No office rate
This code is for a composite bone-and-skin graft. Use 20962 for a microvascular bone graft without the skin component.
On this page
CMS RVU26D · Effective 2026-10-01
20969 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2300.88
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.
Reconstructive surgery
About 20969: Other-site microvascular bone-skin graft
Reports transfer of a vascularized bone-and-skin graft from a donor site without a separate named-site code for complex reconstruction.
This service covers transfer of a vascularized flap containing bone and skin, with the flap’s blood supply connected to vessels at the recipient site using microsurgical technique. It is used when reconstruction requires both structural bone and skin or soft-tissue coverage, such as rebuilding a defect after tumor removal or severe trauma. Reconstructive, oral and maxillofacial, orthopedic, or head and neck surgeons may perform the procedure in an operating room.
Select this code when the graft is a bone-and-skin flap from a donor site not represented by a named-site code in this family; the donor tissue, rather than the recipient defect, determines the choice. The operative report should identify the donor site, transferred bone and skin, recipient defect, and microvascular anastomosis. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 20969
- 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 RVU44.29 · 64%
- Practice expense (office) RVU18.42 · 26%
- Malpractice RVU6.82 · 10%
1.2K
Medicare services in 2024 · #2853 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.
20969 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
20955 identifies a microvascular bone graft from the fibula. This code is for a bone-and-skin graft from a donor site not represented by a named-site option.
No office rate
20970 identifies a bone-and-skin graft by its iliac crest donor site. This code is used when the donor site is not covered by a named-site variant.
No office rate
20972 identifies a bone-and-skin graft from a metatarsal donor site; this code is for an otherwise unlisted donor site within the family.
The same code, a different location
How does Chico compare?
20969 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 · 20969
Office
Unavailable
Facility
$2300.88
No comparable office rate is available.
Modesto
California · 20969
Office
Unavailable
Facility
$2300.88
No comparable office rate is available.
Napa
California · 20969
Office
Unavailable
Facility
$2499.14
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 20969
Office
Unavailable
Facility
$2389.88
No comparable office rate is available.
Redding
California · 20969
Office
Unavailable
Facility
$2300.88
No comparable office rate is available.
Rest Of California
California · 20969
Office
Unavailable
Facility
$2300.88
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 20969
Office
Unavailable
Facility
$2374.57
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 20969
Office
Unavailable
Facility
$2370.21
No comparable office rate is available.
Salinas
California · 20969
Office
Unavailable
Facility
$2360.35
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 20969
Office
Unavailable
Facility
$2383.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 20969
Office
Unavailable
Facility
$2591.91
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 20969
Office
Unavailable
Facility
$2584.17
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 20969
Office
Unavailable
Facility
$2651.33
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 20969
Office
Unavailable
Facility
$2619.67
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 20969
Office
Unavailable
Facility
$2327.34
No comparable office rate is available.
Santa Cruz-Watsonville
California · 20969
Office
Unavailable
Facility
$2380.01
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 20969
Office
Unavailable
Facility
$2360.22
No comparable office rate is available.
Santa Rosa-Petaluma
California · 20969
Office
Unavailable
Facility
$2401.32
No comparable office rate is available.
Stockton
California · 20969
Office
Unavailable
Facility
$2300.88
No comparable office rate is available.
Vallejo
California · 20969
Office
Unavailable
Facility
$2487.97
No comparable office rate is available.
Visalia
California · 20969
Office
Unavailable
Facility
$2300.88
No comparable office rate is available.
Yuba City
California · 20969
Office
Unavailable
Facility
$2300.88
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 20969
Office
Unavailable
Facility
$2537.50
No comparable office rate is available.
Miami
Florida · 20969
Office
Unavailable
Facility
$2695.89
No comparable office rate is available.
Chicago
Illinois · 20969
Office
Unavailable
Facility
$2630.79
No comparable office rate is available.
Manhattan
New York · 20969
Office
Unavailable
Facility
$2650.20
No comparable office rate is available.
Alaska*
Alaska · 20969
Office
Unavailable
Facility
$2999.74
No comparable office rate is available.
Alabama
Alabama · 20969
Office
Unavailable
Facility
$2146.60
No comparable office rate is available.
Arkansas
Arkansas · 20969
Office
Unavailable
Facility
$2125.13
No comparable office rate is available.
Arizona
Arizona · 20969
Office
Unavailable
Facility
$2270.49
No comparable office rate is available.
Colorado
Colorado · 20969
Office
Unavailable
Facility
$2329.61
No comparable office rate is available.
Connecticut
Connecticut · 20969
Office
Unavailable
Facility
$2447.16
No comparable office rate is available.
Delaware
Delaware · 20969
Office
Unavailable
Facility
$2299.37
No comparable office rate is available.
Fort Lauderdale
Florida · 20969
Office
Unavailable
Facility
$2514.42
No comparable office rate is available.
Rest Of Florida
Florida · 20969
Office
Unavailable
Facility
$2409.87
No comparable office rate is available.
Atlanta
Georgia · 20969
Office
Unavailable
Facility
$2382.43
No comparable office rate is available.
