No office rate
Choose 20822 for replantation of a digit; 20808 is for replantation at the hand level. Follow the operative record's anatomical level.
On this page
CMS RVU26D · Effective 2026-10-01
20822 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1584.22
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.
Hand surgery
About 20822: Complete digit replantation surgery
Replantation of a completely amputated digit is reported for microsurgical restoration after traumatic separation.
This code describes operative reattachment of a digit that has been completely separated from the hand. The procedure is typically performed urgently in a hospital operating room by a hand, orthopedic, or plastic surgeon. Replantation may require restoring circulation through microsurgical vessel repair and addressing bone, tendon, nerve, and soft-tissue injuries as part of the operative work.
Select the code when the operative record supports complete amputation and replantation of a digit; distinguish this from replantation of a larger body part, such as the hand. Document the injury, digit involved, completeness of separation, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 20822
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU25.99 · 54%
- Practice expense (office) RVU16.45 · 34%
- Malpractice RVU5.54 · 12%
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.
20822 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
20805 describes complete replantation at the forearm level. It is not the digit-level code.
No office rate
20802 describes complete replantation at the arm level. Use 20822 when the replantation is at the digit level.
The same code, a different location
How does Chico compare?
20822 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 20822
Office
Unavailable
Facility
$1584.22
No comparable office rate is available.
Modesto
California · 20822
Office
Unavailable
Facility
$1584.22
No comparable office rate is available.
Napa
California · 20822
Office
Unavailable
Facility
$1740.95
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 20822
Office
Unavailable
Facility
$1657.12
No comparable office rate is available.
Redding
California · 20822
Office
Unavailable
Facility
$1584.22
No comparable office rate is available.
Rest Of California
California · 20822
Office
Unavailable
Facility
$1584.22
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 20822
Office
Unavailable
Facility
$1643.75
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 20822
Office
Unavailable
Facility
$1637.53
No comparable office rate is available.
Salinas
California · 20822
Office
Unavailable
Facility
$1630.99
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 20822
Office
Unavailable
Facility
$1651.56
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 20822
Office
Unavailable
Facility
$1810.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 20822
Office
Unavailable
Facility
$1803.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 20822
Office
Unavailable
Facility
$1855.06
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 20822
Office
Unavailable
Facility
$1829.34
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 20822
Office
Unavailable
Facility
$1607.85
No comparable office rate is available.
Santa Cruz-Watsonville
California · 20822
Office
Unavailable
Facility
$1653.08
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 20822
Office
Unavailable
Facility
$1632.23
No comparable office rate is available.
Santa Rosa-Petaluma
California · 20822
Office
Unavailable
Facility
$1668.03
No comparable office rate is available.
Stockton
California · 20822
Office
Unavailable
Facility
$1584.22
No comparable office rate is available.
Vallejo
California · 20822
Office
Unavailable
Facility
$1731.88
No comparable office rate is available.
Visalia
California · 20822
Office
Unavailable
Facility
$1584.22
No comparable office rate is available.
Yuba City
California · 20822
Office
Unavailable
Facility
$1584.22
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 20822
Office
Unavailable
Facility
$1768.16
No comparable office rate is available.
Miami
Florida · 20822
Office
Unavailable
Facility
$1908.03
No comparable office rate is available.
Chicago
Illinois · 20822
Office
Unavailable
Facility
$1851.03
No comparable office rate is available.
Manhattan
New York · 20822
Office
Unavailable
Facility
$1855.58
No comparable office rate is available.
Alaska*
Alaska · 20822
Office
Unavailable
Facility
$1989.25
No comparable office rate is available.
Alabama
Alabama · 20822
Office
Unavailable
Facility
$1453.59
No comparable office rate is available.
Arkansas
Arkansas · 20822
Office
Unavailable
Facility
$1435.36
No comparable office rate is available.
Arizona
Arizona · 20822
Office
Unavailable
Facility
$1558.90
No comparable office rate is available.
Colorado
Colorado · 20822
Office
Unavailable
Facility
$1607.63
No comparable office rate is available.
Connecticut
Connecticut · 20822
Office
Unavailable
Facility
$1701.10
No comparable office rate is available.
Delaware
Delaware · 20822
Office
Unavailable
Facility
$1581.63
No comparable office rate is available.
Fort Lauderdale
Florida · 20822
Office
Unavailable
Facility
$1759.23
No comparable office rate is available.
Rest Of Florida
Florida · 20822
Office
Unavailable
Facility
$1671.48
No comparable office rate is available.
Atlanta
Georgia · 20822
Office
Unavailable
Facility
$1651.16
No comparable office rate is available.
