No office rate
Choose 20910 for cartilage harvested from a rib; 20912 is for cartilage harvested from the nasal septum.
On this page
CMS RVU26D · Effective 2026-10-01
20910 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$472.94
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 20910: Costal cartilage graft harvest
Reports harvesting cartilage from a rib for grafting, such as structural support in nasal or other reconstructive surgery.
This service covers obtaining costal cartilage from the patient for use as a graft. A surgeon typically harvests it through a donor-site incision during reconstructive surgery, including nasal reconstruction or rhinoplasty when additional structural cartilage is needed. The graft may provide support or shape at a separate recipient site; the operative report should identify the rib donor site and the graft procurement performed.
Report the code for costal cartilage harvest, rather than for septal cartilage or a bone, fascia, or tendon graft. Documentation should connect the harvested material to the grafting procedure and describe the donor-site work. CMS assigns 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, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 20910
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.39 · 39%
- Practice expense (office) RVU7.35 · 53%
- Malpractice RVU1.15 · 8%
67
Medicare services in 2024 · #5168 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.
20910 compared with similar codes
Office rates for El Centro, from the same CMS release.
$419.73
20900 represents bone graft harvest, not costal cartilage procurement.
No office rate
20902 is for bone graft harvest of a larger extent; it does not describe rib cartilage harvest.
No office rate
20920 represents fascia graft harvest. Use 20910 when the graft material obtained is costal cartilage.
The same code, a different location
How does El Centro compare?
20910 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 20910
Office
Unavailable
Facility
$472.74
No comparable office rate is available.
Modesto
California · 20910
Office
Unavailable
Facility
$472.74
No comparable office rate is available.
Napa
California · 20910
Office
Unavailable
Facility
$534.45
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 20910
Office
Unavailable
Facility
$499.18
No comparable office rate is available.
Redding
California · 20910
Office
Unavailable
Facility
$472.74
No comparable office rate is available.
Rest Of California
California · 20910
Office
Unavailable
Facility
$472.74
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 20910
Office
Unavailable
Facility
$485.10
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 20910
Office
Unavailable
Facility
$492.61
No comparable office rate is available.
Salinas
California · 20910
Office
Unavailable
Facility
$490.73
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 20910
Office
Unavailable
Facility
$499.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 20910
Office
Unavailable
Facility
$560.91
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 20910
Office
Unavailable
Facility
$559.61
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 20910
Office
Unavailable
Facility
$574.43
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 20910
Office
Unavailable
Facility
$569.09
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 20910
Office
Unavailable
Facility
$483.30
No comparable office rate is available.
Santa Cruz-Watsonville
California · 20910
Office
Unavailable
Facility
$502.68
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 20910
Office
Unavailable
Facility
$491.91
No comparable office rate is available.
Santa Rosa-Petaluma
California · 20910
Office
Unavailable
Facility
$507.49
No comparable office rate is available.
Stockton
California · 20910
Office
Unavailable
Facility
$472.74
No comparable office rate is available.
Vallejo
California · 20910
Office
Unavailable
Facility
$532.57
No comparable office rate is available.
Visalia
California · 20910
Office
Unavailable
Facility
$472.74
No comparable office rate is available.
Yuba City
California · 20910
Office
Unavailable
Facility
$472.74
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 20910
Office
Unavailable
Facility
$521.70
No comparable office rate is available.
Miami
Florida · 20910
Office
Unavailable
Facility
$532.73
No comparable office rate is available.
Chicago
Illinois · 20910
Office
Unavailable
Facility
$516.17
No comparable office rate is available.
Manhattan
New York · 20910
Office
Unavailable
Facility
$537.74
No comparable office rate is available.
Alaska*
Alaska · 20910
Office
Unavailable
Facility
$552.66
No comparable office rate is available.
Alabama
Alabama · 20910
Office
Unavailable
Facility
$416.58
No comparable office rate is available.
Arkansas
Arkansas · 20910
Office
Unavailable
Facility
$410.69
No comparable office rate is available.
Arizona
Arizona · 20910
Office
Unavailable
Facility
$450.80
No comparable office rate is available.
Colorado
Colorado · 20910
Office
Unavailable
Facility
$473.40
No comparable office rate is available.
Connecticut
Connecticut · 20910
Office
Unavailable
Facility
$494.51
No comparable office rate is available.
Delaware
Delaware · 20910
Office
Unavailable
Facility
$458.01
No comparable office rate is available.
Fort Lauderdale
Florida · 20910
Office
Unavailable
Facility
$498.17
No comparable office rate is available.
Rest Of Florida
Florida · 20910
Office
Unavailable
Facility
$472.46
No comparable office rate is available.
