$419.65–$527.10
20900 is for a minor or small bone graft harvest. Use 20902 when the documented harvest is major or large.
On this page
CMS RVU26D · Effective 2026-10-01
20902 Bone graft harvest Medicare reimbursement rates in California
Reports harvesting a major or large autogenous bone graft from a donor site, such as the iliac crest, for use in reconstruction or fusion. Compare 20902 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 20902 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
$237.72–$274.02
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $36.30 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 20902 pays more and less in California
Orthopedic surgery
About 20902: Major bone graft harvest
Reports harvesting a major or large autogenous bone graft from a donor site, such as the iliac crest, for use in reconstruction or fusion.
This service covers taking a substantial amount of the patient’s own bone from a donor site for use elsewhere in a reconstructive procedure. A common source is the iliac crest. Orthopedic and reconstructive surgeons may harvest bone for procedures such as treating a nonunion, filling a defect, or supporting a fusion. The code represents the harvest, not the work of placing the graft at the recipient site.
Choose this level when the harvest is major or large, rather than a small graft or bone obtained locally through the operative exposure. The operative report should identify the donor site, describe the extent of the harvest, and explain the graft’s intended use. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. 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 20902
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU4.47 · 62%
- Practice expense (office) RVU1.94 · 27%
- Malpractice RVU0.83 · 11%
7.2K
Medicare services in 2024 · #1645 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.
20902 compared with similar codes
Office rates for California, from the same CMS release.
20936
No office rateSp bone agrft local add-on
20936 covers local bone used in spinal surgery and obtained through the same incision. 20902 describes a major or large harvest from a donor site.
No office rate
20937 is specific to morselized autograft for spinal surgery, with harvest through a separate incision. 20902 is not limited to that spinal graft configuration.
20930
No office rateSp bone algrft morsel add-on
20930 concerns morselized donor allograft for spinal surgery; 20902 concerns harvesting the patient's own major or large bone graft.
Compare 20902 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 $240.04 |
| Chico | Office Unavailable | Facility $237.72 |
| El Centro | Office Unavailable | Facility $237.86 |
| Fresno | Office Unavailable | Facility $237.72 |
| Hanford-Corcoran | Office Unavailable | Facility $237.72 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $250.49 |
| Madera | Office Unavailable | Facility $237.72 |
| Merced | Office Unavailable | Facility $237.72 |
| Modesto | Office Unavailable | Facility $237.72 |
| Napa | Office Unavailable | Facility $258.19 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $247.34 |
| Redding | Office Unavailable | Facility $237.72 |
| Rest Of California | Office Unavailable | Facility $237.72 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $246.66 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $244.90 |
| Salinas | Office Unavailable | Facility $243.89 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $246.30 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $267.58 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $266.63 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $274.02 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $270.17 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $240.50 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $246.03 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $243.90 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $248.21 |
| Stockton | Office Unavailable | Facility $237.72 |
| Vallejo | Office Unavailable | Facility $256.84 |
| Visalia | Office Unavailable | Facility $237.72 |
| Yuba City | Office Unavailable | Facility $237.72 |
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20902 billing questions
How does 20902 differ from 20900?
20902 is for a major or large bone harvest; 20900 represents a minor or small harvest. The operative note should support the extent of the graft taken.
Can 20902 be reported for bone harvested locally during spine surgery?
Codes 20936–20938 describe specific spinal autograft situations and include harvesting. For local bone obtained through the same incision, compare 20936 rather than separately reporting 20902 for that harvest.
What should the operative note document?
Document the donor site, the nature and extent of the bone harvest, and the intended recipient use. This supports selection of the major-or-large level rather than the minor-or-small level.
Should modifier 50 be appended for bilateral donor-site harvest?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The global period is 0 days.
Can an assistant or co-surgeon be paid?
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.
1,80220827,,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
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