No office rate
Use 20822 for thumb replantation. This code is for a completely severed finger other than the thumb.
On this page
CMS RVU26D · Effective 2026-10-01
20816 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1778.14
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Hand surgery
About 20816: Complete non-thumb digit replantation
Reports microsurgical reattachment of a completely severed finger other than the thumb, including operative repair to restore circulation and function.
This service covers reattachment of a completely severed finger other than the thumb after traumatic amputation. A hand surgeon, often with microsurgical expertise, performs the operation in a surgical setting. The work commonly includes restoring blood flow through vessel repair, stabilizing bone, and repairing tendons, nerves, and soft tissue as indicated by the injury. It is distinct from replantation of a thumb, an entire hand, or a digit that remains partially attached.
Select the code based on the injured body part and whether the digit was completely severed; document the amputation level, structures treated, and operative work. The 90-day global period includes 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 others at 50%. Modifier 50 is inappropriate for this digit-specific service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 20816
- 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 RVU31.15 · 57%
- Practice expense (office) RVU17.18 · 31%
- Malpractice RVU6.63 · 12%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
20816 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
This code covers replantation of an individual non-thumb digit; 20808 is for replantation at the hand level.
The same code, a different location
How does Wyoming** compare?
20816 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 20816
Office
Unavailable
Facility
$1667.88
No comparable office rate is available.
Arkansas
Arkansas · 20816
Office
Unavailable
Facility
$1647.40
No comparable office rate is available.
Arizona
Arizona · 20816
Office
Unavailable
Facility
$1786.04
No comparable office rate is available.
Bakersfield
California · 20816
Office
Unavailable
Facility
$1823.98
No comparable office rate is available.
Chico
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
El Centro
California · 20816
Office
Unavailable
Facility
$1806.84
No comparable office rate is available.
Fresno
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Hanford-Corcoran
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Madera
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Merced
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Modesto
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Napa
California · 20816
Office
Unavailable
Facility
$1974.79
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 20816
Office
Unavailable
Facility
$1885.80
No comparable office rate is available.
Redding
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Rest Of California
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 20816
Office
Unavailable
Facility
$1876.98
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 20816
Office
Unavailable
Facility
$1863.95
No comparable office rate is available.
Salinas
California · 20816
Office
Unavailable
Facility
$1856.45
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 20816
Office
Unavailable
Facility
$1877.97
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 20816
Office
Unavailable
Facility
$2050.02
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 20816
Office
Unavailable
Facility
$2042.49
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 20816
Office
Unavailable
Facility
$2101.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 20816
Office
Unavailable
Facility
$2070.26
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 20816
Office
Unavailable
Facility
$1830.41
No comparable office rate is available.
Santa Cruz-Watsonville
California · 20816
Office
Unavailable
Facility
$1878.18
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 20816
Office
Unavailable
Facility
$1857.35
No comparable office rate is available.
Santa Rosa-Petaluma
California · 20816
Office
Unavailable
Facility
$1895.01
No comparable office rate is available.
Stockton
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Vallejo
California · 20816
Office
Unavailable
Facility
$1963.93
No comparable office rate is available.
Visalia
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Yuba City
California · 20816
Office
Unavailable
Facility
$1805.74
No comparable office rate is available.
Colorado
Colorado · 20816
Office
Unavailable
Facility
$1836.43
No comparable office rate is available.
Connecticut
Connecticut · 20816
Office
Unavailable
Facility
$1947.21
No comparable office rate is available.
Delaware
Delaware · 20816
Office
Unavailable
Facility
$1811.66
No comparable office rate is available.
Fort Lauderdale
Florida · 20816
Office
Unavailable
Facility
$2022.10
No comparable office rate is available.
Rest Of Florida
Florida · 20816
Office
Unavailable
Facility
$1921.85
No comparable office rate is available.
Atlanta
Georgia · 20816
Office
Unavailable
Facility
$1892.53
No comparable office rate is available.
Rest Of Georgia
Georgia · 20816
Office
Unavailable
Facility
$1816.26
No comparable office rate is available.
Hawaii, Guam
Hawaii · 20816
Office
Unavailable
Facility
$1821.10
No comparable office rate is available.
Iowa
Iowa · 20816
Office
Unavailable
Facility
$1653.41
No comparable office rate is available.
Idaho
Idaho · 20816
Office
Unavailable
Facility
$1673.10
No comparable office rate is available.
East St. Louis
Illinois · 20816
Office
Unavailable
Facility
$2014.36
No comparable office rate is available.
