No office rate
Use 20822 for thumb replantation. This code is for a completely severed finger other than the thumb.
On this page
CMS RVU26D · Effective 2026-10-01
20816 Digit replantation Medicare reimbursement rates in New Jersey
Reports microsurgical reattachment of a completely severed finger other than the thumb, including operative repair to restore circulation and function. Compare 20816 office and facility rates across CMS payment localities in New Jersey.
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 20816 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1951.60–$2008.13
2 of 2 localities have a supported rate.
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 20816: Complete non-thumb digit replantation
Reports microsurgical reattachment of a completely severed finger other than the thumb, including operative repair to restore circulation and function.
This service covers reattachment of a completely severed finger other than the thumb after traumatic amputation. A hand surgeon, often with microsurgical expertise, performs the operation in a surgical setting. The work commonly includes restoring blood flow through vessel repair, stabilizing bone, and repairing tendons, nerves, and soft tissue as indicated by the injury. It is distinct from replantation of a thumb, an entire hand, or a digit that remains partially attached.
Select the code based on the injured body part and whether the digit was completely severed; document the amputation level, structures treated, and operative work. The 90-day global period 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 others at 50%. Modifier 50 is inappropriate for this digit-specific service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 20816
- 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 RVU31.15 · 57%
- Practice expense (office) RVU17.18 · 31%
- Malpractice RVU6.63 · 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.
20816 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
This code covers replantation of an individual non-thumb digit; 20808 is for replantation at the hand level.
Compare 20816 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$2008.13
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1951.60
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20816 billing questions
When is this code selected instead of the incomplete replantation code?
Use this code when the non-thumb digit was completely severed. A digit that remains partially attached is distinguished as an incomplete injury.
How is a thumb replantation distinguished?
This code is for a finger other than the thumb. Use the thumb-specific replantation code when the amputated part is the thumb.
Does this code describe replantation of an entire hand?
No. It describes reattachment of an individual non-thumb digit; replantation of an entire hand is reported with the hand-level code.
What documentation supports reporting this service?
The operative record should identify the digit and amputation level, establish that it was completely severed, and describe the replantation and repairs performed.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days.
Can an assistant or co-surgeon be reported?
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.
1,79620802,,Replantation arm complete,A,,41.55,23.01,NA,23.01,,8.86,73.42,73.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79720805,,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