0054T
No office rateBone srgry cmptr fluor image
20985 describes image-less navigation using anatomy registered during surgery. 0054T is the image-guided navigation code, associated with preoperative imaging.
On this page
CMS RVU26D · Effective 2026-10-01
20985 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$123.67
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic surgery
About 20985: Image-less musculoskeletal surgical navigation
Reports intraoperative computer navigation without image-based planning during a musculoskeletal operation, commonly to guide alignment in joint replacement surgery.
This add-on describes a surgeon’s use of computer navigation during a musculoskeletal operation without a preloaded CT or MRI image set. The system registers the patient’s anatomy during surgery and tracks instruments to help guide their position or alignment. Orthopedic surgeons commonly use this approach during joint replacement, including total knee arthroplasty, in hospital operating rooms and ambulatory surgical settings.
Report 20985 with the primary operation for which the navigation was used, not by itself. The operative record should identify the musculoskeletal procedure and support that image-less computer navigation was performed, such as intraoperative anatomy registration and instrument tracking. Medicare treats 20985 as an add-on: it is billed with a primary procedure and paid within that procedure’s global period. The navigation service supplements the operative work; the primary code still identifies the surgery performed.
CMS billing rules for 20985
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.44 · 66%
- Practice expense (office) RVU0.77 · 21%
- Malpractice RVU0.50 · 13%
86.8K
Medicare services in 2024 · #604 by national volume
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.
20985 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
27447 reports the total knee replacement itself. Add 20985 only when image-less computer navigation is also used during that operation.
No office rate
27130 reports total hip arthroplasty, not navigation. 20985 is an add-on when image-less navigation is used during the hip procedure.
The same code, a different location
How does Austin compare?
20985 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 20985
Office
Unavailable
Facility
$120.99
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 20985
Office
Unavailable
Facility
$126.35
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 20985
Office
Unavailable
Facility
$134.78
No comparable office rate is available.
Miami
Florida · 20985
Office
Unavailable
Facility
$150.51
No comparable office rate is available.
Chicago
Illinois · 20985
Office
Unavailable
Facility
$146.24
No comparable office rate is available.
Manhattan
New York · 20985
Office
Unavailable
Facility
$143.09
No comparable office rate is available.
Alaska*
Alaska · 20985
Office
Unavailable
Facility
$158.84
No comparable office rate is available.
Alabama
Alabama · 20985
Office
Unavailable
Facility
$113.45
No comparable office rate is available.
Arkansas
Arkansas · 20985
Office
Unavailable
Facility
$112.19
No comparable office rate is available.
Arizona
Arizona · 20985
Office
Unavailable
Facility
$120.72
No comparable office rate is available.
Bakersfield
California · 20985
Office
Unavailable
Facility
$121.40
No comparable office rate is available.
Chico
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
El Centro
California · 20985
Office
Unavailable
Facility
$120.11
No comparable office rate is available.
Fresno
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Hanford-Corcoran
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Madera
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Merced
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Modesto
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Napa
California · 20985
Office
Unavailable
Facility
$129.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 20985
Office
Unavailable
Facility
$124.58
No comparable office rate is available.
Redding
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Rest Of California
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 20985
Office
Unavailable
Facility
$125.40
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 20985
Office
Unavailable
Facility
$123.29
No comparable office rate is available.
Salinas
California · 20985
Office
Unavailable
Facility
$122.78
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 20985
Office
Unavailable
Facility
$123.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 20985
Office
Unavailable
Facility
$133.17
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 20985
Office
Unavailable
Facility
$132.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 20985
Office
Unavailable
Facility
$136.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 20985
Office
Unavailable
Facility
$134.18
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 20985
Office
Unavailable
Facility
$121.13
No comparable office rate is available.
Santa Cruz-Watsonville
California · 20985
Office
Unavailable
Facility
$123.41
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 20985
Office
Unavailable
Facility
$122.72
No comparable office rate is available.
Santa Rosa-Petaluma
California · 20985
Office
Unavailable
Facility
$124.48
No comparable office rate is available.
Stockton
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Vallejo
California · 20985
Office
Unavailable
Facility
$128.20
No comparable office rate is available.
Visalia
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Yuba City
California · 20985
Office
Unavailable
Facility
$120.02
No comparable office rate is available.
Colorado
Colorado · 20985
Office
Unavailable
Facility
$122.88
No comparable office rate is available.
Connecticut
Connecticut · 20985
Office
Unavailable
Facility
$131.03
No comparable office rate is available.
Delaware
Delaware · 20985
Office
Unavailable
Facility
$122.33
No comparable office rate is available.
