CPT code 20912: Cartilage graft, nasal septum2026 Medicare rate & RVUs in Montana
Harvest of nasal septal cartilage for grafting during nasal reconstruction is reported when the surgeon obtains cartilage separately from recipient-site work.
In Montana, Medicare pays $435.15 for 20912 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 20912 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 20912 covers
A surgeon harvests cartilage from the nasal septum for use as graft material in a nasal reconstruction. Otolaryngologists, facial plastic surgeons, and plastic surgeons may perform the harvest during an operative repair or reconstructive procedure. The harvested cartilage can support or reshape nasal structures, while the recipient-site procedure addresses the underlying deformity or defect.
Report the code when the operative documentation supports a distinct harvest of septal cartilage for grafting, alongside the procedure using the graft when separately reportable. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 Montana compares for 20912
Across 109 of 109 payment localities, the facility rate for 20912 runs from $392.41 in Arkansas to $539.03 in Alaska. Montana pays $435.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$435.15
- Los Angeles, CA · California$467.26+$32.11
- Washington, DC area · District of Columbia$484.09+$48.94
- Miami, FL · Florida$494.02+$58.87
- Chicago, IL · Illinois$480.90+$45.75
- Manhattan, NY · New York$499.00+$63.85
- Alaska · Alaska$539.03+$103.88
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $397.13 |
| ArkansasArkansas | — | $392.41 |
| ArizonaArizona | — | $424.55 |
| Bakersfield, CACalifornia | — | $444.32 |
| Chico, CACalifornia | — | $441.46 |
| El Centro, CACalifornia | — | $441.62 |
| Fresno, CACalifornia | — | $441.46 |
| Hanford, CACalifornia | — | $441.46 |
| Madera, CACalifornia | — | $441.46 |
| Merced, CACalifornia | — | $441.46 |
| Modesto, CACalifornia | — | $441.46 |
| Napa, CACalifornia | — | $492.22 |
| Oxnard, CACalifornia | — | $462.93 |
| Redding, CACalifornia | — | $441.46 |
| Rest of CaliforniaCalifornia | — | $441.46 |
| Riverside, CACalifornia | — | $452.26 |
| Sacramento, CACalifornia | — | $458.15 |
| Salinas, CACalifornia | — | $456.33 |
| San Diego, CACalifornia | — | $463.30 |
| Marin County, CACalifornia | — | $514.76 |
| San Francisco, CACalifornia | — | $513.63 |
| San Benito County, CACalifornia | — | $526.57 |
| Santa Clara County, CACalifornia | — | $521.93 |
| San Luis Obispo, CACalifornia | — | $449.57 |
| Santa Cruz, CACalifornia | — | $464.76 |
| Santa Maria, CACalifornia | — | $457.01 |
| Santa Rosa, CACalifornia | — | $469.14 |
| Stockton, CACalifornia | — | $441.46 |
| Vallejo, CACalifornia | — | $490.58 |
| Visalia, CACalifornia | — | $441.46 |
| Yuba City, CACalifornia | — | $441.46 |
| ColoradoColorado | — | $442.53 |
| ConnecticutConnecticut | — | $461.02 |
| DelawareDelaware | — | $430.64 |
| Fort Lauderdale, FLFlorida | — | $464.65 |
| Rest of FloridaFlorida | — | $443.71 |
| Atlanta, GAGeorgia | — | $445.59 |
| Rest of GeorgiaGeorgia | — | $421.25 |
| Hawaii, Guam, HIHawaii | — | $447.01 |
| IowaIowa | — | $399.03 |
| IdahoIdaho | — | $402.51 |
| East St. Louis, ILIllinois | — | $453.99 |
| Rest of IllinoisIllinois | — | $437.60 |
| Suburban Chicago, ILIllinois | — | $467.59 |
| IndianaIndiana | — | $404.27 |
| KansasKansas | — | $400.53 |
| KentuckyKentucky | — | $411.43 |
| New Orleans, LALouisiana | — | $428.62 |
| Rest of LouisianaLouisiana | — | $412.11 |
| Metropolitan Boston, MAMassachusetts | — | $476.89 |
| Rest of MassachusettsMassachusetts | — | $441.84 |
| Baltimore area, MDMaryland | — | $460.32 |
| Rest of MarylandMaryland | — | $436.87 |
| Rest of MaineMaine | — | $407.49 |
| Southern Maine, MEMaine | — | $421.19 |
| Detroit, MIMichigan | — | $451.52 |
| Rest of MichiganMichigan | — | $423.10 |
| MinnesotaMinnesota | — | $417.17 |
| Metropolitan Kansas City, MOMissouri | — | $422.93 |