Rest Of Georgia
Georgia · 20822
Office
Unavailable
Facility
$1578.76
No comparable office rate is available.
Hawaii, Guam
Hawaii · 20822
Office
Unavailable
Facility
$1599.95
No comparable office rate is available.
Iowa
Iowa · 20822
Office
Unavailable
Facility
$1444.29
No comparable office rate is available.
Idaho
Idaho · 20822
Office
Unavailable
Facility
$1461.10
No comparable office rate is available.
East St. Louis
Illinois · 20822
Office
Unavailable
Facility
$1746.25
No comparable office rate is available.
Rest Of Illinois
Illinois · 20822
Office
Unavailable
Facility
$1658.95
No comparable office rate is available.
Suburban Chicago
Illinois · 20822
Office
Unavailable
Facility
$1766.34
No comparable office rate is available.
Indiana
Indiana · 20822
Office
Unavailable
Facility
$1467.35
No comparable office rate is available.
Kansas
Kansas · 20822
Office
Unavailable
Facility
$1458.05
No comparable office rate is available.
Kentucky
Kentucky · 20822
Office
Unavailable
Facility
$1525.86
No comparable office rate is available.
New Orleans
Louisiana · 20822
Office
Unavailable
Facility
$1595.32
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 20822
Office
Unavailable
Facility
$1531.62
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 20822
Office
Unavailable
Facility
$1724.40
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 20822
Office
Unavailable
Facility
$1608.02
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 20822
Office
Unavailable
Facility
$1700.43
No comparable office rate is available.
Rest Of Maryland
Maryland · 20822
Office
Unavailable
Facility
$1602.68
No comparable office rate is available.
Rest Of Maine
Maine · 20822
Office
Unavailable
Facility
$1488.67
No comparable office rate is available.
Southern Maine
Maine · 20822
Office
Unavailable
Facility
$1529.35
No comparable office rate is available.
Detroit
Michigan · 20822
Office
Unavailable
Facility
$1710.28
No comparable office rate is available.
Rest Of Michigan
Michigan · 20822
Office
Unavailable
Facility
$1578.64
No comparable office rate is available.
Minnesota
Minnesota · 20822
Office
Unavailable
Facility
$1488.24
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 20822
Office
Unavailable
Facility
$1564.80
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 20822
Office
Unavailable
Facility
$1576.57
No comparable office rate is available.
Rest Of Missouri
Missouri · 20822
Office
Unavailable
Facility
$1521.94
No comparable office rate is available.
Mississippi
Mississippi · 20822
Office
Unavailable
Facility
$1477.91
No comparable office rate is available.
Montana**
Montana · 20822
Office
Unavailable
Facility
$1602.21
No comparable office rate is available.
North Carolina
North Carolina · 20822
Office
Unavailable
Facility
$1498.96
No comparable office rate is available.
North Dakota**
North Dakota · 20822
Office
Unavailable
Facility
$1492.66
No comparable office rate is available.
Nebraska
Nebraska · 20822
Office
Unavailable
Facility
$1445.17
No comparable office rate is available.
New Hampshire
New Hampshire · 20822
Office
Unavailable
Facility
$1601.97
No comparable office rate is available.
Northern Nj
New Jersey · 20822
Office
Unavailable
Facility
$1757.76
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 20822
Office
Unavailable
Facility
$1705.80
No comparable office rate is available.
New Mexico
New Mexico · 20822
Office
Unavailable
Facility
$1594.16
No comparable office rate is available.
Nevada**
Nevada · 20822
Office
Unavailable
Facility
$1572.22
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 20822
Office
Unavailable
Facility
$1920.56
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 20822
Office
Unavailable
Facility
$1732.70
No comparable office rate is available.
Queens
New York · 20822
Office
Unavailable
Facility
$1839.92
No comparable office rate is available.
Rest Of New York
New York · 20822
Office
Unavailable
Facility
$1520.15
No comparable office rate is available.
Ohio
Ohio · 20822
Office
Unavailable
Facility
$1556.25
No comparable office rate is available.
Oklahoma
Oklahoma · 20822
Office
Unavailable
Facility
$1502.52
No comparable office rate is available.
Portland
Oregon · 20822
Office
Unavailable
Facility
$1630.08
No comparable office rate is available.
Rest Of Oregon
Oregon · 20822
Office
Unavailable
Facility
$1545.42
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 20822
Office
Unavailable
Facility
$1676.44
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 20822
Office
Unavailable
Facility
$1547.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 20822
Office
Unavailable
Facility
$1605.84
No comparable office rate is available.
