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

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 Virginia, Medicare pays $636.02 for 20922 in the office and $452.49 when it’s performed in a hospital or facility.

$636.02Office (non-facility)
$452.49Hospital or facility
−3.2%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 Virginia
  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 Virginia 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. Virginia pays $636.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

20922 in Virginia vs other payment areas
  1. Virginia · this page$636.02
  2. Los Angeles, CA · California$719.38+$83.36
  3. Washington, DC area · District of Columbia$743.06+$107.04
  4. Miami, FL · Florida$750.07+$114.05
  5. Chicago, IL · Illinois$726.13+$90.11
  6. Manhattan, NY · New York$763.07+$127.05
  7. Alaska · Alaska$772.35+$136.33

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

Every other payment area

20922 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$587.80$424.43
ArkansasArkansas$579.13$418.75
ArizonaArizona$638.25$457.33
Bakersfield, CACalifornia$678.49$473.85
Chico, CACalifornia$674.35$469.72
El Centro, CACalifornia$674.60$469.97
Fresno, CACalifornia$674.35$469.72
Hanford, CACalifornia$674.35$469.72

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 20922 in Virginia
ComponentRVULocality factorAdjusted
Physician work6.76× 1.0006.7600
Practice expense11.41× 0.98311.2160
Malpractice1.51× 0.7061.0661
Total RVUs19.0421
Conversion factor× 33.4009

Office rate, Virginia$636.02

Office: (6.76 × 1 + 11.41 × 0.983 + 1.51 × 0.706) × $33.4009 = $636.02

Facility: (6.76 × 1 + 5.82 × 0.983 + 1.51 × 0.706) × $33.4009 = $452.49

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, Virginia
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.$388.59

How 20922 has changed in Virginia

20922 · Office / nonfacility

$636.02

Effective 2026-10-01

The base rate is $50.96 higher than on 2025-10-01, moving from $585.06 to $636.02 (8.7%).

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

    $585.06changed to$636.02

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $602.41changed to$585.06

    • 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

    $592.58changed to$602.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $607.00changed to$592.58

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $612.91changed to$607.00

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $612.50changed to$612.91

    • 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

    $608.02changed to$612.50

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $604.16changed to$608.02

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $599.98changed to$604.16

    • 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

    $594.17changed to$599.98

    • 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
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $608.10changed to$594.17

    • 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
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $606.41changed to$608.10

    • 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

    $603.39changed to$606.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $608.04changed to$603.39

    • 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
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $605.34changed to$608.04

    • 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
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $605.34

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$636.02$452.49RVU26D
2026-07-01$636.02$452.49RVU26C
2026-04-01$636.02$452.49RVU26B
2026-01-01$636.02$452.49RVU26A
2025-10-01$585.06$476.84RVU25D
2025-07-01$585.06$476.84RVU25C
2025-04-01$585.06$476.84RVU25B
2025-01-01$585.06$476.84RVU25A
2024-10-01$602.41$487.11RVU24D
2024-07-01$602.41$487.11RVU24C
2024-04-01$602.41$487.11RVU24B
2024-03-09$602.41$487.11RVU24AR
2024-01-01$592.58$479.16RVU24A
2023-10-01$607.00$490.25RVU23D
2023-07-01$607.00$490.25RVU23C
2023-04-01$607.00$490.25RVU23B
2023-01-01$607.00$490.25RVU23A
2022-10-01$612.91$493.77RVU22D
2022-07-01$612.91$493.77RVU22C
2022-04-01$612.91$493.77RVU22B
2022-01-01$612.91$493.77RVU22A
2021-10-01$612.50$492.37RVU21D
2021-07-01$612.50$492.37RVU21C
2021-04-01$612.50$492.37RVU21B
2021-01-01$612.50$492.37RVU21A
2020-10-01$608.02$497.86RVU20D
2020-07-01$608.02$497.86RVU20C
2020-04-01$608.02$497.86RVU20B
2020-01-01$608.02$497.86RVU20A
2019-10-01$604.16$498.62RVU19D
2019-07-01$604.16$498.62RVU19C
2019-04-01$604.16$498.62RVU19B
2019-01-01$604.16$498.62RVU19A
2018-10-01$599.98$498.46RVU18D
2018-07-01$599.98$498.46RVU18C
2018-04-01$599.98$498.46RVU18B
2018-01-01$599.98$498.46RVU18AR1
2017-10-01$594.17$494.48RVU17D
2017-07-01$594.17$494.48RVU17C
2017-04-01$594.17$494.48RVU17B
2017-01-01$594.17$494.48RVU17A
2016-10-01$608.10$502.87RVU16D
2016-07-01$608.10$502.87RVU16C
2016-04-01$608.10$502.87RVU16B
2016-01-01$608.10$502.87RVU16A
2015-10-01$606.41$501.50RVU15D
2015-07-01$606.41$501.50RVU15C
2015-04-01$603.39$499.01RVU15B
2015-01-01$603.39$499.01RVU15A
2014-10-01$608.04$497.46RVU14D
2014-07-01$608.04$497.46RVU14C
2014-04-01$608.04$497.46RVU14B
2014-01-01$608.04$497.46RVU14A
2013-10-01$605.34$489.33RVU13D
2013-07-01$605.34$489.33RVU13C
2013-04-01$605.34$489.33RVU13B
2013-01-01$605.34$489.33RVU13AR

Price 20922 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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