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CMS RVU26D · Effective 2026-10-01

20975 Bone healing stimulation Medicare reimbursement rates in Minnesota

Reports invasive electrical stimulation used to support bone healing, such as treatment of a fracture with delayed healing or nonunion. Compare 20975 office and facility rates across CMS payment localities in Minnesota.

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 20975 in Minnesota?

Minnesota 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

$152.74

1 of 1 localities have a supported rate.

Payment area: Minnesota

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.

Find 20975 in your payment locality →

Orthopedic procedure

About 20975: Invasive electrical bone healing stimulation

Reports invasive electrical stimulation used to support bone healing, such as treatment of a fracture with delayed healing or nonunion.

This service uses an invasive electrical stimulation method to support bone healing, typically when a fracture has delayed healing or has not united. An orthopedic surgeon or another qualified clinician places the stimulation components at or near the affected bone as part of the procedure. It is distinct from externally applied stimulation and from low-intensity ultrasound stimulation.

Report the service when the invasive electrical treatment is performed; the record should identify the bone and healing problem and describe the invasive stimulation performed. The code includes removal of the stimulation device. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Bilateral adjustment is inappropriate. An assistant at surgery may be paid; co-surgeons are payable only with supporting documentation, and team surgery is not permitted.

CMS billing rules for 20975

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
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 RVU2.54 · 50%
  • Practice expense (office) RVU1.76 · 35%
  • Malpractice RVU0.75 · 15%

173

Medicare services in 2024 · #4453 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.

20975 compared with similar codes

Office rates for Minnesota, from the same CMS release.

20974

Bone stimulation

Noninvasive electrical

$93.45

Choose 20975 for invasive electrical stimulation and 20974 for noninvasive electrical stimulation; the method, not the fracture location, distinguishes them.

20979

Bone stimulation

Low-intensity ultrasound

$54.07

20979 describes low-intensity ultrasound stimulation, not invasive electrical stimulation.

20999

Unlisted px muscskel general

No office rate

Use 20999 only when the performed musculoskeletal procedure lacks a more specific code; 20975 specifically describes invasive electrical bone-healing stimulation.

Compare 20975 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

Office and facility base rates · shared scale starting at $0

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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 20975 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

1,830

Code
20975
Physician work
2.54
Practice expense
1.76
Malpractice
0.75

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 20975 in Minnesota
ComponentRVULocality factorAdjusted
Physician work2.54× 1.0002.5400
Practice expense1.76× 1.0291.8110
Malpractice0.75× 0.2960.2220
Total RVUs4.5730
Conversion factor× 33.4009

Facility rate, Minnesota$152.74

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.541
Practice expense1.761.029
Malpractice0.750.296

(2.54 × 1 + 1.76 × 1.029 + 0.75 × 0.296) × $33.4009 = $152.74

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.

20975 billing questions

How is this distinguished from 20974?

20975 is for an invasive electrical stimulation method. Use 20974 for noninvasive electrical stimulation rather than choosing between them based on the bone or fracture site.

Is removal of the stimulation device separately reported?

Removal of the device is included in 20975, so it is not separately reported as a distinct service under this code.

Can modifier 50 be used when both sides are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy does not support modifier 50.

What documentation supports reporting 20975?

Document the bone and healing problem being treated and the invasive electrical stimulation performed. The record should make clear that the method was invasive rather than externally applied.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are payable only with supporting documentation, and 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.

RVUs for 20975PPRRVU2026_Oct_nonQPP.csv, line 1,830 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)