$648.79
Both codes concern fascia lata graft procurement. Use the full descriptor and operative details to select the code; do not choose solely by the graft’s destination.
On this page
CMS RVU26D · Effective 2026-10-01
20920 Fascia graft Medicare reimbursement rates in Delaware
Reports harvest of a patient’s fascia lata for grafting, commonly obtained from the thigh during reconstructive surgery for use at another site. Compare 20920 office and facility rates across CMS payment localities in Delaware.
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 20920 in Delaware?
Delaware 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
$354.13
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Graft harvest
About 20920: Fascia lata graft harvest
Reports harvest of a patient’s fascia lata for grafting, commonly obtained from the thigh during reconstructive surgery for use at another site.
This service covers obtaining the patient’s fascia lata as graft material, typically through an incision over the thigh. A surgeon harvests the tissue during an operation in which the graft will be used for reconstruction elsewhere. Examples include obtaining fascia lata for a frontalis sling in ptosis repair or for other reconstructive procedures requiring autologous fascia. The harvest and the recipient-site work may involve different anatomic locations.
Report the code when the operative documentation supports fascia lata procurement, rather than harvest of bone, cartilage, or tendon. The record should identify the tissue obtained and describe the harvest performed; report the recipient procedure separately when supported by its own coding rules. This major surgery code 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 20920
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.37 · 50%
- Practice expense (office) RVU4.55 · 42%
- Malpractice RVU0.79 · 7%
35
Medicare services in 2024 · #5561 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.
20920 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
20924 concerns tendon graft procurement. Use 20920 when the harvested graft is fascia lata, not tendon.
$393.60
20900 concerns bone graft procurement. Use 20920 for fascia lata harvested as graft material.
Compare 20920 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
Delaware →
Office / nonfacility
Unavailable
Facility
$354.13
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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 20920 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
1,808
- Code
- 20920
- Physician work
- 5.37
- Practice expense
- 4.55
- Malpractice
- 0.79
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.37 | × 1.005 | 5.3968 |
| Practice expense | 4.55 | × 0.988 | 4.4954 |
| Malpractice | 0.79 | × 0.899 | 0.7102 |
| Total RVUs | 10.6025 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$354.13
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.37 | 1.005 |
| Practice expense | 4.55 | 0.988 |
| Malpractice | 0.79 | 0.899 |
(5.37 × 1.005 + 4.55 × 0.988 + 0.79 × 0.899) × $33.4009 = $354.13
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.
20920 billing questions
How is 20920 distinguished from 20922?
Both concern fascia lata graft procurement. Compare the full code descriptors with the documented harvest technique and extent; the recipient site alone does not distinguish them.
Can the graft harvest be reported with the reconstruction?
The harvest and recipient-site reconstruction are distinct services when each is supported by the operative report. Apply the applicable coding rules for the reconstruction as well as this code’s multiple-procedure payment reduction.
Can modifier 50 be used for bilateral fascia lata harvest?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only when supporting documentation is provided; 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.
1,80520902,,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
1,80920922,,Removal of fascia for graft,A,,6.76,11.41,,5.82,,1.51,19.68,14.09,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,81020924,,Removal of tendon for graft,A,,6.51,6.33,NA,6.33,,1.23,14.07,14.07,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,81120930,,Sp bone algrft morsel add-on,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503