CPT code 20920: Fascia graft, fascia lata harvest2026 Medicare rate & RVUs in California
Reports harvest of a patient’s fascia lata for grafting, commonly obtained from the thigh during reconstructive surgery for use at another site.
CMS doesn’t publish an office rate for 20920 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $365.40 |
| Chico, CA | Unavailable | $363.12 |
| El Centro, CA | Unavailable | $363.25 |
| Fresno, CA | Unavailable | $363.12 |
| Hanford, CA | Unavailable | $363.12 |
| Los Angeles, CA | Unavailable | $384.02 |
| Madera, CA | Unavailable | $363.12 |
| Marin County, CA | Unavailable | $422.80 |
| Merced, CA | Unavailable | $363.12 |
| Modesto, CA | Unavailable | $363.12 |
| Napa, CA | Unavailable | $404.37 |
| Oxnard, CA | Unavailable | $380.46 |
| Redding, CA | Unavailable | $363.12 |
| Rest of California | Unavailable | $363.12 |
| Riverside, CA | Unavailable | $371.66 |
| Sacramento, CA | Unavailable | $376.71 |
| Salinas, CA | Unavailable | $375.20 |
| San Benito County, CA | Unavailable | $432.38 |
| San Diego, CA | Unavailable | $380.81 |
| San Francisco, CA | Unavailable | $421.90 |
| San Luis Obispo, CA | Unavailable | $369.65 |
| Santa Clara County, CA | Unavailable | $428.71 |
| Santa Cruz, CA | Unavailable | $381.92 |
| Santa Maria, CA | Unavailable | $375.73 |
| Santa Rosa, CA | Unavailable | $385.51 |
| Stockton, CA | Unavailable | $363.12 |
| Vallejo, CA | Unavailable | $403.08 |
| Visalia, CA | Unavailable | $363.12 |
| Yuba City, CA | Unavailable | $363.12 |
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
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
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 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.
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%).
20920 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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