Fort Lauderdale
Florida · 20985
Office
Unavailable
Facility
$137.75
No comparable office rate is available.
Rest Of Florida
Florida · 20985
Office
Unavailable
Facility
$131.19
No comparable office rate is available.
Atlanta
Georgia · 20985
Office
Unavailable
Facility
$127.93
No comparable office rate is available.
Rest Of Georgia
Georgia · 20985
Office
Unavailable
Facility
$124.35
No comparable office rate is available.
Hawaii, Guam
Hawaii · 20985
Office
Unavailable
Facility
$120.41
No comparable office rate is available.
Iowa
Iowa · 20985
Office
Unavailable
Facility
$111.66
No comparable office rate is available.
Idaho
Idaho · 20985
Office
Unavailable
Facility
$113.06
No comparable office rate is available.
East St. Louis
Illinois · 20985
Office
Unavailable
Facility
$138.79
No comparable office rate is available.
Rest Of Illinois
Illinois · 20985
Office
Unavailable
Facility
$131.08
No comparable office rate is available.
Suburban Chicago
Illinois · 20985
Office
Unavailable
Facility
$138.07
No comparable office rate is available.
Indiana
Indiana · 20985
Office
Unavailable
Facility
$113.46
No comparable office rate is available.
Kansas
Kansas · 20985
Office
Unavailable
Facility
$113.16
No comparable office rate is available.
Kentucky
Kentucky · 20985
Office
Unavailable
Facility
$119.64
No comparable office rate is available.
New Orleans
Louisiana · 20985
Office
Unavailable
Facility
$124.67
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 20985
Office
Unavailable
Facility
$120.26
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 20985
Office
Unavailable
Facility
$130.41
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 20985
Office
Unavailable
Facility
$123.19
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 20985
Office
Unavailable
Facility
$131.06
No comparable office rate is available.
Rest Of Maryland
Maryland · 20985
Office
Unavailable
Facility
$123.67
No comparable office rate is available.
Rest Of Maine
Maine · 20985
Office
Unavailable
Facility
$115.55
No comparable office rate is available.
Southern Maine
Maine · 20985
Office
Unavailable
Facility
$117.52
No comparable office rate is available.
Detroit
Michigan · 20985
Office
Unavailable
Facility
$134.47
No comparable office rate is available.
Rest Of Michigan
Michigan · 20985
Office
Unavailable
Facility
$123.83
No comparable office rate is available.
Minnesota
Minnesota · 20985
Office
Unavailable
Facility
$112.91
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 20985
Office
Unavailable
Facility
$121.96
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 20985
Office
Unavailable
Facility
$122.72
No comparable office rate is available.
Rest Of Missouri
Missouri · 20985
Office
Unavailable
Facility
$119.93
No comparable office rate is available.
Mississippi
Mississippi · 20985
Office
Unavailable
Facility
$115.98
No comparable office rate is available.
Montana**
Montana · 20985
Office
Unavailable
Facility
$123.88
No comparable office rate is available.
North Carolina
North Carolina · 20985
Office
Unavailable
Facility
$116.17
No comparable office rate is available.
North Dakota**
North Dakota · 20985
Office
Unavailable
Facility
$114.00
No comparable office rate is available.
Nebraska
Nebraska · 20985
Office
Unavailable
Facility
$111.55
No comparable office rate is available.
New Hampshire
New Hampshire · 20985
Office
Unavailable
Facility
$122.88
No comparable office rate is available.
Northern Nj
New Jersey · 20985
Office
Unavailable
Facility
$134.30
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 20985
Office
Unavailable
Facility
$131.16
No comparable office rate is available.
New Mexico
New Mexico · 20985
Office
Unavailable
Facility
$125.14
No comparable office rate is available.
Nevada**
Nevada · 20985
Office
Unavailable
Facility
$121.15
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 20985
Office
Unavailable
Facility
$148.31
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 20985
Office
Unavailable
Facility
$133.54
No comparable office rate is available.
Queens
New York · 20985
Office
Unavailable
Facility
$141.20
No comparable office rate is available.
Rest Of New York
New York · 20985
Office
Unavailable
Facility
$117.67
No comparable office rate is available.
Ohio
Ohio · 20985
Office
Unavailable
Facility
$121.81
No comparable office rate is available.
Oklahoma
Oklahoma · 20985
Office
Unavailable
Facility
$117.44
No comparable office rate is available.
Portland
Oregon · 20985
Office
Unavailable
Facility
$123.80
No comparable office rate is available.
