Billing code 20975: Bone healing stimulationMedicare rate & RVUs in Oklahoma
Reports invasive electrical stimulation used to support bone healing, such as treatment of a fracture with delayed healing or nonunion.
CMS doesn’t publish an office rate for 20975 in Oklahoma.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 20975 covers
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.
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 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $156.80 |
How the 20975 rate is calculated
Each of 20975’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 20975
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.54Practice expense 1.76Malpractice 0.75
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 20975
The CMS indicators that decide how 20975 is paid alongside other services.
CMS payment indicators · 20975
Bone healing stimulation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
20975 without 80 · national facility
$168.67
Bone healing stimulation
20975-80 · Assistant: 16%
$26.99
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
20975 compared with similar codes
Compare codes
20975 vs 20974 vs 20979 vs 20999: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 20974Bone stimulation
- Choose 20975 for invasive electrical stimulation and 20974 for noninvasive electrical stimulation; the method, not the fracture location, distinguishes them.
- 20979Bone stimulation
- 20979 describes low-intensity ultrasound stimulation, not invasive electrical stimulation.
- 20999Unlisted px muscskel general
- Use 20999 only when the performed musculoskeletal procedure lacks a more specific code; 20975 specifically describes invasive electrical bone-healing stimulation.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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