CPT code 20922: Fascia harvest, incision and direct exposure2026 Medicare rate & RVUs
Reports harvesting fascia through an incision and direct exposure when fascia is obtained as graft material for a reconstructive procedure.
Medicare pays $657.33 for 20922 nationally in the office and $470.62 in a hospital or facility. Local office rates run $579.13–$827.21.
Medicare rate · 20922
Fascia harvest, incision and direct exposure
- Work RVUs
- 6.76
- Total RVUs
- 19.68
- Global days
- 090
National rate · 2026
$657.33
Office setting, before claim adjustments.
See every locality for 20922 →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.
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On this page 10 sections
What 20922 covers
This code represents harvesting fascia through an incision that exposes the donor tissue, rather than obtaining it by a stripping technique. It is used when a surgeon procures fascia—often fascia lata—for grafting during reconstruction, such as when tissue is needed to reinforce or replace damaged structures. The harvest and the procedure using the graft may involve separate operative sites.
Report the harvest when the operative note identifies the donor site, the fascia obtained, and the incision and exposure used to procure it. The code has 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, Medicare pays the highest-valued procedure in full and other procedures at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Medicare does not permit team-surgery payment for this code.
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 20922 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$579.13 to $827.21
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $587.80 | $424.43 |
| Alaska | $772.35 | $573.50 |
| Arizona | $638.25 | $457.33 |
| Arkansas | $579.13 | $418.75 |
| Atlanta, GA | $674.24 | $484.54 |
| Austin, TX | $674.14 | $476.60 |
| Bakersfield, CA | $678.49 | $473.85 |
| Baltimore area, MD | $700.72 | $500.38 |
| Beaumont, TX | $619.45 | $449.54 |
| Brazoria, TX | $644.61 | $459.58 |
| Chicago, IL | $726.13 | $538.48 |
| Chico, CA | $674.35 | $469.72 |
| Colorado | $673.38 | $474.72 |
| Connecticut | $701.78 | $500.69 |
| Dallas, TX | $650.68 | $464.71 |
| Delaware | $648.79 | $464.32 |
| Detroit, MI | $678.59 | $498.41 |
| East St. Louis, IL | $677.98 | $506.21 |
| El Centro, CA | $674.60 | $469.97 |
| Fort Lauderdale, FL | $703.04 | $513.90 |
| Fort Worth, TX | $647.52 | $463.42 |
| Fresno, CA | $674.35 | $469.72 |
| Galveston, TX | $647.79 | $462.39 |
| Hanford, CA | $674.35 | $469.72 |
| Hawaii, Guam, HI | $688.31 | $476.02 |
| Houston, TX | $675.43 | $490.03 |
| Idaho | $600.26 | $428.49 |
| Indiana | $603.59 | $430.50 |
| Iowa | $594.52 | $423.68 |
| Kansas | $595.73 | $426.94 |
| Kentucky | $610.74 | $444.75 |
| King County, WA | $745.90 | $516.81 |
| Los Angeles, CA | $719.38 | $498.50 |
| Madera, CA | $674.35 | $469.72 |
| Manhattan, NY | $763.07 | $546.12 |
| Marin County, CA | $807.75 | $544.48 |
| Merced, CA | $674.35 | $469.72 |
| Metropolitan Boston, MA | $734.97 | $512.04 |
| Metropolitan Kansas City, MO | $632.92 | $457.60 |
| Metropolitan Philadelphia, PA | $686.75 | $492.39 |
| Metropolitan St. Louis, MO | $639.14 | $461.39 |
| Miami, FL | $750.07 | $555.70 |
| Minnesota | $632.88 | $440.75 |
| Mississippi | $591.19 | $430.43 |
| Modesto, CA | $674.35 | $469.72 |
| Montana | $657.23 | $470.52 |
| Napa, CA | $767.93 | $521.85 |
| Nebraska | $596.61 | $424.28 |
| Nevada | $649.29 | $462.39 |
| New Hampshire | $666.65 | $472.28 |
| New Mexico | $635.84 | $464.62 |
| New Orleans, LA | $641.70 | $466.01 |
| North Carolina | $613.59 | $439.39 |
| North Dakota | $627.37 | $440.66 |
| Northern New Jersey | $735.96 | $519.38 |
| NYC suburbs and Long Island, NY | $787.03 | $565.03 |
| Ohio | $624.58 | $454.11 |
| Oklahoma | $605.30 | $438.57 |
| Oxnard, CA | $714.00 | $493.31 |
| Portland, OR | $690.33 | $482.90 |
| Poughkeepsie and northern NYC suburbs, NY | $714.29 | $509.84 |
| Puerto Rico | $660.77 | $472.00 |
| Queens, NY | $763.43 | $542.74 |
| Redding, CA | $674.35 | $469.72 |
| Rest of California | $674.35 | $469.72 |
| Rest of Florida | $665.93 | $487.43 |
| Rest of Georgia | $625.85 | $459.31 |
| Rest of Illinois | $652.57 | $482.10 |
| Rest of Louisiana | $611.38 | $446.15 |
| Rest of Maine | $607.78 | $436.00 |
| Rest of Maryland | $660.03 | $471.07 |
| Rest of Massachusetts | $670.90 | $474.30 |
| Rest of Michigan | $630.68 | $460.21 |
| Rest of Missouri | $603.43 | $442.48 |
| Rest of New Jersey | $706.32 | $502.43 |
| Rest of New York | $623.30 | $445.92 |
| Rest of Oregon | $640.83 | $454.86 |
| Rest of Pennsylvania | $623.31 | $451.90 |
| Rest of Texas | $633.00 | $455.81 |
| Rest of Washington | $668.41 | $471.80 |
| Rhode Island | $668.75 | $475.88 |
| Riverside, CA | $690.57 | $485.93 |
| Sacramento, CA | $704.18 | $487.03 |
| Salinas, CA | $701.52 | $485.12 |
| San Benito County, CA | $827.21 | $557.98 |
| San Diego, CA | $715.70 | $492.39 |
| San Francisco, CA | $806.03 | $542.77 |
| San Luis Obispo, CA | $690.74 | $478.08 |
| Santa Clara County, CA | $820.20 | $550.96 |
| Santa Cruz, CA | $720.61 | $493.75 |
| Santa Maria, CA | $703.51 | $485.81 |
| Santa Rosa, CA | $727.59 | $498.31 |
| South Carolina | $620.80 | $448.28 |
| South Dakota | $623.84 | $437.13 |
| Southern Maine, ME | $635.29 | $450.26 |
| Stockton, CA | $674.35 | $469.72 |
| Suburban Chicago, IL | $708.14 | $516.38 |
| Tennessee | $599.30 | $429.58 |
| Utah | $629.32 | $453.81 |
| Vallejo, CA | $765.46 | $519.37 |
| Vermont | $628.60 | $443.76 |
| Virgin Islands, VI | $660.77 | $472.00 |
| Virginia | $636.02 | $452.49 |
| Visalia, CA | $674.35 | $469.72 |
| Washington, DC area | $743.06 | $523.11 |
| West Virginia | $629.14 | $466.89 |
| Wisconsin | $606.42 | $427.55 |
| Wyoming | $644.22 | $457.51 |
| Yuba City, CA | $674.35 | $469.72 |
20922 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.
$579.13
$772.35
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $772.35 | 1 |
| AL | $587.80 | 1 |
| AR | $579.13 | 1 |
| AZ | $638.25 | 1 |
| CA | $674.35–$827.21 | 29 |
| CO | $673.38 | 1 |
| CT | $701.78 | 1 |
| DC | $743.06 | 1 |
| DE | $648.79 | 1 |
| FL | $665.93–$750.07 | 3 |
| GA | $625.85–$674.24 | 2 |
| GU | $688.31 | 1 |
| HI | $688.31 | 1 |
| IA | $594.52 | 1 |
| ID | $600.26 | 1 |
| IL | $652.57–$726.13 | 4 |
| IN | $603.59 | 1 |
| KS | $595.73 | 1 |
| KY | $610.74 | 1 |
| LA | $611.38–$641.70 | 2 |
| MA | $670.90–$734.97 | 2 |
| MD | $660.03–$743.06 | 3 |
| ME | $607.78–$635.29 | 2 |
| MI | $630.68–$678.59 | 2 |
| MN | $632.88 | 1 |
| MO | $603.43–$639.14 | 3 |
| MS | $591.19 | 1 |
| MT | $657.23 | 1 |
| NC | $613.59 | 1 |
| ND | $627.37 | 1 |
| NE | $596.61 | 1 |
| NH | $666.65 | 1 |
| NJ | $706.32–$735.96 | 2 |
| NM | $635.84 | 1 |
| NV | $649.29 | 1 |
| NY | $623.30–$787.03 | 5 |
| OH | $624.58 | 1 |
| OK | $605.30 | 1 |
| OR | $640.83–$690.33 | 2 |
| PA | $623.31–$686.75 | 2 |
| PR | $660.77 | 1 |
| RI | $668.75 | 1 |
| SC | $620.80 | 1 |
| SD | $623.84 | 1 |
| TN | $599.30 | 1 |
| TX | $619.45–$675.43 | 8 |
| UT | $629.32 | 1 |
| VA | $636.02–$743.06 | 2 |
| VI | $660.77 | 1 |
| VT | $628.60 | 1 |
| WA | $668.41–$745.90 | 2 |
| WI | $606.42 | 1 |
| WV | $629.14 | 1 |
| WY | $644.22 | 1 |
How the 20922 rate is calculated
Each of 20922’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 · 20922
RVUs × geographic indexes × conversion factor
Work6.76
6.76 RVUs× 1.000 GPCI
Practice expense11.41
11.41 RVUs× 1.000 GPCI
Malpractice1.51
1.51 RVUs× 1.000 GPCI
Adjusted RVUs
19.6800
Conversion factor
$33.4009
Medicare rate
$657.33
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 20922
20922 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 20922
Fascia harvest, incision and direct exposure
| 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) | 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. |
| 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 · 20922
Fascia harvest, incision and direct exposure
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
20922 without 51 · national office
$657.33
Fascia harvest, incision and direct exposure
20922-51 · Second procedure: 50%
$328.67
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%).
20922 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 20920Fascia graftFascia lata harvest
- Choose 20922 when fascia is procured through an incision with direct exposure; 20920 describes procurement by stripping.
- 20924Tendon graft harvestSeparate donor site
- Use 20924 for tendon graft procurement, such as harvesting a tendon from a separate site. Use 20922 when the harvested graft tissue is fascia.
- 20900Bone graft harvestMinor or small graft
- Code 20900 describes bone graft procurement. Code 20922 is for fascia graft procurement through incision and exposure.
20922 billing questions
How is this different from 20920?
This code describes fascia harvest through incision and direct exposure. Code 20920 describes fascia obtained by stripping.
Can the fascia harvest be reported with the reconstruction that uses the graft?
The harvest represents procurement at the donor site, while the reconstruction represents work at the recipient site. Document both services and follow the reporting rules for the recipient procedure.
What documentation supports reporting this code?
Document the fascia donor site, the tissue harvested, and the incision and exposure used. The operative record should distinguish procurement from the work performed at the graft recipient site.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; Medicare does not permit team-surgery payment for this code.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and other procedures at 50% when multiple procedures are performed in the same session.
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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