Atlanta
Georgia · 20910
Office
Unavailable
Facility
$476.13
No comparable office rate is available.
Rest Of Georgia
Georgia · 20910
Office
Unavailable
Facility
$444.80
No comparable office rate is available.
Hawaii, Guam
Hawaii · 20910
Office
Unavailable
Facility
$481.40
No comparable office rate is available.
Iowa
Iowa · 20910
Office
Unavailable
Facility
$419.91
No comparable office rate is available.
Idaho
Idaho · 20910
Office
Unavailable
Facility
$424.06
No comparable office rate is available.
East St. Louis
Illinois · 20910
Office
Unavailable
Facility
$483.25
No comparable office rate is available.
Rest Of Illinois
Illinois · 20910
Office
Unavailable
Facility
$464.21
No comparable office rate is available.
Suburban Chicago
Illinois · 20910
Office
Unavailable
Facility
$501.48
No comparable office rate is available.
Indiana
Indiana · 20910
Office
Unavailable
Facility
$426.27
No comparable office rate is available.
Kansas
Kansas · 20910
Office
Unavailable
Facility
$421.32
No comparable office rate is available.
Kentucky
Kentucky · 20910
Office
Unavailable
Facility
$433.42
No comparable office rate is available.
New Orleans
Louisiana · 20910
Office
Unavailable
Facility
$454.68
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 20910
Office
Unavailable
Facility
$434.09
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 20910
Office
Unavailable
Facility
$514.72
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 20910
Office
Unavailable
Facility
$472.03
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 20910
Office
Unavailable
Facility
$493.84
No comparable office rate is available.
Rest Of Maryland
Maryland · 20910
Office
Unavailable
Facility
$465.54
No comparable office rate is available.
Rest Of Maine
Maine · 20910
Office
Unavailable
Facility
$429.78
No comparable office rate is available.
Southern Maine
Maine · 20910
Office
Unavailable
Facility
$447.56
No comparable office rate is available.
Detroit
Michigan · 20910
Office
Unavailable
Facility
$481.70
No comparable office rate is available.
Rest Of Michigan
Michigan · 20910
Office
Unavailable
Facility
$447.54
No comparable office rate is available.
Minnesota
Minnesota · 20910
Office
Unavailable
Facility
$444.02
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 20910
Office
Unavailable
Facility
$448.08
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 20910
Office
Unavailable
Facility
$452.23
No comparable office rate is available.
Rest Of Missouri
Missouri · 20910
Office
Unavailable
Facility
$429.06
No comparable office rate is available.
Mississippi
Mississippi · 20910
Office
Unavailable
Facility
$419.79
No comparable office rate is available.
Montana**
Montana · 20910
Office
Unavailable
Facility
$463.86
No comparable office rate is available.
North Carolina
North Carolina · 20910
Office
Unavailable
Facility
$433.62
No comparable office rate is available.
North Dakota**
North Dakota · 20910
Office
Unavailable
Facility
$441.12
No comparable office rate is available.
Nebraska
Nebraska · 20910
Office
Unavailable
Facility
$421.14
No comparable office rate is available.
New Hampshire
New Hampshire · 20910
Office
Unavailable
Facility
$469.20
No comparable office rate is available.
Northern Nj
New Jersey · 20910
Office
Unavailable
Facility
$517.17
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 20910
Office
Unavailable
Facility
$497.45
No comparable office rate is available.
New Mexico
New Mexico · 20910
Office
Unavailable
Facility
$451.28
No comparable office rate is available.
Nevada**
Nevada · 20910
Office
Unavailable
Facility
$457.77
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 20910
Office
Unavailable
Facility
$554.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 20910
Office
Unavailable
Facility
$503.43
No comparable office rate is available.
Queens
New York · 20910
Office
Unavailable
Facility
$537.12
No comparable office rate is available.
Rest Of New York
New York · 20910
Office
Unavailable
Facility
$440.26
No comparable office rate is available.
Ohio
Ohio · 20910
Office
Unavailable
Facility
$442.89
No comparable office rate is available.
Oklahoma
Oklahoma · 20910
Office
Unavailable
Facility
$429.10
No comparable office rate is available.
Portland
Oregon · 20910
Office
Unavailable
Facility
$484.24
No comparable office rate is available.
Rest Of Oregon
Oregon · 20910
Office
Unavailable
Facility
$451.55
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 20910
Office
Unavailable
Facility
$484.66
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 20910
Office
Unavailable
Facility
$441.70
No comparable office rate is available.
Puerto Rico
Puerto Rico · 20910
Office
Unavailable
Facility
$466.06
No comparable office rate is available.
