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CMS RVU26D · Effective 2026-10-01

20974 in Chico

Office / nonfacility

$99.76

Base rate per service

Facility setting

$51.07

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.

Bone healing service

About 20974: Noninvasive electrical bone stimulation

Report noninvasive electrical stimulation used to support bone healing, such as for a delayed fracture union or a spinal fusion site.

This service involves applying electrical stimulation externally to support bone healing, without implanting an electrode. It is used in situations such as delayed fracture healing or to support a spinal fusion site. Orthopedic and spine practices commonly manage this therapy, with the stimulation delivered at the treatment site using an external device.

Report 20974 for noninvasive electrical stimulation, not an implanted stimulation approach or low-intensity ultrasound. Documentation should identify the bone or fusion site, the healing concern, and the noninvasive electrical service provided. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 20974

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.60 · 21%
  • Practice expense (office) RVU2.09 · 73%
  • Malpractice RVU0.16 · 6%

804

Medicare services in 2024 · #3144 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.

20974 compared with similar codes

Office rates for Chico, from the same CMS release.

20975

Bone healing stimulation

Invasive electrical method

No office rate

Choose 20974 for externally delivered electrical stimulation. Choose 20975 for an invasive electrical approach involving an implanted electrode.

20979

Bone stimulation

Low-intensity ultrasound

$57.14

20974 describes electrical stimulation to aid bone healing; 20979 describes low-intensity ultrasound stimulation.

20999

Unlisted px muscskel general

No office rate

Use 20974 when the service is noninvasive electrical bone stimulation. Consider an unlisted code only when no specific code describes the service performed.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 20974 is $100.19—$0.43 higher than the $99.76 rate in Chico. Both use the same code, release and participation basis.

20974 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $99.76

  2. $0.43 higher than Chico

  3. El Centro

    $99.78

    $0.02 higher than Chico

  4. Fresno

    $99.76

    The same base rate than Chico

  5. The same base rate than Chico

  6. $7.23 higher than Chico

  7. Madera

    $99.76

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 20974 ranges from $82.76 in Arkansas to $125.77 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 20974

    Office

    $99.76

    Facility

    $51.07

    The same base rate than Chico for the office setting.

  • Modesto

    California · 20974

    Office

    $99.76

    Facility

    $51.07

    The same base rate than Chico for the office setting.

  • Napa

    California · 20974

    Office

    $116.02

    Facility

    $57.47

    $16.26 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 20974

    Office

    $106.44

    Facility

    $53.94

    $6.68 higher than Chico for the office setting.

  • Redding

    California · 20974

    Office

    $99.76

    Facility

    $51.07

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 20974

    Office

    $99.76

    Facility

    $51.07

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 20974

    Office

    $101.47

    Facility

    $52.78

    $1.71 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 20974

    Office

    $104.81

    Facility

    $53.15

    $5.05 higher than Chico for the office setting.

  • Salinas

    California · 20974

    Office

    $104.43

    Facility

    $52.95

    $4.67 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 20974

    Office

    $107.03

    Facility

    $53.90

    $7.27 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 20974

    Office

    $122.83

    Facility

    $60.19

    $23.07 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 20974

    Office

    $122.64

    Facility

    $60.01

    $22.88 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 20974

    Office

    $125.77

    Facility

    $61.71

    $26.01 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 20974

    Office

    $125.03

    Facility

    $60.97

    $25.27 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 20974

    Office

    $102.76

    Facility

    $52.16

    $3.00 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 20974

    Office

    $108.14

    Facility

    $54.17

    $8.38 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 20974

    Office

    $104.86

    Facility

    $53.06

    $5.10 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 20974

    Office

    $109.23

    Facility

    $54.68

    $9.47 higher than Chico for the office setting.

  • Stockton

    California · 20974

    Office

    $99.76

    Facility

    $51.07

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 20974

    Office

    $115.76

    Facility

    $57.21

    $16.00 higher than Chico for the office setting.

  • Visalia

    California · 20974

    Office

    $99.76

    Facility

    $51.07

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 20974

    Office

    $99.76

    Facility

    $51.07

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 20974

    Office

    $109.30

    Facility

    $56.97

    $9.54 higher than Chico for the office setting.

