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CPT code 20930: Spinal graft material, morselized allograft2026 Medicare rate & RVUs

Reports morselized donor bone or osteopromotive material used during spinal surgery as an add-on to an eligible primary procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 20930

Spinal graft material, morselized allograft

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 20930 →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 20930 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 20930 covers

This add-on represents morselized bone from a donor or the placement of osteopromotive material during spine surgery, commonly to support spinal fusion. The surgeon or other practitioner performing the spinal procedure reports it with the primary procedure when the graft material is used. It is distinct from graft taken from the patient, such as local bone or bone harvested from another site.

Medicare assigns this CPT code physician fee schedule status B: it is never paid separately, and its payment is included in payment for other services. Report it with an eligible primary spinal procedure, not by itself. Documentation should identify the material used and its role in the spinal procedure.

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 20930 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

20930 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

20930 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.

View every state and territory as a table
20930 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 20930 rate is calculated

Each of 20930’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 · 20930

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 20930

20930 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 20930

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

20930 isn’t priced in this setting.

20930 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 20930

    Spinal graft material, morselized allograft0 wRVU

    Not priced

  • 20931

    Spinal bone graft, structural allograft1.76 wRVU

    Not priced

  • 20936

    Spinal autograft, local, same incision0 wRVU

    Not priced

  • 20937

    Spinal bone graft, morselized, separate incision2.72 wRVU

    Not priced

  • 20938

    Spinal bone graft, structural autograft, separate incision2.94 wRVU

    Not priced

How to choose

20931Spinal bone graftStructural allograft
Choose 20930 for morselized allograft or osteopromotive material. 20931 describes a structural allograft.
20936Spinal autograftLocal, same incision
20936 describes local bone from the patient used for spinal grafting; 20930 covers donor bone or osteopromotive material.
20937Spinal bone graftMorselized, separate incision
20937 is for morselized bone harvested from the patient. 20930 is for morselized donor bone or osteopromotive material.
20938Spinal bone graftStructural autograft, separate incision
20938 describes structural bone harvested from the patient; 20930 describes morselized donor bone or osteopromotive material.

Codes related to 20930

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

Codes related to 20930
CodeHow it relatesNational office range
Same family
20931Spinal bone graft, structural allograftSpinal allograft add-on for structural graft material.No office rate
20936Spinal autograft, local, same incisionSpinal add-on for local bone harvested from the patient.No office rate
20937Spinal bone graft, morselized, separate incisionSpinal add-on for morselized bone harvested from the patient.No office rate
20938Spinal bone graft, structural autograft, separate incisionSpinal add-on for structural bone harvested from the patient.No office rate
Primary code
22612Spinal fusion, posterior lumbar, single levelLumbar posterolateral fusion procedure that may be the primary spinal service.No office rate
22630Lumbar fusion, single lumbar interspaceLumbar interbody fusion procedure that may be the primary spinal service.No office rate
22551ACDF, one cervical interspace with decompressionAnterior cervical fusion procedure that may be the primary spinal service.No office rate

20930 billing questions

Can 20930 be reported by itself?

No. It is an add-on for spinal surgery and is reported with an eligible primary procedure.

Does 20930 describe the patient's own bone?

No. It covers morselized donor bone or placement of osteopromotive material. Patient-derived graft is described by other spinal graft codes.

How does 20930 differ from 20937?

20930 covers morselized allograft or osteopromotive material; 20937 describes morselized bone taken from the patient for grafting.

How does 20930 differ from 20931?

20930 is for morselized material or osteopromotive material. 20931 describes structural allograft used in spine surgery.

Does Medicare pay 20930 separately or allow a modifier to make it separately payable?

No. Medicare assigns status B, meaning payment is bundled into other services and the code is never paid separately.

What should the operative documentation identify?

Document the graft material used and its role in the spinal procedure, along with the primary procedure.

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

Open CMS sourceHow we calculate rates

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