Rest Of Oregon
Oregon · 20985
Office
Unavailable
Facility
$118.85
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 20985
Office
Unavailable
Facility
$129.66
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 20985
Office
Unavailable
Facility
$120.89
No comparable office rate is available.
Puerto Rico
Puerto Rico · 20985
Office
Unavailable
Facility
$123.95
No comparable office rate is available.
Rhode Island
Rhode Island · 20985
Office
Unavailable
Facility
$124.51
No comparable office rate is available.
South Carolina
South Carolina · 20985
Office
Unavailable
Facility
$119.46
No comparable office rate is available.
South Dakota**
South Dakota · 20985
Office
Unavailable
Facility
$112.83
No comparable office rate is available.
Tennessee
Tennessee · 20985
Office
Unavailable
Facility
$113.84
No comparable office rate is available.
Utah
Utah · 20985
Office
Unavailable
Facility
$120.67
No comparable office rate is available.
Virginia
Virginia · 20985
Office
Unavailable
Facility
$118.57
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 20985
Office
Unavailable
Facility
$123.95
No comparable office rate is available.
Vermont
Vermont · 20985
Office
Unavailable
Facility
$115.41
No comparable office rate is available.
Rest Of Washington
Washington · 20985
Office
Unavailable
Facility
$122.35
No comparable office rate is available.
Seattle (King Cnty)
Washington · 20985
Office
Unavailable
Facility
$130.77
No comparable office rate is available.
Wisconsin
Wisconsin · 20985
Office
Unavailable
Facility
$111.28
No comparable office rate is available.
West Virginia
West Virginia · 20985
Office
Unavailable
Facility
$127.75
No comparable office rate is available.
Wyoming**
Wyoming · 20985
Office
Unavailable
Facility
$119.58
No comparable office rate is available.
See how rates vary across the country
20985 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 20985 in Austin
Multiple payment areas
- 20985 in Barton Creek
- 20985 in Bee Cave
- 20985 in Briarcliff
- 20985 in Cedar Park
Multiple payment areas
- 20985 in Creedmoor
Multiple payment areas
- 20985 in Elgin
Multiple payment areas
- 20985 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 20985 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$136.04
$123.67 × 110% = $136.04
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 20985 in Austin.
PPRRVU2026_Oct_nonQPP.csv
1,834
- Code
- 20985
- Physician work
- 2.44
- Practice expense
- 0.77
- Malpractice
- 0.50
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.002 | 2.4449 |
| Practice expense | 0.77 | × 1.058 | 0.8147 |
| Malpractice | 0.50 | × 0.886 | 0.4430 |
| Total RVUs | 3.7025 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$123.67
Open 20985 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1.002 |
| Practice expense | 0.77 | 1.058 |
| Malpractice | 0.5 | 0.886 |
(2.44 × 1.002 + 0.77 × 1.058 + 0.5 × 0.886) × $33.4009 = $123.67
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
20985 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $123.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $123.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $123.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $123.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $140.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $140.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $140.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $140.61 | RVU25A |
20985 billing questions
When should 20985 be chosen over image-guided navigation?
Use 20985 for image-less navigation, where the system registers anatomy during surgery rather than relying on a preloaded CT or MRI image set. Code 0054T describes the image-guided navigation approach.
Can 20985 be billed by itself?
No. It is an add-on code and must be reported with the primary musculoskeletal operation for which navigation was used.
What documentation supports 20985?
The operative record should identify the primary surgery and document the use of image-less computer navigation, including relevant registration or instrument-tracking activity.
Is 20985 the code for the joint replacement itself?
No. The primary code reports the replacement, such as 27447 for total knee arthroplasty; 20985 reports the image-less navigation used during that operation.
How does Medicare treat payment for 20985?
Medicare treats it as an add-on billed with a primary procedure, with payment made within that procedure’s global period.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,83120979,,Lw ntsty us stimj bone healg,A,,0.60,0.97,,0.12,,0.07,1.64,0.79,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,83220982,,Ablate bone tumor(s) perq,A,,6.84,96.34,,1.71,,1.08,104.26,9.63,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,83320983,,Ablate bone tumor(s) perq,A,,6.71,139.34,,1.52,,0.83,146.88,9.06,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,83420985,,Cptr-asst dir ms px,A,,2.44,0.77,NA,0.77,,0.50,3.71,3.71,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,83520999,,Unlisted px muscskel general,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
1,83621010,,Incision of jaw joint,A,,10.76,7.82,NA,7.82,,1.56,20.14,20.14,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,83721011,,Exc face les sc <2 cm,A,,2.92,8.38,,4.04,,0.53,11.83,7.49,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858