Rest Of Georgia
Georgia · 20969
Office
Unavailable
Facility
$2299.65
No comparable office rate is available.
Hawaii, Guam
Hawaii · 20969
Office
Unavailable
Facility
$2310.75
No comparable office rate is available.
Iowa
Iowa · 20969
Office
Unavailable
Facility
$2132.71
No comparable office rate is available.
Idaho
Idaho · 20969
Office
Unavailable
Facility
$2153.10
No comparable office rate is available.
East St. Louis
Illinois · 20969
Office
Unavailable
Facility
$2504.13
No comparable office rate is available.
Rest Of Illinois
Illinois · 20969
Office
Unavailable
Facility
$2397.09
No comparable office rate is available.
Suburban Chicago
Illinois · 20969
Office
Unavailable
Facility
$2525.19
No comparable office rate is available.
Indiana
Indiana · 20969
Office
Unavailable
Facility
$2160.37
No comparable office rate is available.
Kansas
Kansas · 20969
Office
Unavailable
Facility
$2150.32
No comparable office rate is available.
Kentucky
Kentucky · 20969
Office
Unavailable
Facility
$2234.71
No comparable office rate is available.
New Orleans
Louisiana · 20969
Office
Unavailable
Facility
$2317.05
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 20969
Office
Unavailable
Facility
$2242.04
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 20969
Office
Unavailable
Facility
$2477.32
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 20969
Office
Unavailable
Facility
$2332.40
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 20969
Office
Unavailable
Facility
$2444.93
No comparable office rate is available.
Rest Of Maryland
Maryland · 20969
Office
Unavailable
Facility
$2325.86
No comparable office rate is available.
Rest Of Maine
Maine · 20969
Office
Unavailable
Facility
$2187.04
No comparable office rate is available.
Southern Maine
Maine · 20969
Office
Unavailable
Facility
$2232.77
No comparable office rate is available.
Detroit
Michigan · 20969
Office
Unavailable
Facility
$2457.10
No comparable office rate is available.
Rest Of Michigan
Michigan · 20969
Office
Unavailable
Facility
$2298.22
No comparable office rate is available.
Minnesota
Minnesota · 20969
Office
Unavailable
Facility
$2179.84
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 20969
Office
Unavailable
Facility
$2279.60
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 20969
Office
Unavailable
Facility
$2293.29
No comparable office rate is available.
Rest Of Missouri
Missouri · 20969
Office
Unavailable
Facility
$2231.54
No comparable office rate is available.
Mississippi
Mississippi · 20969
Office
Unavailable
Facility
$2177.39
No comparable office rate is available.
Montana**
Montana · 20969
Office
Unavailable
Facility
$2321.91
No comparable office rate is available.
North Carolina
North Carolina · 20969
Office
Unavailable
Facility
$2198.91
No comparable office rate is available.
North Dakota**
North Dakota · 20969
Office
Unavailable
Facility
$2187.05
No comparable office rate is available.
Nebraska
Nebraska · 20969
Office
Unavailable
Facility
$2133.30
No comparable office rate is available.
New Hampshire
New Hampshire · 20969
Office
Unavailable
Facility
$2319.12
No comparable office rate is available.
Northern Nj
New Jersey · 20969
Office
Unavailable
Facility
$2529.49
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 20969
Office
Unavailable
Facility
$2460.24
No comparable office rate is available.
New Mexico
New Mexico · 20969
Office
Unavailable
Facility
$2317.09
No comparable office rate is available.
Nevada**
Nevada · 20969
Office
Unavailable
Facility
$2284.94
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 20969
Office
Unavailable
Facility
$2728.54
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 20969
Office
Unavailable
Facility
$2495.22
No comparable office rate is available.
Queens
New York · 20969
Office
Unavailable
Facility
$2629.70
No comparable office rate is available.
Rest Of New York
New York · 20969
Office
Unavailable
Facility
$2223.95
No comparable office rate is available.
Ohio
Ohio · 20969
Office
Unavailable
Facility
$2270.66
No comparable office rate is available.
Oklahoma
Oklahoma · 20969
Office
Unavailable
Facility
$2205.74
No comparable office rate is available.
Portland
Oregon · 20969
Office
Unavailable
Facility
$2356.01
No comparable office rate is available.
Rest Of Oregon
Oregon · 20969
Office
Unavailable
Facility
$2252.25
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 20969
Office
Unavailable
Facility
$2418.18
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 20969
Office
Unavailable
Facility
$2259.39
No comparable office rate is available.
Puerto Rico
Puerto Rico · 20969
Office
Unavailable
Facility
$2325.72
No comparable office rate is available.
Rhode Island
Rhode Island · 20969
Office
Unavailable
Facility
$2346.17
No comparable office rate is available.
South Carolina
South Carolina · 20969
Office
Unavailable
Facility
$2241.44
No comparable office rate is available.
South Dakota**
South Dakota · 20969
Office
Unavailable
Facility
$2171.11
No comparable office rate is available.
