CPT code 20910: Cartilage harvest, costal cartilage2026 Medicare rate & RVUs in New Mexico
Reports harvesting cartilage from a rib for grafting, such as structural support in nasal or other reconstructive surgery.
In New Mexico, Medicare pays $451.28 for 20910 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 20910 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 20910 covers
This service covers obtaining costal cartilage from the patient for use as a graft. A surgeon typically harvests it through a donor-site incision during reconstructive surgery, including nasal reconstruction or rhinoplasty when additional structural cartilage is needed. The graft may provide support or shape at a separate recipient site; the operative report should identify the rib donor site and the graft procurement performed.
Report the code for costal cartilage harvest, rather than for septal cartilage or a bone, fascia, or tendon graft. Documentation should connect the harvested material to the grafting procedure and describe the donor-site work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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 New Mexico compares for 20910
Across 109 of 109 payment localities, the facility rate for 20910 runs from $410.69 in Arkansas to $574.43 in San Benito County, CA. New Mexico pays $451.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$451.28
- Los Angeles, CA · California$503.34+$52.06
- Washington, DC area · District of Columbia$521.70+$70.42
- Miami, FL · Florida$532.73+$81.45
- Chicago, IL · Illinois$516.17+$64.89
- Manhattan, NY · New York$537.74+$86.46
- Alaska · Alaska$552.66+$101.38
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $416.58 |
| ArkansasArkansas | — | $410.69 |
| ArizonaArizona | — | $450.80 |
| Bakersfield, CACalifornia | — | $475.91 |
| Chico, CACalifornia | — | $472.74 |
| El Centro, CACalifornia | — | $472.94 |
| Fresno, CACalifornia | — | $472.74 |
| Hanford, CACalifornia | — | $472.74 |
| Madera, CACalifornia | — | $472.74 |
| Merced, CACalifornia | — | $472.74 |
| Modesto, CACalifornia | — | $472.74 |
| Napa, CACalifornia | — | $534.45 |
| Oxnard, CACalifornia | — | $499.18 |
| Redding, CACalifornia | — | $472.74 |
| Rest of CaliforniaCalifornia | — | $472.74 |
| Riverside, CACalifornia | — | $485.10 |
| Sacramento, CACalifornia | — | $492.61 |
| Salinas, CACalifornia | — | $490.73 |
| San Diego, CACalifornia | — | $499.86 |
| Marin County, CACalifornia | — | $560.91 |
| San Francisco, CACalifornia | — | $559.61 |
| San Benito County, CACalifornia | — | $574.43 |
| Santa Clara County, CACalifornia | — | $569.09 |
| San Luis Obispo, CACalifornia | — | $483.30 |
| Santa Cruz, CACalifornia | — | $502.68 |
| Santa Maria, CACalifornia | — | $491.91 |
| Santa Rosa, CACalifornia | — | $507.49 |
| Stockton, CACalifornia | — | $472.74 |
| Vallejo, CACalifornia | — | $532.57 |
| Visalia, CACalifornia | — | $472.74 |
| Yuba City, CACalifornia | — | $472.74 |
| ColoradoColorado | — | $473.40 |
| ConnecticutConnecticut | — | $494.51 |
| DelawareDelaware | — | $458.01 |
| Fort Lauderdale, FLFlorida | — | $498.17 |
| Rest of FloridaFlorida | — | $472.46 |
| Atlanta, GAGeorgia | — | $476.13 |
| Rest of GeorgiaGeorgia | — | $444.80 |
| Hawaii, Guam, HIHawaii | — | $481.40 |
| IowaIowa | — | $419.91 |
| IdahoIdaho | — | $424.06 |
| East St. Louis, ILIllinois | — | $483.25 |
| Rest of IllinoisIllinois | — | $464.21 |
| Suburban Chicago, ILIllinois | — | $501.48 |
| IndianaIndiana | — | $426.27 |
| KansasKansas | — | $421.32 |
| KentuckyKentucky | — | $433.42 |
| New Orleans, LALouisiana | — | $454.68 |
| Rest of LouisianaLouisiana | — | $434.09 |
| Metropolitan Boston, MAMassachusetts | — | $514.72 |
| Rest of MassachusettsMassachusetts | — | $472.03 |
| Baltimore area, MDMaryland | — | $493.84 |
| Rest of MarylandMaryland | — | $465.54 |
| Rest of MaineMaine | — | $429.78 |
| Southern Maine, MEMaine | — | $447.56 |
