No office rate
Use 20805 for complete replantation at the forearm level. Use 20802 when the replantation is at the arm level.
On this page
CMS RVU26D · Effective 2026-10-01
20802 Arm replantation Medicare reimbursement rates in Arkansas
Report complete arm replantation when a fully detached arm segment is surgically reattached, with reconstruction to restore blood flow and limb continuity. Compare 20802 office and facility rates across CMS payment localities in Arkansas.
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 20802 in Arkansas?
Arkansas 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
$2200.40
1 of 1 localities have a supported rate.
Payment area: Arkansas
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.
Replantation surgery
About 20802: Complete arm replantation
Report complete arm replantation when a fully detached arm segment is surgically reattached, with reconstruction to restore blood flow and limb continuity.
This code describes reattachment of a completely separated arm segment after traumatic amputation. The operation may involve restoring blood flow through arterial and venous repair and reconnecting bone, tendons, nerves, and other injured structures as needed. It is typically performed by a microsurgeon, often a plastic or orthopedic surgeon, in an emergency operating room after severe trauma.
Select the code for the arm-level injury, distinguishing it from a forearm, hand, thumb, or digit replantation. The operative report should establish the amputation level, that the part was completely detached, and the reconstructive work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 applies to bilateral reporting, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 20802
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU41.55 · 57%
- Practice expense (office) RVU23.01 · 31%
- Malpractice RVU8.86 · 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.
20802 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Use 20808 for a completely amputated hand. This code is for replantation at the arm level.
No office rate
Code 20816 describes incomplete digit replantation. It differs in both body site and the completeness of the amputation.
No office rate
Code 20822 is for complete digit replantation; 20802 is for complete replantation at the arm level.
Compare 20802 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$2200.40
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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 20802 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
1,796
- Code
- 20802
- Physician work
- 41.55
- Practice expense
- 23.01
- Malpractice
- 8.86
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 41.55 | × 1.000 | 41.5500 |
| Practice expense | 23.01 | × 0.859 | 19.7656 |
| Malpractice | 8.86 | × 0.515 | 4.5629 |
| Total RVUs | 65.8785 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$2200.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 41.55 | 1 |
| Practice expense | 23.01 | 0.859 |
| Malpractice | 8.86 | 0.515 |
(41.55 × 1 + 23.01 × 0.859 + 8.86 × 0.515) × $33.4009 = $2200.40
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.
20802 billing questions
How do I distinguish 20802 from forearm replantation?
Choose by the injury level: 20802 is for the arm, while 20805 is for the forearm. The operative documentation should identify the anatomical level of the amputation.
Does the code apply to a partially attached arm?
This code is for complete replantation. Document whether the amputated part was fully detached; incomplete amputation may lead to a different code selection.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
How does CMS treat bilateral reporting?
CMS lists bilateral reporting with modifier 50 and payment at 150%. The operative record should support treatment of both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted under the CMS rules for this code.
What happens when other procedures are 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% when 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.
1,79320703,,Rmvl imed rx delivery device,A,,1.76,1.11,,0.56,,0.38,3.25,2.70,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79420704,,Mnl prep&insj i-artic rx dev,A,,2.54,1.61,,0.80,,0.51,4.66,3.85,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79520705,,Rmvl i-artic rx delivery dev,A,,2.10,1.31,,0.65,,0.43,3.84,3.18,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541