  • Miami

    Florida · 20974

    Office

    $106.23

    Facility

    $59.98

    $6.47 higher than Chico for the office setting.

  • Chicago

    Illinois · 20974

    Office

    $102.60

    Facility

    $57.96

    $2.84 higher than Chico for the office setting.

  • Manhattan

    New York · 20974

    Office

    $110.92

    Facility

    $59.30

    $11.16 higher than Chico for the office setting.

  • Alaska*

    Alaska · 20974

    Office

    $107.35

    Facility

    $60.04

    $7.59 higher than Chico for the office setting.

  • Alabama

    Alabama · 20974

    Office

    $84.15

    Facility

    $45.28

    $15.61 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 20974

    Office

    $82.76

    Facility

    $44.60

    $17.00 lower than Chico for the office setting.

  • Arizona

    Arizona · 20974

    Office

    $92.26

    Facility

    $49.21

    $7.50 lower than Chico for the office setting.

  • Colorado

    Colorado · 20974

    Office

    $98.73

    Facility

    $51.46

    $1.03 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 20974

    Office

    $102.09

    Facility

    $54.25

    $2.33 higher than Chico for the office setting.

  • Delaware

    Delaware · 20974

    Office

    $93.92

    Facility

    $50.03

    $5.84 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 20974

    Office

    $100.42

    Facility

    $55.42

    $0.66 higher than Chico for the office setting.

  • Rest Of Florida

    Florida · 20974

    Office

    $94.81

    Facility

    $52.34

    $4.95 lower than Chico for the office setting.

  • Atlanta

    Georgia · 20974

    Office

    $97.44

    Facility

    $52.31

    $2.32 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 20974

    Office

    $88.68

    Facility

    $49.05

    $11.08 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 20974

    Office

    $102.51

    Facility

    $52.00

    $2.75 higher than Chico for the office setting.

  • Iowa

    Iowa · 20974

    Office

    $86.04

    Facility

    $45.39

    $13.72 lower than Chico for the office setting.

  • Idaho

    Idaho · 20974

    Office

    $86.79

    Facility

    $45.92

    $12.97 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 20974

    Office

    $95.03

    Facility

    $54.16

    $4.73 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 20974

    Office

    $92.13

    Facility

    $51.57

    $7.63 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 20974

    Office

    $101.34

    Facility

    $55.72

    $1.58 higher than Chico for the office setting.

  • Indiana

    Indiana · 20974

    Office

    $87.35

    Facility

    $46.17

    $12.41 lower than Chico for the office setting.

  • Kansas

    Kansas · 20974

    Office

    $85.84

    Facility

    $45.68

    $13.92 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 20974

    Office

    $86.99

    Facility

    $47.50

    $12.77 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 20974

    Office

    $91.80

    Facility

    $50.00

    $7.96 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 20974

    Office

    $86.94

    Facility

    $47.63

    $12.82 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 20974

    Office

    $108.97

    Facility

    $55.93

    $9.21 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 20974

    Office

    $98.13

    Facility

    $51.35

    $1.63 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 20974

    Office

    $101.88

    Facility

    $54.21

    $2.12 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 20974

    Office

    $95.79

    Facility

    $50.84

    $3.97 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 20974

    Office

    $87.59

    Facility

    $46.72

    $12.17 lower than Chico for the office setting.

  • Southern Maine

    Maine · 20974

    Office

    $92.59

    Facility

    $48.57

    $7.17 lower than Chico for the office setting.

  • Detroit

    Michigan · 20974

    Office

    $96.42

    Facility

    $53.55

    $3.34 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 20974

    Office

    $89.81

    Facility

    $49.25

    $9.95 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 20974

    Office

    $93.45

    Facility

    $47.74

    $6.31 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 20974

    Office

    $90.81

    Facility

    $49.10

    $8.95 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 20974

    Office

    $91.85

    Facility

    $49.56

    $7.91 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 20974

    Office

    $85.42

    Facility

    $47.13

    $14.34 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 20974

    Office

    $84.09

    Facility

    $45.85

    $15.67 lower than Chico for the office setting.

