No office rate
Choose 20822 for replantation of a digit; 20808 is for replantation at the hand level. Follow the operative record's anatomical level.
On this page
CMS RVU26D · Effective 2026-10-01
20822 Digit replantation Medicare reimbursement rates in California
Replantation of a completely amputated digit is reported for microsurgical restoration after traumatic separation. Compare 20822 office and facility rates across CMS payment localities in California.
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 20822 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1584.22–$1855.06
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $270.84 per service.
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.
Where 20822 pays more and less in California
Hand surgery
About 20822: Complete digit replantation surgery
Replantation of a completely amputated digit is reported for microsurgical restoration after traumatic separation.
This code describes operative reattachment of a digit that has been completely separated from the hand. The procedure is typically performed urgently in a hospital operating room by a hand, orthopedic, or plastic surgeon. Replantation may require restoring circulation through microsurgical vessel repair and addressing bone, tendon, nerve, and soft-tissue injuries as part of the operative work.
Select the code when the operative record supports complete amputation and replantation of a digit; distinguish this from replantation of a larger body part, such as the hand. Document the injury, digit involved, completeness of separation, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 20822
- 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 RVU25.99 · 54%
- Practice expense (office) RVU16.45 · 34%
- Malpractice RVU5.54 · 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.
20822 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
20805 describes complete replantation at the forearm level. It is not the digit-level code.
No office rate
20802 describes complete replantation at the arm level. Use 20822 when the replantation is at the digit level.
Compare 20822 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $1599.46 |
| Chico | Office Unavailable | Facility $1584.22 |
| El Centro | Office Unavailable | Facility $1585.15 |
| Fresno | Office Unavailable | Facility $1584.22 |
| Hanford-Corcoran | Office Unavailable | Facility $1584.22 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1676.54 |
| Madera | Office Unavailable | Facility $1584.22 |
| Merced | Office Unavailable | Facility $1584.22 |
| Modesto | Office Unavailable | Facility $1584.22 |
| Napa | Office Unavailable | Facility $1740.95 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1657.12 |
| Redding | Office Unavailable | Facility $1584.22 |
| Rest Of California | Office Unavailable | Facility $1584.22 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1643.75 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1637.53 |
| Salinas | Office Unavailable | Facility $1630.99 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1651.56 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1810.21 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1803.92 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1855.06 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1829.34 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1607.85 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1653.08 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1632.23 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1668.03 |
| Stockton | Office Unavailable | Facility $1584.22 |
| Vallejo | Office Unavailable | Facility $1731.88 |
| Visalia | Office Unavailable | Facility $1584.22 |
| Yuba City | Office Unavailable | Facility $1584.22 |
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20822 billing questions
How is digit replantation distinguished from hand replantation?
Use this code for replantation of a digit. Code 20808 describes replantation at the hand level, so base selection on the anatomical level of the replantation documented in the operative report.
Does this code include related postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
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.
Can modifier 50 be used for replantation of digits on both hands?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
1,79720805,,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
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