CPT code 20955: Bone graft, fibula, microvascular2026 Medicare rate & RVUs in New Mexico
Reports transfer of vascularized fibular bone using microvascular anastomosis, commonly to reconstruct a major mandibular or skeletal defect.
In New Mexico, Medicare pays $2,257.74 for 20955 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 20955 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 20955 covers
This service transfers vascularized bone from the fibula to repair a substantial bone defect. The surgeon harvests the fibular graft and uses microsurgical techniques to connect its blood supply at the recipient site. It is commonly performed by reconstructive, oral and maxillofacial, or orthopedic surgeons, including during reconstruction after head and neck tumor removal, major trauma, or bone loss. A fibular graft can provide a long segment of living bone for reconstruction, such as for a mandibular defect.
Report this code when the donor bone is fibula and the graft is transferred with microvascular anastomosis; the operative note should identify the donor bone and document the vascularized transfer. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Team surgery is not permitted, and modifier 50 is inappropriate 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 New Mexico compares for 20955
Across 109 of 109 payment localities, the facility rate for 20955 runs from $2,049.12 in Arkansas to $2,860.29 in Alaska. New Mexico pays $2,257.74. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$2,257.74
- Los Angeles, CA · California$2,370.24+$112.50
- Washington, DC area · District of Columbia$2,493.20+$235.46
- Miami, FL · Florida$2,669.97+$412.23
- Chicago, IL · Illinois$2,596.42+$338.68
- Manhattan, NY · New York$2,610.23+$352.49
- Alaska · Alaska$2,860.29+$602.55
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,072.96 |
| ArkansasArkansas | — | $2,049.12 |
| ArizonaArizona | — | $2,210.70 |
| Bakersfield, CACalifornia | — | $2,265.95 |
| Chico, CACalifornia | — | $2,245.53 |
| El Centro, CACalifornia | — | $2,246.75 |
| Fresno, CACalifornia | — | $2,245.53 |
| Hanford, CACalifornia | — | $2,245.53 |
| Madera, CACalifornia | — | $2,245.53 |
| Merced, CACalifornia | — | $2,245.53 |
| Modesto, CACalifornia | — | $2,245.53 |
| Napa, CACalifornia | — | $2,457.32 |
| Oxnard, CACalifornia | — | $2,342.49 |
| Redding, CACalifornia | — | $2,245.53 |
| Rest of CaliforniaCalifornia | — | $2,245.53 |
| Riverside, CACalifornia | — | $2,324.13 |
| Sacramento, CACalifornia | — | $2,318.22 |
| Salinas, CACalifornia | — | $2,308.81 |
| San Diego, CACalifornia | — | $2,335.35 |
| Marin County, CACalifornia | — | $2,552.93 |
| San Francisco, CACalifornia | — | $2,544.64 |
| San Benito County, CACalifornia | — | $2,614.19 |
| Santa Clara County, CACalifornia | — | $2,580.30 |
| San Luis Obispo, CACalifornia | — | $2,276.19 |
| Santa Cruz, CACalifornia | — | $2,335.63 |
| Santa Maria, CACalifornia | — | $2,309.87 |
| Santa Rosa, CACalifornia | — | $2,356.70 |
| Stockton, CACalifornia | — | $2,245.53 |
| Vallejo, CACalifornia | — | $2,445.37 |
| Visalia, CACalifornia | — | $2,245.53 |
| Yuba City, CACalifornia | — | $2,245.53 |
| ColoradoColorado | — | $2,275.89 |
| ConnecticutConnecticut | — | $2,400.25 |
| DelawareDelaware | — | $2,241.29 |
| Fort Lauderdale, FLFlorida | — | $2,474.20 |
| Rest of FloridaFlorida | — | $2,359.19 |
| Atlanta, GAGeorgia | — | $2,332.27 |
| Rest of GeorgiaGeorgia | — | $2,237.72 |
| Hawaii, Guam, HIHawaii | — | $2,262.97 |
| IowaIowa | — | $2,060.28 |
| IdahoIdaho | — | $2,082.38 |
| East St. Louis, ILIllinois | — | $2,458.11 |
| Rest of IllinoisIllinois | — | $2,343.15 |
| Suburban Chicago, ILIllinois | — | $2,484.59 |
| IndianaIndiana | — | $2,090.54 |
| KansasKansas | — | $2,078.52 |
| KentuckyKentucky | — | $2,168.04 |
| New Orleans, LALouisiana | — | $2,259.01 |
| Rest of LouisianaLouisiana | — | $2,175.67 |
| Metropolitan Boston, MAMassachusetts | — | $2,433.19 |
| Rest of MassachusettsMassachusetts | — | $2,277.19 |
| Baltimore area, MDMaryland | — | $2,398.74 |
| Rest of MarylandMaryland | — | $2,269.59 |
| Rest of MaineMaine | — | $2,118.71 |
| Southern Maine, MEMaine | — | $2,171.53 |
| Detroit, MIMichigan | — | $2,410.23 |
| Rest of MichiganMichigan | — | $2,237.33 |
| MinnesotaMinnesota | — | $2,116.95 |
| Metropolitan Kansas City, MOMissouri | — | $2,218.81 |
| Metropolitan St. Louis, MOMissouri | — | $2,234.18 |
| Rest of MissouriMissouri | — | $2,163.17 |
| MississippiMississippi | — | $2,105.16 |
| MontanaMontana | — | $2,267.43 |
| North CarolinaNorth Carolina | — | $2,132.12 |
| North DakotaNorth Dakota | — | $2,123.09 |
| NebraskaNebraska | — | $2,061.35 |
| New HampshireNew Hampshire | — | $2,266.68 |
| Northern New JerseyNew Jersey | — | $2,481.19 |
| Rest of New JerseyNew Jersey | — | $2,409.62 |
| NevadaNevada | — | $2,227.92 |
| NYC suburbs and Long Island, NYNew York | — | $2,695.56 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,445.86 |
| Queens, NYNew York | — | $2,589.38 |
| Rest of New YorkNew York | — | $2,159.85 |
| OhioOhio | — | $2,207.83 |
| OklahomaOklahoma | — | $2,137.25 |
| Portland, OROregon | — | $2,305.63 |
| Rest of OregonOregon | — | $2,192.65 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,367.81 |
| Rest of PennsylvaniaPennsylvania | — | $2,196.04 |
| Puerto RicoPuerto Rico | — | $2,272.11 |
| Rhode IslandRhode Island | — | $2,290.03 |
| South CarolinaSouth Carolina | — | $2,177.15 |
| South DakotaSouth Dakota | — | $2,106.02 |
| TennesseeTennessee | — | $2,090.14 |
| Austin, TXTexas | — | $2,284.11 |
| Beaumont, TXTexas | — | $2,186.43 |
| Brazoria, TXTexas | — | $2,218.35 |
| Dallas, TXTexas | — | $2,242.24 |
| Fort Worth, TXTexas | — | $2,238.28 |
| Galveston, TXTexas | — | $2,231.48 |
| Houston, TXTexas | — | $2,365.10 |
| Rest of TexasTexas | — | $2,207.90 |
| UtahUtah | — | $2,200.26 |
| VirginiaVirginia | — | $2,184.11 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,272.11 |