Rhode Island
Rhode Island · 20822
Office
Unavailable
Facility
$1617.22
No comparable office rate is available.
South Carolina
South Carolina · 20822
Office
Unavailable
Facility
$1533.06
No comparable office rate is available.
South Dakota**
South Dakota · 20822
Office
Unavailable
Facility
$1479.71
No comparable office rate is available.
Tennessee
Tennessee · 20822
Office
Unavailable
Facility
$1466.90
No comparable office rate is available.
Austin
Texas · 20822
Office
Unavailable
Facility
$1615.08
No comparable office rate is available.
Beaumont
Texas · 20822
Office
Unavailable
Facility
$1539.99
No comparable office rate is available.
Brazoria
Texas · 20822
Office
Unavailable
Facility
$1563.87
No comparable office rate is available.
Dallas
Texas · 20822
Office
Unavailable
Facility
$1581.91
No comparable office rate is available.
Fort Worth
Texas · 20822
Office
Unavailable
Facility
$1578.83
No comparable office rate is available.
Galveston
Texas · 20822
Office
Unavailable
Facility
$1573.85
No comparable office rate is available.
Houston
Texas · 20822
Office
Unavailable
Facility
$1675.25
No comparable office rate is available.
Rest Of Texas
Texas · 20822
Office
Unavailable
Facility
$1556.60
No comparable office rate is available.
Utah
Utah · 20822
Office
Unavailable
Facility
$1550.73
No comparable office rate is available.
Virginia
Virginia · 20822
Office
Unavailable
Facility
$1538.83
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 20822
Office
Unavailable
Facility
$1605.84
No comparable office rate is available.
Vermont
Vermont · 20822
Office
Unavailable
Facility
$1505.67
No comparable office rate is available.
Rest Of Washington
Washington · 20822
Office
Unavailable
Facility
$1598.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 20822
Office
Unavailable
Facility
$1736.84
No comparable office rate is available.
Wisconsin
Wisconsin · 20822
Office
Unavailable
Facility
$1451.45
No comparable office rate is available.
West Virginia
West Virginia · 20822
Office
Unavailable
Facility
$1610.35
No comparable office rate is available.
Wyoming**
Wyoming · 20822
Office
Unavailable
Facility
$1554.46
No comparable office rate is available.
See how rates vary across the country
20822 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 20822 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1742.64
$1584.22 × 110% = $1742.64
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 20822 in Chico.
PPRRVU2026_Oct_nonQPP.csv
1,800
- Code
- 20822
- Physician work
- 25.99
- Practice expense
- 16.45
- Malpractice
- 5.54
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.99 | × 1.017 | 26.4318 |
| Practice expense | 16.45 | × 1.096 | 18.0292 |
| Malpractice | 5.54 | × 0.536 | 2.9694 |
| Total RVUs | 47.4305 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1584.22
Open 20822 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.99 | 1.017 |
| Practice expense | 16.45 | 1.096 |
| Malpractice | 5.54 | 0.536 |
(25.99 × 1.017 + 16.45 × 1.096 + 5.54 × 0.536) × $33.4009 = $1584.22
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
20822 · 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 | $1584.22 | RVU26D |
| 2026-07-01 | Not available in this setting | $1584.22 | RVU26C |
| 2026-04-01 | Not available in this setting | $1584.22 | RVU26B |
| 2026-01-01 | Not available in this setting | $1584.22 | RVU26A |
| 2025-10-01 | Not available in this setting | $1733.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $1733.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $1733.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $1733.98 | RVU25A |
20822 billing questions
How is digit replantation distinguished from hand replantation?
Use this code for replantation of a digit. Code 20808 describes replantation at the hand level, so base selection on the anatomical level of the replantation documented in the operative report.
Does this code include related postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can modifier 50 be used for replantation of digits on both hands?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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 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.
1,79720805,,Replant forearm complete,A,,50.17,25.91,NA,25.91,,10.72,86.80,86.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79820808,,Replantation hand complete,A,,61.51,29.52,NA,29.52,,13.14,104.17,104.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79920816,,Replantation digit complete,A,,31.15,17.18,NA,17.18,,6.63,54.96,54.96,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80020822,,Replantation digit complete,A,,25.99,16.45,NA,16.45,,5.54,47.98,47.98,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80120824,,Replantation thumb complete,A,,31.15,17.34,NA,17.34,,6.63,55.12,55.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80220827,,Replantation thumb complete,A,,26.79,16.71,NA,16.71,,5.71,49.21,49.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80320838,,Replantation foot complete,A,,41.81,23.93,NA,23.93,,8.93,74.67,74.67,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536