No office rate
20920 reports fascia graft procurement. Choose 20924 when tendon is harvested for the graft.
On this page
CMS RVU26D · Effective 2026-10-01
20924 Tendon graft harvest Medicare reimbursement rates in Tennessee
Reports harvest of tendon from a separate donor site for grafting, such as palmaris longus, plantaris, or toe extensor tendon used in reconstruction. Compare 20924 office and facility rates across CMS payment localities in Tennessee.
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 20924 in Tennessee?
Tennessee 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
$431.69
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 20924: Distant-site tendon graft harvest
Reports harvest of tendon from a separate donor site for grafting, such as palmaris longus, plantaris, or toe extensor tendon used in reconstruction.
This code reports removal of a tendon intended for use as a graft, with the donor site separate from the site being reconstructed. Examples include harvesting palmaris longus, plantaris, or toe extensor tendon for a reconstructive procedure. Orthopedic, hand, and reconstructive surgeons typically perform the harvest in an operating room, often through an incision at the donor site distinct from the operative site where the graft will be used.
Report the harvest when the operative record identifies the tendon and donor location and documents its removal for graft use. The code describes procurement, not placement of the graft or reconstruction at the recipient site. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 20924
- 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 RVU6.51 · 46%
- Practice expense (office) RVU6.33 · 45%
- Malpractice RVU1.23 · 9%
384
Medicare services in 2024 · #3770 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.
20924 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
20910 describes cartilage graft harvest. The tissue removed, not simply the fact that it will be used as a graft, distinguishes it from 20924.
$364.85
20900 describes bone graft harvest. Use 20924 for tendon procurement from a donor site.
Compare 20924 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$431.69
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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 20924 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
1,810
- Code
- 20924
- Physician work
- 6.51
- Practice expense
- 6.33
- Malpractice
- 1.23
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.51 | × 1.000 | 6.5100 |
| Practice expense | 6.33 | × 0.909 | 5.7540 |
| Malpractice | 1.23 | × 0.537 | 0.6605 |
| Total RVUs | 12.9245 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$431.69
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.51 | 1 |
| Practice expense | 6.33 | 0.909 |
| Malpractice | 1.23 | 0.537 |
(6.51 × 1 + 6.33 × 0.909 + 1.23 × 0.537) × $33.4009 = $431.69
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.
20924 billing questions
When should 20924 be chosen instead of a fascia or bone graft harvest code?
Use 20924 when the harvested graft material is tendon. Codes such as 20920 or 20900 describe harvest of different tissues, not tendon.
Does 20924 describe graft placement or the reconstruction?
No. It reports tendon procurement from the donor site; the recipient-site reconstruction is described by its own procedure code.
What should the operative note document?
Document the tendon harvested, its donor-site location, and that it was removed for graft use. The record should distinguish the harvest from work at the reconstruction site.
How is 20924 affected when other 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.
What payment rules apply to assistants and co-surgeons?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
1,80720912,,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
1,81220931,,Sp bone algrft struct add-on,A,,1.76,0.59,NA,0.59,,0.59,2.94,2.94,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,81320932,,Osteoart algrft w/surf & b1,A,,12.68,4.04,NA,4.04,,2.70,19.42,19.42,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780