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CPT code 20920: Fascia graft, fascia lata harvest2026 Medicare rate & RVUs

Reports harvest of a patient’s fascia lata for grafting, commonly obtained from the thigh during reconstructive surgery for use at another site.

CMS RVU26DEffective Oct 1, 2026109 payment localities35 Medicare services in 2024

Medicare pays $357.72 for 20920 nationally in a facility.

Medicare rate · 20920

Fascia graft, fascia lata harvest

Office or facility?

Work RVUs
5.37
Total RVUs
10.71
Global days
090

National rate · 2026

$357.72

Facility setting, before claim adjustments.

See every locality for 20920 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 20920 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 20920 covers

This service covers obtaining the patient’s fascia lata as graft material, typically through an incision over the thigh. A surgeon harvests the tissue during an operation in which the graft will be used for reconstruction elsewhere. Examples include obtaining fascia lata for a frontalis sling in ptosis repair or for other reconstructive procedures requiring autologous fascia. The harvest and the recipient-site work may involve different anatomic locations.

Report the code when the operative documentation supports fascia lata procurement, rather than harvest of bone, cartilage, or tendon. The record should identify the tissue obtained and describe the harvest performed; report the recipient procedure separately when supported by its own coding rules. This major surgery code includes 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; 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.

Where 20920 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

20920 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$327.28
AlaskaUnavailable$445.44
ArizonaUnavailable$349.21
ArkansasUnavailable$323.50
Atlanta, GAUnavailable$366.00
Austin, TXUnavailable$363.89
Bakersfield, CAUnavailable$365.40
Baltimore area, MDUnavailable$377.94
Beaumont, TXUnavailable$342.17
Brazoria, TXUnavailable$351.99

20920 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
20920 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 20920 rate is calculated

Each of 20920’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 · 20920

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.37

5.37 RVUs× 1.000 GPCI

Practice expense4.55

4.55 RVUs× 1.000 GPCI

Malpractice0.79

0.79 RVUs× 1.000 GPCI

Adjusted RVUs

10.7100

Conversion factor

$33.4009

Medicare rate

$357.72

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 20920

20920 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 20920

Fascia graft, fascia lata harvest

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 20920

Fascia graft, fascia lata harvest

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

20920 without 51 · national facility

$357.72

Fascia graft, fascia lata harvest

20920-51 · Second procedure: 50%

$178.86

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%).

When to use modifier 51

20920 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 20920

    Fascia graft, fascia lata harvest5.37 wRVU

    Not priced

  • 20922

    Fascia harvest, incision and direct exposure6.76 wRVU

    $657.33

  • 20924

    Tendon graft harvest, separate donor site6.51 wRVU

    Not priced

  • 20900

    Bone graft harvest, minor or small graft2.93 wRVU

    $398.14

How to choose

20922Fascia harvestIncision and direct exposure
Both codes concern fascia lata graft procurement. Use the full descriptor and operative details to select the code; do not choose solely by the graft’s destination.
20924Tendon graft harvestSeparate donor site
20924 concerns tendon graft procurement. Use 20920 when the harvested graft is fascia lata, not tendon.
20900Bone graft harvestMinor or small graft
20900 concerns bone graft procurement. Use 20920 for fascia lata harvested as graft material.

Codes related to 20920

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 20920
CodeHow it relatesNational office range
Same family
20922Fascia harvest, incision and direct exposureAnother fascia lata graft harvest code; distinguish it by the full descriptor and documented technique.$579.13–$827.21
Used instead
20924Tendon graft harvest, separate donor siteFor tendon graft procurement rather than fascia lata harvest.No office rate
20900Bone graft harvest, minor or small graftFor bone graft procurement when bone, rather than fascia, is harvested.$350.28–$527.10
20902Bone graft harvest, major or large graftAnother bone graft procurement option; use when the harvested graft is bone.No office rate

20920 billing questions

How is 20920 distinguished from 20922?

Both concern fascia lata graft procurement. Compare the full code descriptors with the documented harvest technique and extent; the recipient site alone does not distinguish them.

Can the graft harvest be reported with the reconstruction?

The harvest and recipient-site reconstruction are distinct services when each is supported by the operative report. Apply the applicable coding rules for the reconstruction as well as this code’s multiple-procedure payment reduction.

Can modifier 50 be used for bilateral fascia lata harvest?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be paid?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only when supporting documentation is provided; 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
RVUs for 20920PPRRVU2026_Oct_nonQPP.csv, line 1,808 (RVU26D)

Open CMS sourceHow we calculate rates

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