizonaArizona | — | $235.82 |
| Bakersfield, CACalifornia | — | $240.04 |
| Chico, CACalifornia | — | $237.72 |
| El Centro, CACalifornia | — | $237.86 |
| Fresno, CACalifornia | — | $237.72 |
| Hanford, CACalifornia | — | $237.72 |
| Madera, CACalifornia | — | $237.72 |
| Merced, CACalifornia | — | $237.72 |
| Modesto, CACalifornia | — | $237.72 |
| Napa, CACalifornia | — | $258.19 |
| Oxnard, CACalifornia | — | $247.34 |
| Redding, CACalifornia | — | $237.72 |
| Rest of CaliforniaCalifornia | — | $237.72 |
| Riverside, CACalifornia | — | $246.66 |
| Sacramento, CACalifornia | — | $244.90 |
| Salinas, CACalifornia | — | $243.89 |
| San Diego, CACalifornia | — | $246.30 |
| Marin County, CACalifornia | — | $267.58 |
| San Francisco, CACalifornia | — | $266.63 |
| San Benito County, CACalifornia | — | $274.02 |
| Santa Clara County, CACalifornia | — | $270.17 |
| San Luis Obispo, CACalifornia | — | $240.50 |
| Santa Cruz, CACalifornia | — | $246.03 |
| Santa Maria, CACalifornia | — | $243.90 |
| Santa Rosa, CACalifornia | — | $248.21 |
| Stockton, CACalifornia | — | $237.72 |
| Vallejo, CACalifornia | — | $256.84 |
| Visalia, CACalifornia | — | $237.72 |
| Yuba City, CACalifornia | — | $237.72 |
| ColoradoColorado | — | $241.69 |
| ConnecticutConnecticut | — | $255.62 |
| DelawareDelaware | — | $238.99 |
| Fort Lauderdale, FLFlorida | — | $265.06 |
| Rest of FloridaFlorida | — | $252.92 |
| Atlanta, GAGeorgia | — | $248.88 |
| Rest of GeorgiaGeorgia | — | $240.15 |
| Hawaii, Guam, HIHawaii | — | $239.03 |
| IowaIowa | — | $219.60 |
| IdahoIdaho | — | $222.03 |
| East St. Louis, ILIllinois | — | $264.75 |
| Rest of IllinoisIllinois | — | $251.79 |
| Suburban Chicago, ILIllinois | — | $266.02 |
| IndianaIndiana | — | $222.84 |
| KansasKansas | — | $221.85 |
| KentuckyKentucky | — | $232.27 |
| New Orleans, LALouisiana | — | $241.77 |
| Rest of LouisianaLouisiana | — | $233.21 |
| Metropolitan Boston, MAMassachusetts | — | $257.47 |
| Rest of MassachusettsMassachusetts | — | $242.02 |
| Baltimore area, MDMaryland | — | $255.51 |
| Rest of MarylandMaryland | — | $241.82 |
| Rest of MaineMaine | — | $226.16 |
| Southern Maine, MEMaine | — | $231.01 |
| Detroit, MIMichigan | — | $258.57 |
| Rest of MichiganMichigan | — | $239.76 |
| MinnesotaMinnesota | — | $224.18 |
| Metropolitan Kansas City, MOMissouri | — | $237.23 |
| Metropolitan St. Louis, MOMissouri | — | $238.77 |
| Rest of MissouriMissouri | — | $232.16 |
| MississippiMississippi | — | $225.58 |
| MontanaMontana | — | $241.77 |
| North CarolinaNorth Carolina | — | $227.47 |
| North DakotaNorth Dakota | — | $225.36 |
| NebraskaNebraska | — | $219.59 |
| New HampshireNew Hampshire | — | $241.01 |
| Northern New JerseyNew Jersey | — | $263.48 |
| Rest of New JerseyNew Jersey | — | $256.45 |
| New MexicoNew Mexico | — | $242.02 |
| NevadaNevada | — | $237.26 |
| NYC suburbs and Long Island, NYNew York | — | $287.38 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $260.52 |
| Queens, NYNew York | — | $275.42 |
| Rest of New YorkNew York | — | $230.35 |
| OhioOhio | — | $236.41 |
| OklahomaOklahoma | — | $228.71 |
| Portland, OROregon | — | $244.31 |
| Rest of OregonOregon | — | $233.33 |
| Metropolitan Philadelphia, PAPennsylvania | — | $252.52 |
| Rest of PennsylvaniaPennsylvania | — | $234.98 |
| Puerto RicoPuerto Rico | — | $242.12 |
| Rhode IslandRhode Island | — | $243.80 |
| South CarolinaSouth Carolina | — | $232.74 |
| South DakotaSouth Dakota | — | $223.41 |
| TennesseeTennessee | — | $223.09 |
| Austin, TXTexas | — | $242.72 |
| Beaumont, TXTexas | — | $234.02 |
| Brazoria, TXTexas | — | $236.33 |
| Dallas, TXTexas | — | $238.97 |
| Fort Worth, TXTexas | — | $238.68 |
| Galveston, TXTexas | — | $237.80 |
| Houston, TXTexas | — | $252.99 |
| Rest of TexasTexas | — | $235.83 |
| UtahUtah | — | $235.11 |
| VirginiaVirginia | — | $232.57 |
| Virgin Islands, VIUnited States Virgin Islands | — | $242.12 |
| VermontVermont | — | $227.48 |
| Rest of WashingtonWashington | — | $240.57 |
| King County, WAWashington | — | $258.92 |
| WisconsinWisconsin | — | $219.92 |
| West VirginiaWest Virginia | — | $245.28 |
| WyomingWyoming | — | $234.61 |
20902 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 20902 rate is calculated
Each of 20902’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 20902
RVUs × geographic indexes × conversion factor
Work4.47
4.47 RVUs× 1.000 GPCI
Practice expense1.94
1.94 RVUs× 1.000 GPCI
Malpractice0.83
0.83 RVUs× 1.000 GPCI
Adjusted RVUs
7.2400
Conversion factor
$33.4009
Medicare rate
$241.82
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,805
- Code
- 20902
- Physician work
- 4.47
- Practice expense
- 1.94
- Malpractice
- 0.83
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.47 | × 1.000 | 4.4700 |
| Practice expense | 1.94 | × 0.859 | 1.6665 |
| Malpractice | 0.83 | × 0.515 | 0.4274 |
| Total RVUs | 6.5639 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$219.24
Facility: (4.47 × 1 + 1.94 × 0.859 + 0.83 × 0.515) × $33.4009 = $219.24
Payment rules and modifiers for 20902
The CMS indicators that decide how 20902 is paid alongside other services.
