CPT code 20956: Bone graft, iliac, microvascular2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $2,282.53 for 20956 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 20956 nationwide

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

What 20956 covers

The surgeon harvests bone from the iliac crest with its blood supply and connects the graft’s vessels to recipient vessels using microsurgical technique. This vascularized bone transfer can rebuild a defect where living bone is needed, such as mandibular reconstruction after tumor removal or reconstruction of a major bone defect. Plastic, oral and maxillofacial, or orthopedic surgeons may perform the procedure in an operating room, often as part of a larger reconstruction.

Select this code when the graft is iliac bone and the procedure includes microvascular anastomosis; the donor bone site and vascular technique distinguish it from other graft codes. The operative report should identify the iliac donor site, graft transfer, vascular anastomosis, and reconstructive purpose. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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 Utah compares for 20956

Across 109 of 109 payment localities, the facility rate for 20956 runs from $2,113.82 in Arkansas to $2,944.59 in Alaska. Utah pays $2,282.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

20956 rates by state

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

See 20956 in every payment locality

How the 20956 rate is calculated

Each of 20956’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.

Payment rules and modifiers for 20956

20956 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 20956

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

How 20956 has changed in Utah

Price 20956 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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