| Detroit, MIMichigan | — | $481.70 |
| Rest of MichiganMichigan | — | $447.54 |
| MinnesotaMinnesota | — | $444.02 |
| Metropolitan Kansas City, MOMissouri | — | $448.08 |
| Metropolitan St. Louis, MOMissouri | — | $452.23 |
| Rest of MissouriMissouri | — | $429.06 |
| MississippiMississippi | — | $419.79 |
| MontanaMontana | — | $463.86 |
| North CarolinaNorth Carolina | — | $433.62 |
| North DakotaNorth Dakota | — | $441.12 |
| NebraskaNebraska | — | $421.14 |
| New HampshireNew Hampshire | — | $469.20 |
| Northern New JerseyNew Jersey | — | $517.17 |
| Rest of New JerseyNew Jersey | — | $497.45 |
| NevadaNevada | — | $457.77 |
| NYC suburbs and Long Island, NYNew York | — | $554.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $503.43 |
| Queens, NYNew York | — | $537.12 |
| Rest of New YorkNew York | — | $440.26 |
| OhioOhio | — | $442.89 |
| OklahomaOklahoma | — | $429.10 |
| Portland, OROregon | — | $484.24 |
| Rest of OregonOregon | — | $451.55 |
| Metropolitan Philadelphia, PAPennsylvania | — | $484.66 |
| Rest of PennsylvaniaPennsylvania | — | $441.70 |
| Puerto RicoPuerto Rico | — | $466.06 |
| Rhode IslandRhode Island | — | $471.31 |
| South CarolinaSouth Carolina | — | $439.52 |
| South DakotaSouth Dakota | — | $438.43 |
| TennesseeTennessee | — | $423.81 |
| Austin, TXTexas | — | $474.16 |
| Beaumont, TXTexas | — | $439.12 |
| Brazoria, TXTexas | — | $454.72 |
| Dallas, TXTexas | — | $459.12 |
| Fort Worth, TXTexas | — | $457.17 |
| Galveston, TXTexas | — | $457.05 |
| Houston, TXTexas | — | $478.10 |
| Rest of TexasTexas | — | $447.69 |
| UtahUtah | — | $445.29 |
| VirginiaVirginia | — | $448.47 |
| Virgin Islands, VIUnited States Virgin Islands | — | $466.06 |
| VermontVermont | — | $442.51 |
| Rest of WashingtonWashington | — | $470.11 |
| King County, WAWashington | — | $521.64 |
| WisconsinWisconsin | — | $427.05 |
| West VirginiaWest Virginia | — | $448.33 |
| WyomingWyoming | — | $453.95 |
20910 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 20910 rate is calculated
Each of 20910’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 · 20910
RVUs × geographic indexes × conversion factor
Work5.39
5.39 RVUs× 1.000 GPCI
Practice expense7.35
7.35 RVUs× 1.000 GPCI
Malpractice1.15
1.15 RVUs× 1.000 GPCI
Adjusted RVUs
13.8900
Conversion factor
$33.4009
Medicare rate
$463.94
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,806
- Code
- 20910
- Physician work
- 5.39
- Practice expense
- 7.35
- Malpractice
- 1.15
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.39 | × 1.000 | 5.3900 |
| Practice expense | 7.35 | × 0.917 | 6.7400 |
| Malpractice | 1.15 | × 1.201 | 1.3811 |
| Total RVUs | 13.5111 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$451.28
Facility: (5.39 × 1 + 7.35 × 0.917 + 1.15 × 1.201) × $33.4009 = $451.28
Payment rules and modifiers for 20910
20910 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 20910
Cartilage harvest, costal cartilage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 20910
Cartilage harvest, costal cartilage
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
20910 without 51 · national facility
$463.94
Cartilage harvest, costal cartilage
20910-51 · Second procedure: 50%
$231.97
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 20910 has changed in New Mexico
20910 · 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 | $451.28 | RVU26D |
| 2026-07-01 | Not available in this setting | $451.28 | RVU26C |
| 2026-04-01 | Not available in this setting | $451.28 | RVU26B |
| 2026-01-01 | Not available in this setting | $451.28 | RVU26A |
| 2025-10-01 | Not available in this setting | $457.73 | RVU25D |
| 2025-07-01 | Not available in this setting | $457.73 | RVU25C |
| 2025-04-01 | Not available in this setting | $457.73 | RVU25B |
| 2025-01-01 | Not available in this setting | $457.73 | RVU25A |
| 2024-10-01 | Not available in this setting | $466.90 | RVU24D |