  • Montana**

    Montana · 20974

    Office

    $95.18

    Facility

    $50.76

    $4.58 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 20974

    Office

    $88.59

    Facility

    $47.14

    $11.17 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 20974

    Office

    $92.02

    Facility

    $47.59

    $7.74 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 20974

    Office

    $86.49

    Facility

    $45.49

    $13.27 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 20974

    Office

    $97.39

    Facility

    $51.14

    $2.37 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 20974

    Office

    $107.99

    Facility

    $56.46

    $8.23 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 20974

    Office

    $102.93

    Facility

    $54.42

    $3.17 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 20974

    Office

    $90.47

    Facility

    $49.74

    $9.29 lower than Chico for the office setting.

  • Nevada**

    Nevada · 20974

    Office

    $94.37

    Facility

    $49.90

    $5.39 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 20974

    Office

    $114.25

    Facility

    $61.43

    $14.49 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 20974

    Office

    $103.85

    Facility

    $55.21

    $4.09 higher than Chico for the office setting.

  • Queens

    New York · 20974

    Office

    $111.54

    Facility

    $59.03

    $11.78 higher than Chico for the office setting.

  • Rest Of New York

    New York · 20974

    Office

    $90.11

    Facility

    $47.91

    $9.65 lower than Chico for the office setting.

  • Ohio

    Ohio · 20974

    Office

    $89.16

    Facility

    $48.60

    $10.60 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 20974

    Office

    $86.53

    Facility

    $46.86

    $13.23 lower than Chico for the office setting.

  • Portland

    Oregon · 20974

    Office

    $101.89

    Facility

    $52.54

    $2.13 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 20974

    Office

    $93.33

    Facility

    $49.08

    $6.43 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 20974

    Office

    $99.45

    Facility

    $53.20

    $0.31 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 20974

    Office

    $89.17

    Facility

    $48.39

    $10.59 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 20974

    Office

    $95.88

    Facility

    $50.97

    $3.88 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 20974

    Office

    $97.30

    Facility

    $51.41

    $2.46 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 20974

    Office

    $89.09

    Facility

    $48.04

    $10.67 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 20974

    Office

    $91.64

    Facility

    $47.22

    $8.12 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 20974

    Office

    $86.37

    Facility

    $45.99

    $13.39 lower than Chico for the office setting.

  • Austin

    Texas · 20974

    Office

    $98.67

    Facility

    $51.67

    $1.09 lower than Chico for the office setting.

  • Beaumont

    Texas · 20974

    Office

    $88.53

    Facility

    $48.11

    $11.23 lower than Chico for the office setting.

  • Brazoria

    Texas · 20974

    Office

    $93.55

    Facility

    $49.53

    $6.21 lower than Chico for the office setting.

  • Dallas

    Texas · 20974

    Office

    $94.33

    Facility

    $50.09

    $5.43 lower than Chico for the office setting.

  • Fort Worth

    Texas · 20974

    Office

    $93.71

    Facility

    $49.90

    $6.05 lower than Chico for the office setting.

  • Galveston

    Texas · 20974

    Office

    $93.95

    Facility

    $49.83

    $5.81 lower than Chico for the office setting.

  • Houston

    Texas · 20974

    Office

    $96.87

    Facility

    $52.76

    $2.89 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 20974

    Office

    $91.11

    Facility

    $48.96

    $8.65 lower than Chico for the office setting.

  • Utah

    Utah · 20974

    Office

    $90.46

    Facility

    $48.70

    $9.30 lower than Chico for the office setting.

  • Virginia

    Virginia · 20974

    Office

    $92.43

    Facility

    $48.77

    $7.33 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 20974

    Office

    $95.88

    Facility

    $50.97

    $3.88 lower than Chico for the office setting.

  • Vermont

    Vermont · 20974

    Office

    $91.85

    Facility

    $47.88

    $7.91 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 20974

    Office

    $97.88

    Facility

    $51.10

    $1.88 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 20974

    Office

    $111.06

    Facility

    $56.56

    $11.30 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 20974

    Office

    $88.56

    Facility

    $46.01

    $11.20 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 20974

    Office

    $88.35

    Facility

    $49.75

    $11.41 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 20974

    Office

    $93.80

    Facility

    $49.38

    $5.96 lower than Chico for the office setting.

