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CMS RVU26D · Effective 2026-10-01

20922 in Delaware

Office / nonfacility

$648.79

Base rate per service

Facility setting

$464.32

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.

Graft harvest

About 20922: Fascia graft harvest by incision

Reports harvesting fascia through an incision and direct exposure when fascia is obtained as graft material for a reconstructive procedure.

This code represents harvesting fascia through an incision that exposes the donor tissue, rather than obtaining it by a stripping technique. It is used when a surgeon procures fascia—often fascia lata—for grafting during reconstruction, such as when tissue is needed to reinforce or replace damaged structures. The harvest and the procedure using the graft may involve separate operative sites.

Report the harvest when the operative note identifies the donor site, the fascia obtained, and the incision and exposure used to procure it. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and other procedures at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Medicare does not permit team-surgery payment for this code.

CMS billing rules for 20922

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 RVU6.76 · 34%
  • Practice expense (office) RVU11.41 · 58%
  • Malpractice RVU1.51 · 8%

289

Medicare services in 2024 · #4022 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.

20922 compared with similar codes

Office rates for Delaware, from the same CMS release.

20920

Fascia graft

Fascia lata harvest

No office rate

Choose 20922 when fascia is procured through an incision with direct exposure; 20920 describes procurement by stripping.

20924

Tendon graft harvest

Separate donor site

No office rate

Use 20924 for tendon graft procurement, such as harvesting a tendon from a separate site. Use 20922 when the harvested graft tissue is fascia.

20900

Bone graft harvest

Minor or small graft

$393.60

Code 20900 describes bone graft procurement. Code 20922 is for fascia graft procurement through incision and exposure.

The same code, a different location

How does Delaware compare?

20922 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $648.79

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $719.38

    $70.59 higher than Delaware

  3. Dc + Md/Va Suburbs

    $743.06

    $94.27 higher than Delaware

  4. Miami

    $750.07

    $101.28 higher than Delaware

  5. Chicago

    $726.13

    $77.34 higher than Delaware

  6. Manhattan

    $763.07

    $114.28 higher than Delaware

  7. Alaska*

    $772.35

    $123.56 higher than Delaware

Other payment areas listed in Delaware 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, 20922 ranges from $579.13 in Arkansas to $827.21 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

  • Alabama

    Alabama · 20922

    Office

    $587.80

    Facility

    $424.43

    $60.99 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 20922

    Office

    $579.13

    Facility

    $418.75

    $69.66 lower than Delaware for the office setting.

  • Arizona

    Arizona · 20922

    Office

    $638.25

    Facility

    $457.33

    $10.54 lower than Delaware for the office setting.

  • Bakersfield

    California · 20922

    Office

    $678.49

    Facility

    $473.85

    $29.70 higher than Delaware for the office setting.

  • Chico

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • El Centro

    California · 20922

    Office

    $674.60

    Facility

    $469.97

    $25.81 higher than Delaware for the office setting.

  • Fresno

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Madera

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Merced

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Modesto

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Napa

    California · 20922

    Office

    $767.93

    Facility

    $521.85

    $119.14 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 20922

    Office

    $714.00

    Facility

    $493.31

    $65.21 higher than Delaware for the office setting.

  • Redding

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Rest Of California

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 20922

    Office

    $690.57

    Facility

    $485.93

    $41.78 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 20922

    Office

    $704.18

    Facility

    $487.03

    $55.39 higher than Delaware for the office setting.

  • Salinas

    California · 20922

    Office

    $701.52

    Facility

    $485.12

    $52.73 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 20922

    Office

    $715.70

    Facility

    $492.39

    $66.91 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 20922

    Office

    $807.75

    Facility

    $544.48

    $158.96 higher than Delaware for the office setting.

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

    California · 20922

    Office

    $806.03

    Facility

    $542.77

    $157.24 higher than Delaware for the office setting.