| VermontVermont | — | $2,140.34 |
| Rest of WashingtonWashington | — | $2,264.48 |
| King County, WAWashington | — | $2,450.73 |
| WisconsinWisconsin | — | $2,069.24 |
| West VirginiaWest Virginia | — | $2,279.59 |
| WyomingWyoming | — | $2,204.53 |
20955 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 20955 rate is calculated
Each of 20955’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 · 20955
RVUs × geographic indexes × conversion factor
Work39.25
39.25 RVUs× 1.000 GPCI
Practice expense21.35
21.35 RVUs× 1.000 GPCI
Malpractice7.30
7.30 RVUs× 1.000 GPCI
Adjusted RVUs
67.9000
Conversion factor
$33.4009
Medicare rate
$2,267.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,821
- Code
- 20955
- Physician work
- 39.25
- Practice expense
- 21.35
- Malpractice
- 7.30
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 39.25 | × 1.000 | 39.2500 |
| Practice expense | 21.35 | × 0.917 | 19.5780 |
| Malpractice | 7.30 | × 1.201 | 8.7673 |
| Total RVUs | 67.5953 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$2257.74
Facility: (39.25 × 1 + 21.35 × 0.917 + 7.3 × 1.201) × $33.4009 = $2257.74
Payment rules and modifiers for 20955
20955 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 20955
Bone graft, fibula, microvascular
| 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 · 20955
Bone graft, fibula, microvascular
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
20955 without 51 · national facility
$2,267.92
Bone graft, fibula, microvascular
20955-51 · Second procedure: 50%
$1,133.96
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%).
How 20955 has changed in New Mexico
20955 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $2,257.74 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,257.74 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,257.74 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,257.74 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,326.85 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,326.85 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,326.85 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,326.85 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,385.79 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,385.79 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,385.79 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,385.79 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,346.85 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,431.90 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,431.90 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,431.90 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,431.90 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,459.87 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,459.87 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,459.87 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,459.87 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,458.78 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,458.78 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,458.78 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,458.78 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,524.71 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,524.71 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,524.71 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,524.71 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,570.64 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,570.64 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,570.64 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,570.64 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,557.04 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,557.04 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,557.04 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,557.04 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,566.22 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,566.22 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,566.22 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,566.22 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,556.28 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,556.28 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,556.28 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,556.28 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,575.67 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,575.67 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,562.85 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,562.85 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,531.35 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,531.35 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,531.35 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,531.35 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,455.24 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,455.24 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,455.24 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,455.24 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
20955 billing questions
How is this code different from 20956?
Both describe microvascular transfer of bone, but 20955 identifies fibula as the donor bone and 20956 identifies iliac bone.
When should 20955 be selected instead of 20962?
Use 20955 for a fibular graft. Code 20962 is for a microvascular bone graft from another source covered by that code.
What operative details support reporting 20955?
Document the fibula as the donor site and the microvascular transfer, including the vascular anastomosis. The record should also describe the defect being reconstructed.
Can modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the global period affect postoperative billing?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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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