| 2024-07-01 | Not available in this setting | $466.90 | RVU24C |
| 2024-04-01 | Not available in this setting | $466.90 | RVU24B |
| 2024-03-09 | Not available in this setting | $466.90 | RVU24AR |
| 2024-01-01 | Not available in this setting | $459.28 | RVU24A |
| 2023-10-01 | Not available in this setting | $467.12 | RVU23D |
| 2023-07-01 | Not available in this setting | $467.12 | RVU23C |
| 2023-04-01 | Not available in this setting | $467.12 | RVU23B |
| 2023-01-01 | Not available in this setting | $467.12 | RVU23A |
| 2022-10-01 | Not available in this setting | $467.26 | RVU22D |
| 2022-07-01 | Not available in this setting | $467.26 | RVU22C |
| 2022-04-01 | Not available in this setting | $467.26 | RVU22B |
| 2022-01-01 | Not available in this setting | $467.26 | RVU22A |
| 2021-10-01 | Not available in this setting | $466.88 | RVU21D |
| 2021-07-01 | Not available in this setting | $466.88 | RVU21C |
| 2021-04-01 | Not available in this setting | $466.88 | RVU21B |
| 2021-01-01 | Not available in this setting | $466.88 | RVU21A |
| 2020-10-01 | Not available in this setting | $472.51 | RVU20D |
| 2020-07-01 | Not available in this setting | $472.51 | RVU20C |
| 2020-04-01 | Not available in this setting | $472.51 | RVU20B |
| 2020-01-01 | Not available in this setting | $472.51 | RVU20A |
| 2019-10-01 | Not available in this setting | $475.78 | RVU19D |
| 2019-07-01 | Not available in this setting | $475.78 | RVU19C |
| 2019-04-01 | Not available in this setting | $475.78 | RVU19B |
| 2019-01-01 | Not available in this setting | $475.78 | RVU19A |
| 2018-10-01 | Not available in this setting | $474.60 | RVU18D |
| 2018-07-01 | Not available in this setting | $474.60 | RVU18C |
| 2018-04-01 | Not available in this setting | $474.60 | RVU18B |
| 2018-01-01 | Not available in this setting | $474.60 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $454.03 | RVU17D |
| 2017-07-01 | Not available in this setting | $454.03 | RVU17C |
| 2017-04-01 | Not available in this setting | $454.03 | RVU17B |
| 2017-01-01 | Not available in this setting | $454.03 | RVU17A |
| 2016-10-01 | Not available in this setting | $411.65 | RVU16D |
| 2016-07-01 | Not available in this setting | $411.65 | RVU16C |
| 2016-04-01 | Not available in this setting | $411.65 | RVU16B |
| 2016-01-01 | Not available in this setting | $411.65 | RVU16A |
| 2015-10-01 | Not available in this setting | $457.11 | RVU15D |
| 2015-07-01 | Not available in this setting | $457.11 | RVU15C |
| 2015-04-01 | Not available in this setting | $454.84 | RVU15B |
| 2015-01-01 | Not available in this setting | $454.84 | RVU15A |
| 2014-10-01 | Not available in this setting | $406.24 | RVU14D |
| 2014-07-01 | Not available in this setting | $406.24 | RVU14C |
| 2014-04-01 | Not available in this setting | $406.24 | RVU14B |
| 2014-01-01 | Not available in this setting | $406.24 | RVU14A |
| 2013-10-01 | Not available in this setting | $437.87 | RVU13D |
| 2013-07-01 | Not available in this setting | $437.87 | RVU13C |
| 2013-04-01 | Not available in this setting | $437.87 | RVU13B |
| 2013-01-01 | Not available in this setting | $437.87 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
20910 billing questions
How does this differ from 20912?
This code is for harvesting costal cartilage from a rib. Use 20912 when the graft is harvested from the nasal septum.
Can this be reported with the reconstruction that uses the graft?
It represents procurement of costal cartilage for grafting during reconstructive surgery. Document the donor-site work and the graft's role in the operative report.
Should modifier 50 be used when cartilage is taken from both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What happens when this is performed with other procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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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