Rest Of Illinois
Illinois · 20816
Office
Unavailable
Facility
$1910.47
No comparable office rate is available.
Suburban Chicago
Illinois · 20816
Office
Unavailable
Facility
$2029.45
No comparable office rate is available.
Indiana
Indiana · 20816
Office
Unavailable
Facility
$1680.00
No comparable office rate is available.
Kansas
Kansas · 20816
Office
Unavailable
Facility
$1670.79
No comparable office rate is available.
Kentucky
Kentucky · 20816
Office
Unavailable
Facility
$1753.20
No comparable office rate is available.
New Orleans
Louisiana · 20816
Office
Unavailable
Facility
$1831.97
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 20816
Office
Unavailable
Facility
$1760.42
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 20816
Office
Unavailable
Facility
$1965.33
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 20816
Office
Unavailable
Facility
$1837.82
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 20816
Office
Unavailable
Facility
$1946.73
No comparable office rate is available.
Rest Of Maryland
Maryland · 20816
Office
Unavailable
Facility
$1834.85
No comparable office rate is available.
Rest Of Maine
Maine · 20816
Office
Unavailable
Facility
$1706.10
No comparable office rate is available.
Southern Maine
Maine · 20816
Office
Unavailable
Facility
$1748.83
No comparable office rate is available.
Detroit
Michigan · 20816
Office
Unavailable
Facility
$1967.54
No comparable office rate is available.
Rest Of Michigan
Michigan · 20816
Office
Unavailable
Facility
$1814.36
No comparable office rate is available.
Minnesota
Minnesota · 20816
Office
Unavailable
Facility
$1696.46
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 20816
Office
Unavailable
Facility
$1795.62
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 20816
Office
Unavailable
Facility
$1808.61
No comparable office rate is available.
Rest Of Missouri
Missouri · 20816
Office
Unavailable
Facility
$1750.77
No comparable office rate is available.
Mississippi
Mississippi · 20816
Office
Unavailable
Facility
$1698.15
No comparable office rate is available.
Montana**
Montana · 20816
Office
Unavailable
Facility
$1835.27
No comparable office rate is available.
North Carolina
North Carolina · 20816
Office
Unavailable
Facility
$1717.32
No comparable office rate is available.
North Dakota**
North Dakota · 20816
Office
Unavailable
Facility
$1704.17
No comparable office rate is available.
Nebraska
Nebraska · 20816
Office
Unavailable
Facility
$1653.79
No comparable office rate is available.
New Hampshire
New Hampshire · 20816
Office
Unavailable
Facility
$1831.56
No comparable office rate is available.
Northern Nj
New Jersey · 20816
Office
Unavailable
Facility
$2008.13
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 20816
Office
Unavailable
Facility
$1951.60
No comparable office rate is available.
New Mexico
New Mexico · 20816
Office
Unavailable
Facility
$1832.60
No comparable office rate is available.
Nevada**
Nevada · 20816
Office
Unavailable
Facility
$1799.31
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 20816
Office
Unavailable
Facility
$2200.54
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 20816
Office
Unavailable
Facility
$1983.55
No comparable office rate is available.
Queens
New York · 20816
Office
Unavailable
Facility
$2104.62
No comparable office rate is available.
Rest Of New York
New York · 20816
Office
Unavailable
Facility
$1741.25
No comparable office rate is available.
Ohio
Ohio · 20816
Office
Unavailable
Facility
$1787.56
No comparable office rate is available.
Oklahoma
Oklahoma · 20816
Office
Unavailable
Facility
$1724.93
No comparable office rate is available.
Portland
Oregon · 20816
Office
Unavailable
Facility
$1859.36
No comparable office rate is available.
Rest Of Oregon
Oregon · 20816
Office
Unavailable
Facility
$1767.65
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 20816
Office
Unavailable
Facility
$1920.71
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 20816
Office
Unavailable
Facility
$1776.48
No comparable office rate is available.
Puerto Rico
Puerto Rico · 20816
Office
Unavailable
Facility
$1838.70
No comparable office rate is available.
Rhode Island
Rhode Island · 20816
Office
Unavailable
Facility
$1850.50
No comparable office rate is available.
South Carolina
South Carolina · 20816
Office
Unavailable
Facility
$1758.89
No comparable office rate is available.
South Dakota**
South Dakota · 20816
Office
Unavailable
Facility
$1688.67
No comparable office rate is available.
Tennessee
Tennessee · 20816
Office
Unavailable
Facility
$1680.96
No comparable office rate is available.
