No office rate
Use 20955 for a vascularized fibular graft. Use 20962 when the bone comes from another donor site.
On this page
CMS RVU26D · Effective 2026-10-01
20962 Bone graft Medicare reimbursement rates in Alaska
Reports a vascularized bone graft transferred from a donor site other than the fibula, iliac crest, or metatarsal for complex reconstruction. Compare 20962 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 20962 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$3001.62
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Reconstructive surgery
About 20962: Microvascular bone graft from another donor site
Reports a vascularized bone graft transferred from a donor site other than the fibula, iliac crest, or metatarsal for complex reconstruction.
This code covers harvesting and transferring a vascularized bone graft from a donor site outside the specifically named fibula, iliac crest, and metatarsal options. The graft’s blood supply is restored through microsurgical vessel connections. Reconstructive, orthopedic, and oral and maxillofacial surgeons may use this technique to address a segmental bone defect or a difficult nonunion when vascularized bone is needed. These cases are generally performed in a hospital or other facility setting.
Select the code according to the graft source and the work documented, including the bone harvested and the microvascular transfer. The operative report should identify the donor site, recipient defect, graft transfer, and vascular anastomosis. This major procedure has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this descriptor. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 20962
- 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 RVU38.23 · 53%
- Practice expense (office) RVU26.32 · 36%
- Malpractice RVU8.15 · 11%
58
Medicare services in 2024 · #5262 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.
20962 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
Use 20956 for a vascularized iliac crest graft; 20962 identifies another bone donor site.
No office rate
Use 20957 for a vascularized metatarsal graft. 20962 is for a different donor site.
No office rate
20969 describes a microvascular graft that includes bone and skin. 20962 is the other-donor-site choice for a bone graft without that bone-and-skin distinction.
Compare 20962 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$3001.62
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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 20962 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
1,824
- Code
- 20962
- Physician work
- 38.23
- Practice expense
- 26.32
- Malpractice
- 8.15
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 38.23 | × 1.500 | 57.3450 |
| Practice expense | 26.32 | × 1.065 | 28.0308 |
| Malpractice | 8.15 | × 0.551 | 4.4907 |
| Total RVUs | 89.8665 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$3001.62
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 38.23 | 1.5 |
| Practice expense | 26.32 | 1.065 |
| Malpractice | 8.15 | 0.551 |
(38.23 × 1.5 + 26.32 × 1.065 + 8.15 × 0.551) × $33.4009 = $3001.62
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.
20962 billing questions
How is 20962 distinguished from 20955, 20956, and 20957?
Choose 20962 when the vascularized bone graft comes from another donor site. The neighboring codes identify grafts from the fibula, iliac crest, or metatarsal.
What documentation supports reporting 20962?
The operative report should name the donor site and recipient defect and describe the graft transfer and microvascular vessel connections.
Is modifier 50 appropriate?
No. The descriptor and anatomy make modifier 50 inappropriate for this service.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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.
1,82120955,,Fibula bone graft microvasc,A,,39.25,21.35,NA,21.35,,7.30,67.90,67.90,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82220956,,Iliac bone graft microvasc,A,,40.15,21.79,NA,21.79,,8.58,70.52,70.52,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82320957,,Mt bone graft microvasc,A,,41.54,23.14,NA,23.14,,8.86,73.54,73.54,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82420962,,Other bone graft microvasc,A,,38.23,26.32,NA,26.32,,8.15,72.70,72.70,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82520969,,Bone/skin graft microvasc,A,,44.29,18.42,NA,18.42,,6.82,69.53,69.53,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82620970,,Bone/skin graft iliac crest,A,,43.47,23.32,NA,23.32,,9.28,76.07,76.07,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,82720972,,Bone/skin graft metatarsal,A,,43.40,23.14,NA,23.14,,9.26,75.80,75.80,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609