Tennessee
Tennessee · 20969
Office
Unavailable
Facility
$2160.91
No comparable office rate is available.
Austin
Texas · 20969
Office
Unavailable
Facility
$2335.04
No comparable office rate is available.
Beaumont
Texas · 20969
Office
Unavailable
Facility
$2250.82
No comparable office rate is available.
Brazoria
Texas · 20969
Office
Unavailable
Facility
$2278.55
No comparable office rate is available.
Dallas
Texas · 20969
Office
Unavailable
Facility
$2300.87
No comparable office rate is available.
Fort Worth
Texas · 20969
Office
Unavailable
Facility
$2297.68
No comparable office rate is available.
Galveston
Texas · 20969
Office
Unavailable
Facility
$2290.71
No comparable office rate is available.
Houston
Texas · 20969
Office
Unavailable
Facility
$2415.54
No comparable office rate is available.
Rest Of Texas
Texas · 20969
Office
Unavailable
Facility
$2268.89
No comparable office rate is available.
Utah
Utah · 20969
Office
Unavailable
Facility
$2262.21
No comparable office rate is available.
Virginia
Virginia · 20969
Office
Unavailable
Facility
$2244.93
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 20969
Office
Unavailable
Facility
$2325.72
No comparable office rate is available.
Vermont
Vermont · 20969
Office
Unavailable
Facility
$2203.68
No comparable office rate is available.
Rest Of Washington
Washington · 20969
Office
Unavailable
Facility
$2319.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 20969
Office
Unavailable
Facility
$2494.31
No comparable office rate is available.
Wisconsin
Wisconsin · 20969
Office
Unavailable
Facility
$2138.89
No comparable office rate is available.
West Virginia
West Virginia · 20969
Office
Unavailable
Facility
$2339.95
No comparable office rate is available.
Wyoming**
Wyoming · 20969
Office
Unavailable
Facility
$2263.14
No comparable office rate is available.
See how rates vary across the country
20969 · 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 20969 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2530.97
$2300.88 × 110% = $2530.97
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 20969 in Chico.
PPRRVU2026_Oct_nonQPP.csv
1,825
- Code
- 20969
- Physician work
- 44.29
- Practice expense
- 18.42
- Malpractice
- 6.82
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 44.29 | × 1.017 | 45.0429 |
| Practice expense | 18.42 | × 1.096 | 20.1883 |
| Malpractice | 6.82 | × 0.536 | 3.6555 |
| Total RVUs | 68.8868 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$2300.88
Open 20969 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 44.29 | 1.017 |
| Practice expense | 18.42 | 1.096 |
| Malpractice | 6.82 | 0.536 |
(44.29 × 1.017 + 18.42 × 1.096 + 6.82 × 0.536) × $33.4009 = $2300.88
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
20969 · 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 | $2300.88 | RVU26D |
| 2026-07-01 | Not available in this setting | $2300.88 | RVU26C |
| 2026-04-01 | Not available in this setting | $2300.88 | RVU26B |
| 2026-01-01 | Not available in this setting | $2300.88 | RVU26A |
| 2025-10-01 | Not available in this setting | $2642.93 | RVU25D |
| 2025-07-01 | Not available in this setting | $2642.93 | RVU25C |
| 2025-04-01 | Not available in this setting | $2642.93 | RVU25B |
| 2025-01-01 | Not available in this setting | $2642.93 | RVU25A |
20969 billing questions
When should this code be selected instead of a named-site bone-and-skin graft code?
Use it for a vascularized bone-and-skin flap when the donor site is not represented by a named-site code in this family. The donor site, not the recipient defect, drives the selection.
How does this differ from a microvascular bone graft code?
This code describes a composite transfer containing both bone and skin. A bone-only microvascular graft code is the closer choice when skin is not part of the transferred graft.
What operative details support reporting it?
Document the donor site, the bone and skin transferred, the reconstruction performed, and the microvascular connection to recipient vessels.
Can it be reported with other procedures performed in the same session?
Other separately reportable procedures may be subject to the standard multiple-procedure reduction: the highest-valued procedure is paid in full and others at 50%. The operative record should support each service.
Can modifier 50 be used, and may another surgeon assist?
A bilateral adjustment does not apply, so modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
1,82220956,,Iliac bone graft microvasc,A,,40.15,21.79,NA,21.79,,8.58,70.52,70.52,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82320957,,Mt bone graft microvasc,A,,41.54,23.14,NA,23.14,,8.86,73.54,73.54,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82420962,,Other bone graft microvasc,A,,38.23,26.32,NA,26.32,,8.15,72.70,72.70,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82520969,,Bone/skin graft microvasc,A,,44.29,18.42,NA,18.42,,6.82,69.53,69.53,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82620970,,Bone/skin graft iliac crest,A,,43.47,23.32,NA,23.32,,9.28,76.07,76.07,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82720972,,Bone/skin graft metatarsal,A,,43.40,23.14,NA,23.14,,9.26,75.80,75.80,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82820973,,Bone/skin graft great toe,A,,46.09,24.00,NA,24.00,,9.86,79.95,79.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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