CMS payment indicators · 20902
Bone graft harvest, major or large graft
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
20902 without 51 · national facility
$241.82
Bone graft harvest, major or large graft
20902-51 · Second procedure: 50%
$120.91
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 20902 has changed in Arkansas
20902 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $219.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $219.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $219.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $219.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $240.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $240.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $240.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $240.61 | RVU25A |
| 2024-10-01 | Not available in this setting | $246.98 | RVU24D |
| 2024-07-01 | Not available in this setting | $246.98 | RVU24C |
| 2024-04-01 | Not available in this setting | $246.98 | RVU24B |
| 2024-03-09 | Not available in this setting | $246.98 | RVU24AR |
| 2024-01-01 | Not available in this setting | $242.95 | RVU24A |
| 2023-10-01 | Not available in this setting | $249.69 | RVU23D |
| 2023-07-01 | Not available in this setting | $249.69 | RVU23C |
| 2023-04-01 | Not available in this setting | $249.69 | RVU23B |
| 2023-01-01 | Not available in this setting | $249.69 | RVU23A |
| 2022-10-01 | Not available in this setting | $252.22 | RVU22D |
| 2022-07-01 | Not available in this setting | $252.22 | RVU22C |
| 2022-04-01 | Not available in this setting | $252.22 | RVU22B |
| 2022-01-01 | Not available in this setting | $252.22 | RVU22A |
| 2021-10-01 | Not available in this setting | $255.17 | RVU21D |
| 2021-07-01 | Not available in this setting | $255.17 | RVU21C |
| 2021-04-01 | Not available in this setting | $255.17 | RVU21B |
| 2021-01-01 | Not available in this setting | $255.17 | RVU21A |
| 2020-10-01 | Not available in this setting | $265.78 | RVU20D |
| 2020-07-01 | Not available in this setting | $265.78 | RVU20C |
| 2020-04-01 | Not available in this setting | $265.78 | RVU20B |
| 2020-01-01 | Not available in this setting | $265.78 | RVU20A |
| 2019-10-01 | Not available in this setting | $269.54 | RVU19D |
| 2019-07-01 | Not available in this setting | $269.54 | RVU19C |
| 2019-04-01 | Not available in this setting | $269.54 | RVU19B |
| 2019-01-01 | Not available in this setting | $269.54 | RVU19A |
| 2018-10-01 | Not available in this setting | $270.50 | RVU18D |
| 2018-07-01 | Not available in this setting | $270.50 | RVU18C |
| 2018-04-01 | Not available in this setting | $270.50 | RVU18B |
| 2018-01-01 | Not available in this setting | $270.50 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $268.81 | RVU17D |
| 2017-07-01 | Not available in this setting | $268.81 | RVU17C |
| 2017-04-01 | Not available in this setting | $268.81 | RVU17B |
| 2017-01-01 | Not available in this setting | $268.81 | RVU17A |
| 2016-10-01 | Not available in this setting | $267.73 | RVU16D |
| 2016-07-01 | Not available in this setting | $267.73 | RVU16C |
| 2016-04-01 | Not available in this setting | $267.73 | RVU16B |
| 2016-01-01 | Not available in this setting | $267.73 | RVU16A |
| 2015-10-01 | Not available in this setting | $269.32 | RVU15D |
| 2015-07-01 | Not available in this setting | $269.32 | RVU15C |
| 2015-04-01 | Not available in this setting | $267.98 | RVU15B |
| 2015-01-01 | Not available in this setting | $267.98 | RVU15A |
| 2014-10-01 | Not available in this setting | $265.87 | RVU14D |
| 2014-07-01 | Not available in this setting | $265.87 | RVU14C |
| 2014-04-01 | Not available in this setting | $265.87 | RVU14B |
| 2014-01-01 | Not available in this setting | $265.87 | RVU14A |
| 2013-10-01 | Not available in this setting | $276.27 | RVU13D |
| 2013-07-01 | Not available in this setting | $276.27 | RVU13C |
| 2013-04-01 | Not available in this setting | $276.27 | RVU13B |
| 2013-01-01 | Not available in this setting | $276.27 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
20902 billing questions
How does 20902 differ from 20900?
20902 is for a major or large bone harvest; 20900 represents a minor or small harvest. The operative note should support the extent of the graft taken.
Can 20902 be reported for bone harvested locally during spine surgery?
Codes 20936–20938 describe specific spinal autograft situations and include harvesting. For local bone obtained through the same incision, compare 20936 rather than separately reporting 20902 for that harvest.
What should the operative note document?
Document the donor site, the nature and extent of the bone harvest, and the intended recipient use. This supports selection of the major-or-large level rather than the minor-or-small level.
Should modifier 50 be appended for bilateral donor-site harvest?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The global period is 0 days.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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