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

    California · 20922

    Office

    $827.21

    Facility

    $557.98

    $178.42 higher than Delaware for the office setting.

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

    California · 20922

    Office

    $820.20

    Facility

    $550.96

    $171.41 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 20922

    Office

    $690.74

    Facility

    $478.08

    $41.95 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 20922

    Office

    $720.61

    Facility

    $493.75

    $71.82 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 20922

    Office

    $703.51

    Facility

    $485.81

    $54.72 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 20922

    Office

    $727.59

    Facility

    $498.31

    $78.80 higher than Delaware for the office setting.

  • Stockton

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Vallejo

    California · 20922

    Office

    $765.46

    Facility

    $519.37

    $116.67 higher than Delaware for the office setting.

  • Visalia

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Yuba City

    California · 20922

    Office

    $674.35

    Facility

    $469.72

    $25.56 higher than Delaware for the office setting.

  • Colorado

    Colorado · 20922

    Office

    $673.38

    Facility

    $474.72

    $24.59 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 20922

    Office

    $701.78

    Facility

    $500.69

    $52.99 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 20922

    Office

    $703.04

    Facility

    $513.90

    $54.25 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 20922

    Office

    $665.93

    Facility

    $487.43

    $17.14 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 20922

    Office

    $674.24

    Facility

    $484.54

    $25.45 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 20922

    Office

    $625.85

    Facility

    $459.31

    $22.94 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 20922

    Office

    $688.31

    Facility

    $476.02

    $39.52 higher than Delaware for the office setting.

  • Iowa

    Iowa · 20922

    Office

    $594.52

    Facility

    $423.68

    $54.27 lower than Delaware for the office setting.

  • Idaho

    Idaho · 20922

    Office

    $600.26

    Facility

    $428.49

    $48.53 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 20922

    Office

    $677.98

    Facility

    $506.21

    $29.19 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 20922

    Office

    $652.57

    Facility

    $482.10

    $3.78 higher than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 20922

    Office

    $708.14

    Facility

    $516.38

    $59.35 higher than Delaware for the office setting.

  • Indiana

    Indiana · 20922

    Office

    $603.59

    Facility

    $430.50

    $45.20 lower than Delaware for the office setting.

  • Kansas

    Kansas · 20922

    Office

    $595.73

    Facility

    $426.94

    $53.06 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 20922

    Office

    $610.74

    Facility

    $444.75

    $38.05 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 20922

    Office

    $641.70

    Facility

    $466.01

    $7.09 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 20922

    Office

    $611.38

    Facility

    $446.15

    $37.41 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 20922

    Office

    $734.97

    Facility

    $512.04

    $86.18 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 20922

    Office

    $670.90

    Facility

    $474.30

    $22.11 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 20922

    Office

    $700.72

    Facility

    $500.38

    $51.93 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 20922

    Office

    $660.03

    Facility

    $471.07

    $11.24 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 20922

    Office

    $607.78

    Facility

    $436.00

    $41.01 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 20922

    Office

    $635.29

    Facility

    $450.26

    $13.50 lower than Delaware for the office setting.

  • Detroit

    Michigan · 20922

    Office

    $678.59

    Facility

    $498.41

    $29.80 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 20922

    Office

    $630.68

    Facility

    $460.21

    $18.11 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 20922

    Office

    $632.88

    Facility

    $440.75

    $15.91 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 20922

    Office

    $632.92

    Facility

    $457.60

    $15.87 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 20922

    Office

    $639.14

    Facility

    $461.39

    $9.65 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 20922

    Office

    $603.43

    Facility

    $442.48

    $45.36 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 20922

    Office

    $591.19

    Facility

    $430.43

    $57.60 lower than Delaware for the office setting.