Rhode Island
Rhode Island · 20910
Office
Unavailable
Facility
$471.31
No comparable office rate is available.
South Carolina
South Carolina · 20910
Office
Unavailable
Facility
$439.52
No comparable office rate is available.
South Dakota**
South Dakota · 20910
Office
Unavailable
Facility
$438.43
No comparable office rate is available.
Tennessee
Tennessee · 20910
Office
Unavailable
Facility
$423.81
No comparable office rate is available.
Austin
Texas · 20910
Office
Unavailable
Facility
$474.16
No comparable office rate is available.
Beaumont
Texas · 20910
Office
Unavailable
Facility
$439.12
No comparable office rate is available.
Brazoria
Texas · 20910
Office
Unavailable
Facility
$454.72
No comparable office rate is available.
Dallas
Texas · 20910
Office
Unavailable
Facility
$459.12
No comparable office rate is available.
Fort Worth
Texas · 20910
Office
Unavailable
Facility
$457.17
No comparable office rate is available.
Galveston
Texas · 20910
Office
Unavailable
Facility
$457.05
No comparable office rate is available.
Houston
Texas · 20910
Office
Unavailable
Facility
$478.10
No comparable office rate is available.
Rest Of Texas
Texas · 20910
Office
Unavailable
Facility
$447.69
No comparable office rate is available.
Utah
Utah · 20910
Office
Unavailable
Facility
$445.29
No comparable office rate is available.
Virginia
Virginia · 20910
Office
Unavailable
Facility
$448.47
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 20910
Office
Unavailable
Facility
$466.06
No comparable office rate is available.
Vermont
Vermont · 20910
Office
Unavailable
Facility
$442.51
No comparable office rate is available.
Rest Of Washington
Washington · 20910
Office
Unavailable
Facility
$470.11
No comparable office rate is available.
Seattle (King Cnty)
Washington · 20910
Office
Unavailable
Facility
$521.64
No comparable office rate is available.
Wisconsin
Wisconsin · 20910
Office
Unavailable
Facility
$427.05
No comparable office rate is available.
West Virginia
West Virginia · 20910
Office
Unavailable
Facility
$448.33
No comparable office rate is available.
Wyoming**
Wyoming · 20910
Office
Unavailable
Facility
$453.95
No comparable office rate is available.
See how rates vary across the country
20910 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 20910 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$520.23
$472.94 × 110% = $520.23
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 20910 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
1,806
- Code
- 20910
- Physician work
- 5.39
- Practice expense
- 7.35
- Malpractice
- 1.15
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.39 | × 1.017 | 5.4816 |
| Practice expense | 7.35 | × 1.096 | 8.0556 |
| Malpractice | 1.15 | × 0.541 | 0.6221 |
| Total RVUs | 14.1594 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$472.94
Open 20910 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.39 | 1.017 |
| Practice expense | 7.35 | 1.096 |
| Malpractice | 1.15 | 0.541 |
(5.39 × 1.017 + 7.35 × 1.096 + 1.15 × 0.541) × $33.4009 = $472.94
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
20910 · 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 | $472.94 | RVU26D |
| 2026-07-01 | Not available in this setting | $472.94 | RVU26C |
| 2026-04-01 | Not available in this setting | $472.94 | RVU26B |
| 2026-01-01 | Not available in this setting | $472.94 | RVU26A |
| 2025-10-01 | Not available in this setting | $485.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $485.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $485.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $485.77 | RVU25A |
20910 billing questions
How does this differ from 20912?
This code is for harvesting costal cartilage from a rib. Use 20912 when the graft is harvested from the nasal septum.
Can this be reported with the reconstruction that uses the graft?
It represents procurement of costal cartilage for grafting during reconstructive surgery. Document the donor-site work and the graft's role in the operative report.
Should modifier 50 be used when cartilage is taken from both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What happens when this is performed with other procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
1,80320838,,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
1,80420900,,Removal of bone for graft,A,,2.93,8.51,,1.40,,0.48,11.92,4.81,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80520902,,Removal of bone for graft,A,,4.47,1.94,NA,1.94,,0.83,7.24,7.24,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80620910,,Remove cartilage for graft,A,,5.39,7.35,NA,7.35,,1.15,13.89,13.89,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80720912,,Remove cartilage for graft,A,,6.38,5.65,NA,5.65,,1.00,13.03,13.03,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80820920,,Removal of fascia for graft,A,,5.37,4.55,NA,4.55,,0.79,10.71,10.71,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80920922,,Removal of fascia for graft,A,,6.76,11.41,,5.82,,1.51,19.68,14.09,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664