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CPT code 20922: Fascia harvest, incision and direct exposure2026 Medicare rate & RVUs in Oxnard, CA

Reports harvesting fascia through an incision and direct exposure when fascia is obtained as graft material for a reconstructive procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality289 Medicare services in 2024

In Oxnard, CA, Medicare pays $714.00 for 20922 in the office and $493.31 when it’s performed in a hospital or facility.

$714.00Office (non-facility)
$493.31Hospital or facility
+8.6%vs the national office rate ($657.33)

Check a contract rate as a % of Medicare · 20922 nationwide

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

We’ll open 20922 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 20922 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Oxnard, CA compares for 20922

Across 109 of 109 payment localities, the office rate for 20922 runs from $579.13 in Arkansas to $827.21 in San Benito County, CA. Oxnard, CA pays $714.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

20922 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$714.00
  2. Bakersfield, CA · California$678.49−$35.51
  3. Chico, CA · California$674.35−$39.65
  4. El Centro, CA · California$674.60−$39.40
  5. Fresno, CA · California$674.35−$39.65
  6. Hanford, CA · California$674.35−$39.65
  7. Los Angeles, CA · California$719.38+$5.38

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

20922 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$674.35$469.72
Merced, CACalifornia$674.35$469.72
Modesto, CACalifornia$674.35$469.72
Napa, CACalifornia$767.93$521.85
Redding, CACalifornia$674.35$469.72
Rest of CaliforniaCalifornia$674.35$469.72
Riverside, CACalifornia$690.57$485.93
Sacramento, CACalifornia$704.18$487.03

20922 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
20922 office rate range by state
State / territoryOffice rate rangeLocalities
AK$772.351
AL$587.801
AR$579.131
AZ$638.251
CA$674.35–$827.2129
CO$673.381
CT$701.781
DC$743.061
DE$648.791
FL$665.93–$750.073
GA$625.85–$674.242
GU$688.311
HI$688.311
IA$594.521
ID$600.261
IL$652.57–$726.134
IN$603.591
KS$595.731
KY$610.741
LA$611.38–$641.702
MA$670.90–$734.972
MD$660.03–$743.063
ME$607.78–$635.292
MI$630.68–$678.592
MN$632.881
MO$603.43–$639.143
MS$591.191
MT$657.231
NC$613.591
ND$627.371
NE$596.611
NH$666.651
NJ$706.32–$735.962
NM$635.841
NV$649.291
NY$623.30–$787.035
OH$624.581
OK$605.301
OR$640.83–$690.332
PA$623.31–$686.752
PR$660.771
RI$668.751
SC$620.801
SD$623.841
TN$599.301
TX$619.45–$675.438
UT$629.321
VA$636.02–$743.062
VI$660.771
VT$628.601
WA$668.41–$745.902
WI$606.421
WV$629.141
WY$644.221

See 20922 in every payment locality

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

Office or facility?

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.

The exact Oxnard, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,809

Code
20922
Physician work
6.76
Practice expense
11.41
Malpractice
1.51

GPCI2026.csv

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Office calculation for 20922 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work6.76× 1.0286.9493
Practice expense11.41× 1.18213.4866
Malpractice1.51× 0.6230.9407
Total RVUs21.3766
Conversion factor× 33.4009

Office rate, Oxnard, CA$714.00

Office: (6.76 × 1.028 + 11.41 × 1.182 + 1.51 × 0.623) × $33.4009 = $714.00

Facility: (6.76 × 1.028 + 5.82 × 1.182 + 1.51 × 0.623) × $33.4009 = $493.31

Open 20922 in the RVU calculator

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

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)2Paid.
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 · 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.

  • 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

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%).

When to use modifier 51

Codes related to 20922

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

Codes related to 20922
CodeHow it relatesOffice range, Oxnard, CA
Same family
20920Fascia graft, fascia lata harvestFascia harvest sibling distinguished by a stripping technique rather than incision and exposure.No office rate
Used instead
20924Tendon graft harvest, separate donor siteReports tendon graft procurement when tendon, rather than fascia, is harvested.No office rate
20900Bone graft harvest, minor or small graftReports bone graft procurement when bone, rather than fascia, is harvested.$446.57

How 20922 has changed in Oxnard, CA

20922 · Office / nonfacility

$714.00

Effective 2026-10-01

The base rate is $63.70 higher than on 2025-10-01, moving from $650.30 to $714.00 (9.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $650.30changed to$714.00

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.93 changed to 6.76
    • Practice expense RVU 10.12 changed to 11.41
    • Malpractice RVU 1.57 changed to 1.51
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.183 changed to 1.182
    • Malpractice GPCI 0.651 changed to 0.623

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $669.61changed to$650.30

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.13 changed to 10.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $658.68changed to$669.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $670.17changed to$658.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.85 changed to 10.13
    • Malpractice RVU 1.49 changed to 1.57
    • Work GPCI 1.027 changed to 1.026
    • Practice expense GPCI 1.181 changed to 1.183
    • Malpractice GPCI 0.689 changed to 0.651