  • Montana**

    Montana · 20922

    Office

    $657.23

    Facility

    $470.52

    $8.44 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 20922

    Office

    $613.59

    Facility

    $439.39

    $35.20 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 20922

    Office

    $627.37

    Facility

    $440.66

    $21.42 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 20922

    Office

    $596.61

    Facility

    $424.28

    $52.18 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 20922

    Office

    $666.65

    Facility

    $472.28

    $17.86 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 20922

    Office

    $735.96

    Facility

    $519.38

    $87.17 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 20922

    Office

    $706.32

    Facility

    $502.43

    $57.53 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 20922

    Office

    $635.84

    Facility

    $464.62

    $12.95 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 20922

    Office

    $649.29

    Facility

    $462.39

    $0.50 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 20922

    Office

    $787.03

    Facility

    $565.03

    $138.24 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 20922

    Office

    $714.29

    Facility

    $509.84

    $65.50 higher than Delaware for the office setting.

  • Queens

    New York · 20922

    Office

    $763.43

    Facility

    $542.74

    $114.64 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 20922

    Office

    $623.30

    Facility

    $445.92

    $25.49 lower than Delaware for the office setting.

  • Ohio

    Ohio · 20922

    Office

    $624.58

    Facility

    $454.11

    $24.21 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 20922

    Office

    $605.30

    Facility

    $438.57

    $43.49 lower than Delaware for the office setting.

  • Portland

    Oregon · 20922

    Office

    $690.33

    Facility

    $482.90

    $41.54 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 20922

    Office

    $640.83

    Facility

    $454.86

    $7.96 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 20922

    Office

    $686.75

    Facility

    $492.39

    $37.96 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 20922

    Office

    $623.31

    Facility

    $451.90

    $25.48 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 20922

    Office

    $660.77

    Facility

    $472.00

    $11.98 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 20922

    Office

    $668.75

    Facility

    $475.88

    $19.96 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 20922

    Office

    $620.80

    Facility

    $448.28

    $27.99 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 20922

    Office

    $623.84

    Facility

    $437.13

    $24.95 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 20922

    Office

    $599.30

    Facility

    $429.58

    $49.49 lower than Delaware for the office setting.

  • Austin

    Texas · 20922

    Office

    $674.14

    Facility

    $476.60

    $25.35 higher than Delaware for the office setting.

  • Beaumont

    Texas · 20922

    Office

    $619.45

    Facility

    $449.54

    $29.34 lower than Delaware for the office setting.

  • Brazoria

    Texas · 20922

    Office

    $644.61

    Facility

    $459.58

    $4.18 lower than Delaware for the office setting.

  • Dallas

    Texas · 20922

    Office

    $650.68

    Facility

    $464.71

    $1.89 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 20922

    Office

    $647.52

    Facility

    $463.42

    $1.27 lower than Delaware for the office setting.

  • Galveston

    Texas · 20922

    Office

    $647.79

    Facility

    $462.39

    $1.00 lower than Delaware for the office setting.

  • Houston

    Texas · 20922

    Office

    $675.43

    Facility

    $490.03

    $26.64 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 20922

    Office

    $633.00

    Facility

    $455.81

    $15.79 lower than Delaware for the office setting.

  • Utah

    Utah · 20922

    Office

    $629.32

    Facility

    $453.81

    $19.47 lower than Delaware for the office setting.

  • Virginia

    Virginia · 20922

    Office

    $636.02

    Facility

    $452.49

    $12.77 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 20922

    Office

    $660.77

    Facility

    $472.00

    $11.98 higher than Delaware for the office setting.

  • Vermont

    Vermont · 20922

    Office

    $628.60

    Facility

    $443.76

    $20.19 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 20922

    Office

    $668.41

    Facility

    $471.80

    $19.62 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 20922

    Office

    $745.90

    Facility

    $516.81

    $97.11 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 20922

    Office

    $606.42

    Facility

    $427.55

    $42.37 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 20922

    Office

    $629.14

    Facility

    $466.89

    $19.65 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 20922

    Office

    $644.22

    Facility

    $457.51

    $4.57 lower than Delaware for the office setting.