Austin
Texas · 20816
Office
Unavailable
Facility
$1845.83
No comparable office rate is available.
Beaumont
Texas · 20816
Office
Unavailable
Facility
$1768.35
No comparable office rate is available.
Brazoria
Texas · 20816
Office
Unavailable
Facility
$1790.15
No comparable office rate is available.
Dallas
Texas · 20816
Office
Unavailable
Facility
$1811.34
No comparable office rate is available.
Fort Worth
Texas · 20816
Office
Unavailable
Facility
$1808.48
No comparable office rate is available.
Galveston
Texas · 20816
Office
Unavailable
Facility
$1801.93
No comparable office rate is available.
Houston
Texas · 20816
Office
Unavailable
Facility
$1923.28
No comparable office rate is available.
Rest Of Texas
Texas · 20816
Office
Unavailable
Facility
$1784.97
No comparable office rate is available.
Utah
Utah · 20816
Office
Unavailable
Facility
$1778.70
No comparable office rate is available.
Virginia
Virginia · 20816
Office
Unavailable
Facility
$1760.85
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 20816
Office
Unavailable
Facility
$1838.70
No comparable office rate is available.
Vermont
Vermont · 20816
Office
Unavailable
Facility
$1720.58
No comparable office rate is available.
Rest Of Washington
Washington · 20816
Office
Unavailable
Facility
$1826.73
No comparable office rate is available.
Seattle (King Cnty)
Washington · 20816
Office
Unavailable
Facility
$1977.47
No comparable office rate is available.
Wisconsin
Wisconsin · 20816
Office
Unavailable
Facility
$1658.37
No comparable office rate is available.
West Virginia
West Virginia · 20816
Office
Unavailable
Facility
$1855.99
No comparable office rate is available.
See how rates vary across the country
20816 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 20816 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1955.95
$1778.14 × 110% = $1955.95
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 20816 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,799
- Code
- 20816
- Physician work
- 31.15
- Practice expense
- 17.18
- Malpractice
- 6.63
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.15 | × 1.000 | 31.1500 |
| Practice expense | 17.18 | × 1.000 | 17.1800 |
| Malpractice | 6.63 | × 0.740 | 4.9062 |
| Total RVUs | 53.2362 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1778.14
Open 20816 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.15 | 1 |
| Practice expense | 17.18 | 1 |
| Malpractice | 6.63 | 0.74 |
(31.15 × 1 + 17.18 × 1 + 6.63 × 0.74) × $33.4009 = $1778.14
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
20816 · 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 | $1778.14 | RVU26D |
| 2026-07-01 | Not available in this setting | $1778.14 | RVU26C |
| 2026-04-01 | Not available in this setting | $1778.14 | RVU26B |
| 2026-01-01 | Not available in this setting | $1778.14 | RVU26A |
| 2025-10-01 | Not available in this setting | $1949.47 | RVU25D |
| 2025-07-01 | Not available in this setting | $1949.47 | RVU25C |
| 2025-04-01 | Not available in this setting | $1949.47 | RVU25B |
| 2025-01-01 | Not available in this setting | $1949.47 | RVU25A |
20816 billing questions
When is this code selected instead of the incomplete replantation code?
Use this code when the non-thumb digit was completely severed. A digit that remains partially attached is distinguished as an incomplete injury.
How is a thumb replantation distinguished?
This code is for a finger other than the thumb. Use the thumb-specific replantation code when the amputated part is the thumb.
Does this code describe replantation of an entire hand?
No. It describes reattachment of an individual non-thumb digit; replantation of an entire hand is reported with the hand-level code.
What documentation supports reporting this service?
The operative record should identify the digit and amputation level, establish that it was completely severed, and describe the replantation and repairs performed.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,79620802,,Replantation arm complete,A,,41.55,23.01,NA,23.01,,8.86,73.42,73.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79720805,,Replant forearm complete,A,,50.17,25.91,NA,25.91,,10.72,86.80,86.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79820808,,Replantation hand complete,A,,61.51,29.52,NA,29.52,,13.14,104.17,104.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79920816,,Replantation digit complete,A,,31.15,17.18,NA,17.18,,6.63,54.96,54.96,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80020822,,Replantation digit complete,A,,25.99,16.45,NA,16.45,,5.54,47.98,47.98,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80120824,,Replantation thumb complete,A,,31.15,17.34,NA,17.34,,6.63,55.12,55.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80220827,,Replantation thumb complete,A,,26.79,16.71,NA,16.71,,5.71,49.21,49.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,