  5. January 1, 2023

    RVU23A

    $672.40changed to$670.17

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.60 changed to 9.85
    • Malpractice RVU 1.37 changed to 1.49
    • Practice expense GPCI 1.179 changed to 1.181
    • Malpractice GPCI 0.726 changed to 0.689

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $671.71changed to$672.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.46 changed to 9.60
    • Malpractice RVU 1.35 changed to 1.37

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $663.46changed to$671.71

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.75 changed to 9.46
    • Malpractice RVU 1.38 changed to 1.35
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.178 changed to 1.179
    • Malpractice GPCI 0.700 changed to 0.726

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $656.73changed to$663.46

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.62 changed to 8.75
    • Malpractice RVU 1.47 changed to 1.38
    • Work GPCI 1.024 changed to 1.026
    • Practice expense GPCI 1.176 changed to 1.178
    • Malpractice GPCI 0.673 changed to 0.700

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $651.96changed to$656.73

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.53 changed to 8.62
    • Malpractice RVU 1.46 changed to 1.47

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $653.71changed to$651.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.48 changed to 8.53
    • Malpractice RVU 1.47 changed to 1.46
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.178 changed to 1.176
    • Malpractice GPCI 0.754 changed to 0.673

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $678.69changed to$653.71

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.87 changed to 8.48
    • Malpractice RVU 1.62 changed to 1.47
    • Work GPCI 1.030 changed to 1.027
    • Practice expense GPCI 1.180 changed to 1.178
    • Malpractice GPCI 0.834 changed to 0.754

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $676.48changed to$678.69

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.76 changed to 8.87

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $673.11changed to$676.48

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $682.26changed to$673.11

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.28 changed to 8.76
    • Malpractice RVU 1.22 changed to 1.62
    • Work GPCI 1.032 changed to 1.030
    • Practice expense GPCI 1.187 changed to 1.180
    • Malpractice GPCI 0.720 changed to 0.834

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $682.53changed to$682.26

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.16 changed to 9.28
    • Malpractice RVU 1.28 changed to 1.22
    • Work GPCI 1.034 changed to 1.032
    • Practice expense GPCI 1.193 changed to 1.187
    • Malpractice GPCI 0.605 changed to 0.720

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$682.53

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$714.00$493.31RVU26D
2026-07-01$714.00$493.31RVU26C
2026-04-01$714.00$493.31RVU26B
2026-01-01$714.00$493.31RVU26A
2025-10-01$650.30$520.20RVU25D
2025-07-01$650.30$520.20RVU25C
2025-04-01$650.30$520.20RVU25B
2025-01-01$650.30$520.20RVU25A
2024-10-01$669.61$531.00RVU24D
2024-07-01$669.61$531.00RVU24C
2024-04-01$669.61$531.00RVU24B
2024-03-09$669.61$531.00RVU24AR
2024-01-01$658.68$522.33RVU24A
2023-10-01$670.17$530.90RVU23D
2023-07-01$670.17$530.90RVU23C
2023-04-01$670.17$530.90RVU23B
2023-01-01$670.17$530.90RVU23A
2022-10-01$672.40$531.23RVU22D
2022-07-01$672.40$531.23RVU22C
2022-04-01$672.40$531.23RVU22B
2022-01-01$672.40$531.23RVU22A
2021-10-01$671.71$529.37RVU21D
2021-07-01$671.71$529.37RVU21C
2021-04-01$671.71$529.37RVU21B
2021-01-01$671.71$529.37RVU21A
2020-10-01$663.46$532.52RVU20D
2020-07-01$663.46$532.52RVU20C
2020-04-01$663.46$532.52RVU20B
2020-01-01$663.46$532.52RVU20A
2019-10-01$656.73$530.86RVU19D
2019-07-01$656.73$530.86RVU19C
2019-04-01$656.73$530.86RVU19B
2019-01-01$656.73$530.86RVU19A
2018-10-01$651.96$530.88RVU18D
2018-07-01$651.96$530.88RVU18C
2018-04-01$651.96$530.88RVU18B
2018-01-01$651.96$530.88RVU18AR1
2017-10-01$653.71$534.49RVU17D
2017-07-01$653.71$534.49RVU17C
2017-04-01$653.71$534.49RVU17B
2017-01-01$653.71$534.49RVU17A
2016-10-01$678.69$552.37RVU16D
2016-07-01$678.69$552.37RVU16C
2016-04-01$678.69$552.37RVU16B
2016-01-01$678.69$552.37RVU16A
2015-10-01$676.48$550.54RVU15D
2015-07-01$676.48$550.54RVU15C
2015-04-01$673.11$547.80RVU15B
2015-01-01$673.11$547.80RVU15A
2014-10-01$682.26$548.32RVU14D
2014-07-01$682.26$548.32RVU14C
2014-04-01$682.26$548.32RVU14B
2014-01-01$682.26$548.32RVU14A
2013-10-01$682.53$540.87RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 20922 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Oxnard
  • Thousand Oaks
  • Bell Canyon
  • Camarillo
  • Casa Conejo
  • Channel Islands Beach
  • El Rio
  • Fillmore

Browse all communities in California

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
RVUs for 20922PPRRVU2026_Oct_nonQPP.csv, line 1,809 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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