See how rates vary across the country

20974 · 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.

$82.76

$112.77

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$107.351
AL$84.151
AR$82.761
AZ$92.261
CA$99.76–$125.7729
CO$98.731
CT$102.091
DC$109.301
DE$93.921
FL$94.81–$106.233
GA$88.68–$97.442
GU$102.511
HI$102.511
IA$86.041
ID$86.791
IL$92.13–$102.604
IN$87.351
KS$85.841
KY$86.991
LA$86.94–$91.802
MA$98.13–$108.972
MD$95.79–$109.303
ME$87.59–$92.592
MI$89.81–$96.422
MN$93.451
MO$85.42–$91.853
MS$84.091
MT$95.181
NC$88.591
ND$92.021
NE$86.491
NH$97.391
NJ$102.93–$107.992
NM$90.471
NV$94.371
NY$90.11–$114.255
OH$89.161
OK$86.531
OR$93.33–$101.892
PA$89.17–$99.452
PR$95.881
RI$97.301
SC$89.091
SD$91.641
TN$86.371
TX$88.53–$98.678
UT$90.461
VA$92.43–$109.302
VI$95.881
VT$91.851
WA$97.88–$111.062
WI$88.561
WV$88.351
WY$93.801

Explore 20974 on the national rate map →

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.

Why are the office and facility amounts different?

For 20974 in Chico, the physician’s office rate is $99.76 and the facility-setting rate is $51.07: a difference of $48.69.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 20974 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$109.74

$99.76 × 110% = $109.74

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.

Compare your contract offer →

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 20974 in Chico.

PPRRVU2026_Oct_nonQPP.csv

1,829

Code
20974
Physician work
0.60
Practice expense
2.09
Malpractice
0.16

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 20974 in Chico
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0170.6102
Practice expense2.09× 1.0962.2906
Malpractice0.16× 0.5360.0858
Total RVUs2.9866
Conversion factor× 33.4009

Office / nonfacility rate, Chico$99.76

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 20974 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.61.017
Practice expense2.091.096
Malpractice0.160.536

(0.6 × 1.017 + 2.09 × 1.096 + 0.16 × 0.536) × $33.4009 = $99.76

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.61.017
Practice expense0.761.096
Malpractice0.160.536

(0.6 × 1.017 + 0.76 × 1.096 + 0.16 × 0.536) × $33.4009 = $51.07

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

20974 · Office / nonfacility

$99.76

Effective 2026-10-01

The base rate is $12.18 higher than on 2025-10-01, moving from $87.58 to $99.76 (13.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $87.58changed to$99.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.62 changed to 0.60
    • Practice expense RVU 1.82 changed to 2.09
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $87.58

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$99.76$51.07RVU26D
2026-07-01$99.76$51.07RVU26C
2026-04-01$99.76$51.07RVU26B
2026-01-01$99.76$51.07RVU26A
2025-10-01$87.58$51.16RVU25D
2025-07-01$87.58$51.16RVU25C
2025-04-01$87.58$51.16RVU25B
2025-01-01$87.58$51.16RVU25A

20974 billing questions

How does 20974 differ from 20975?

20974 describes noninvasive electrical stimulation delivered externally. Use 20975 when the electrical stimulation approach is invasive, with an implanted electrode.

Can 20974 be reported for ultrasound bone stimulation?

No. 20974 is for electrical stimulation; 20979 describes low-intensity ultrasound stimulation for bone healing.

Is modifier 50 appropriate when two sites are treated?

No. CMS identifies bilateral adjustment as inappropriate for 20974, so do not use modifier 50.

What documentation supports reporting 20974?

Record the bone or fusion site, the healing concern being addressed, and that the electrical stimulation was provided noninvasively.

Does 20974 have a global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

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.

RVUs for 20974PPRRVU2026_Oct_nonQPP.csv, line 1,829 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)