| Metropolitan St. Louis, MOMissouri | — | $426.22 |
| Rest of MissouriMissouri | — | $408.30 |
| MississippiMississippi | — | $400.26 |
| North CarolinaNorth Carolina | — | $410.51 |
| North DakotaNorth Dakota | — | $415.37 |
| NebraskaNebraska | — | $399.91 |
| New HampshireNew Hampshire | — | $438.78 |
| Northern New JerseyNew Jersey | — | $481.10 |
| Rest of New JerseyNew Jersey | — | $464.34 |
| New MexicoNew Mexico | — | $426.26 |
| NevadaNevada | — | $429.82 |
| NYC suburbs and Long Island, NYNew York | — | $513.14 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $469.75 |
| Queens, NYNew York | — | $497.96 |
| Rest of New YorkNew York | — | $415.86 |
| OhioOhio | — | $419.06 |
| OklahomaOklahoma | — | $407.57 |
| Portland, OROregon | — | $451.02 |
| Rest of OregonOregon | — | $424.54 |
| Metropolitan Philadelphia, PAPennsylvania | — | $453.23 |
| Rest of PennsylvaniaPennsylvania | — | $417.90 |
| Puerto RicoPuerto Rico | — | $436.79 |
| Rhode IslandRhode Island | — | $441.88 |
| South CarolinaSouth Carolina | — | $415.86 |
| South DakotaSouth Dakota | — | $413.04 |
| TennesseeTennessee | — | $402.58 |
| Austin, TXTexas | — | $442.78 |
| Beaumont, TXTexas | — | $415.86 |
| Brazoria, TXTexas | — | $427.87 |
| Dallas, TXTexas | — | $431.63 |
| Fort Worth, TXTexas | — | $430.18 |
| Galveston, TXTexas | — | $429.85 |
| Houston, TXTexas | — | $448.16 |
| Rest of TexasTexas | — | $422.35 |
| UtahUtah | — | $420.48 |
| VirginiaVirginia | — | $422.19 |
| Virgin Islands, VIUnited States Virgin Islands | — | $436.79 |
| VermontVermont | — | $416.83 |
| Rest of WashingtonWashington | — | $440.00 |
| King County, WAWashington | — | $482.59 |
| WisconsinWisconsin | — | $404.17 |
| West VirginiaWest Virginia | — | $424.89 |
| WyomingWyoming | — | $426.53 |
20912 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 20912 rate is calculated
Each of 20912’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 · 20912
RVUs × geographic indexes × conversion factor
Work6.38
6.38 RVUs× 1.000 GPCI
Practice expense5.65
5.65 RVUs× 1.000 GPCI
Malpractice1.00
1.00 RVUs× 1.000 GPCI
Adjusted RVUs
13.0300
Conversion factor
$33.4009
Medicare rate
$435.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,807
- Code
- 20912
- Physician work
- 6.38
- Practice expense
- 5.65
- Malpractice
- 1.00
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.38 | × 1.000 | 6.3800 |
| Practice expense | 5.65 | × 1.000 | 5.6500 |
| Malpractice | 1.00 | × 0.998 | 0.9980 |
| Total RVUs | 13.0280 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$435.15
Facility: (6.38 × 1 + 5.65 × 1 + 1 × 0.998) × $33.4009 = $435.15
Payment rules and modifiers for 20912
20912 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 20912
Cartilage graft, nasal septum
| 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 · 20912
Cartilage graft, nasal septum
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
20912 without 51 · national facility
$435.21
Cartilage graft, nasal septum
20912-51 · Second procedure: 50%
$217.61
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 20912 has changed in Montana
20912 · 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 | $435.15 | RVU26D |
| 2026-07-01 | Not available in this setting | $435.15 | RVU26C |
| 2026-04-01 | Not available in this setting | $435.15 | RVU26B |
| 2026-01-01 | Not available in this setting | $435.15 | RVU26A |
| 2025-10-01 | Not available in this setting | $473.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $473.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $473.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $473.48 | RVU25A |
| 2024-10-01 | Not available in this setting | $485.91 | RVU24D |
| 2024-07-01 | Not available in this setting | $485.91 | RVU24C |
| 2024-04-01 | Not available in this setting | $485.91 | RVU24B |
| 2024-03-09 | Not available in this setting | $485.91 | RVU24AR |
| 2024-01-01 | Not available in this setting | $477.98 | RVU24A |
| 2023-10-01 | Not available in this setting | $489.96 | RVU23D |
| 2023-07-01 | Not available in this setting | $489.96 | RVU23C |
| 2023-04-01 | Not available in this setting | $489.96 | RVU23B |
| 2023-01-01 | Not available in this setting | $489.96 | RVU23A |
| 2022-10-01 | Not available in this setting | $492.70 | RVU22D |
| 2022-07-01 | Not available in this setting | $492.70 | RVU22C |
| 2022-04-01 | Not available in this setting | $492.70 | RVU22B |
| 2022-01-01 | Not available in this setting | $492.70 | RVU22A |
| 2021-10-01 | Not available in this setting | $487.04 | RVU21D |
| 2021-07-01 | Not available in this setting | $487.04 | RVU21C |
| 2021-04-01 | Not available in this setting | $487.04 | RVU21B |
| 2021-01-01 | Not available in this setting | $487.04 | RVU21A |
| 2020-10-01 | Not available in this setting | $502.43 | RVU20D |
| 2020-07-01 | Not available in this setting | $502.43 | RVU20C |
| 2020-04-01 | Not available in this setting | $502.43 | RVU20B |
| 2020-01-01 | Not available in this setting | $502.43 | RVU20A |
| 2019-10-01 | Not available in this setting | $512.42 | RVU19D |
| 2019-07-01 | Not available in this setting | $512.42 | RVU19C |
| 2019-04-01 | Not available in this setting | $512.42 | RVU19B |
| 2019-01-01 | Not available in this setting | $512.42 | RVU19A |
| 2018-10-01 | Not available in this setting | $508.75 | RVU18D |
| 2018-07-01 | Not available in this setting | $508.75 | RVU18C |
| 2018-04-01 | Not available in this setting | $508.75 | RVU18B |
| 2018-01-01 | Not available in this setting | $508.75 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $506.05 | RVU17D |
| 2017-07-01 | Not available in this setting | $506.05 | RVU17C |
| 2017-04-01 | Not available in this setting | $506.05 | RVU17B |
| 2017-01-01 | Not available in this setting | $506.05 | RVU17A |
| 2016-10-01 | Not available in this setting | $502.91 | RVU16D |
| 2016-07-01 | Not available in this setting | $502.91 | RVU16C |
| 2016-04-01 | Not available in this setting | $502.91 | RVU16B |
| 2016-01-01 | Not available in this setting | $502.91 | RVU16A |
| 2015-10-01 | Not available in this setting | $502.13 | RVU15D |
| 2015-07-01 | Not available in this setting | $502.13 | RVU15C |
| 2015-04-01 | Not available in this setting | $499.63 | RVU15B |
| 2015-01-01 | Not available in this setting | $499.63 | RVU15A |
| 2014-10-01 | Not available in this setting | $500.33 | RVU14D |
| 2014-07-01 | Not available in this setting | $500.33 | RVU14C |
| 2014-04-01 | Not available in this setting | $500.33 | RVU14B |
| 2014-01-01 | Not available in this setting | $500.33 | RVU14A |
| 2013-10-01 | Not available in this setting | $495.10 | RVU13D |
| 2013-07-01 | Not available in this setting | $495.10 | RVU13C |
| 2013-04-01 | Not available in this setting | $495.10 | RVU13B |
| 2013-01-01 | Not available in this setting | $495.10 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
20912 billing questions
How is this different from 20910?
This code is for cartilage harvested from the nasal septum. Code 20910 is used for costochondral cartilage harvest.
Can the graft harvest be reported with the nasal reconstruction?
Report the harvest with the recipient-site procedure when the surgeon separately obtains septal cartilage for grafting and the documentation supports both services. Check applicable coding edits for the specific procedure pair.
Does this code include postoperative visits?
Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used when cartilage is taken from both sides of the septum?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy makes modifier 50 inappropriate.
When is an assistant at surgery payable?
Assistant-at-surgery payment is limited to cases with documentation of medical necessity. Co-surgeons and team surgery are 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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