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 Kansas
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 Kansas.
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 Kansas?
Kansas 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
$1458.05
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
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 Kansas, 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.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$1458.05
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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 20822 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
1,800
- Code
- 20822
- Physician work
- 25.99
- Practice expense
- 16.45
- Malpractice
- 5.54
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.99 | × 1.000 | 25.9900 |
| Practice expense | 16.45 | × 0.904 | 14.8708 |
| Malpractice | 5.54 | × 0.504 | 2.7922 |
| Total RVUs | 43.6530 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1458.05
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.99 | 1 |
| Practice expense | 16.45 | 0.904 |
| Malpractice | 5.54 | 0.504 |
(25.99 × 1 + 16.45 × 0.904 + 5.54 × 0.504) × $33.4009 = $1458.05
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.
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
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958