See how rates vary across the country

20922 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$579.13

$772.35

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$772.351
AL$587.801
AR$579.131
AZ$638.251
CA$674.35–$827.2129
CO$673.381
CT$701.781
DC$743.061
DE$648.791
FL$665.93–$750.073
GA$625.85–$674.242
GU$688.311
HI$688.311
IA$594.521
ID$600.261
IL$652.57–$726.134
IN$603.591
KS$595.731
KY$610.741
LA$611.38–$641.702
MA$670.90–$734.972
MD$660.03–$743.063
ME$607.78–$635.292
MI$630.68–$678.592
MN$632.881
MO$603.43–$639.143
MS$591.191
MT$657.231
NC$613.591
ND$627.371
NE$596.611
NH$666.651
NJ$706.32–$735.962
NM$635.841
NV$649.291
NY$623.30–$787.035
OH$624.581
OK$605.301
OR$640.83–$690.332
PA$623.31–$686.752
PR$660.771
RI$668.751
SC$620.801
SD$623.841
TN$599.301
TX$619.45–$675.438
UT$629.321
VA$636.02–$743.062
VI$660.771
VT$628.601
WA$668.41–$745.902
WI$606.421
WV$629.141
WY$644.221

Explore 20922 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 20922 in Delaware, the physician’s office rate is $648.79 and the facility-setting rate is $464.32: a difference of $184.47.

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 20922 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$713.67

$648.79 × 110% = $713.67

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 20922 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

1,809

Code
20922
Physician work
6.76
Practice expense
11.41
Malpractice
1.51

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 20922 in Delaware
ComponentRVULocality factorAdjusted
Physician work6.76× 1.0056.7938
Practice expense11.41× 0.98811.2731
Malpractice1.51× 0.8991.3575
Total RVUs19.4244
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$648.79

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

Open 20922 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.761.005
Practice expense11.410.988
Malpractice1.510.899

(6.76 × 1.005 + 11.41 × 0.988 + 1.51 × 0.899) × $33.4009 = $648.79

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.761.005
Practice expense5.820.988
Malpractice1.510.899

(6.76 × 1.005 + 5.82 × 0.988 + 1.51 × 0.899) × $33.4009 = $464.32

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

20922 · Office / nonfacility

$648.79

Effective 2026-10-01

The base rate is $49.69 higher than on 2025-10-01, moving from $599.10 to $648.79 (8.3%).

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

    $599.10changed to$648.79

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.93 changed to 6.76
    • Practice expense RVU 10.12 changed to 11.41
    • Malpractice RVU 1.57 changed to 1.51
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $599.10

    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$648.79$464.32RVU26D
2026-07-01$648.79$464.32RVU26C
2026-04-01$648.79$464.32RVU26B
2026-01-01$648.79$464.32RVU26A
2025-10-01$599.10$490.00RVU25D
2025-07-01$599.10$490.00RVU25C
2025-04-01$599.10$490.00RVU25B
2025-01-01$599.10$490.00RVU25A

20922 billing questions

How is this different from 20920?

This code describes fascia harvest through incision and direct exposure. Code 20920 describes fascia obtained by stripping.

Can the fascia harvest be reported with the reconstruction that uses the graft?

The harvest represents procurement at the donor site, while the reconstruction represents work at the recipient site. Document both services and follow the reporting rules for the recipient procedure.

What documentation supports reporting this code?

Document the fascia donor site, the tissue harvested, and the incision and exposure used. The operative record should distinguish procurement from the work performed at the graft recipient site.

How does the 90-day global period affect postoperative care?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; Medicare does not permit team-surgery payment for this code.

How are other procedures in the same session paid?

Medicare pays the highest-valued procedure in full and other procedures at 50% when multiple procedures are performed in the same session.

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 20922PPRRVU2026_Oct_nonQPP.csv, line 1,809 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet