Billing code 20808: Hand replantationMedicare rate & RVUs in Utah
Reports surgical reattachment of a completely amputated hand, including the reconstructive work needed to restore continuity and support perfusion and function.
CMS doesn’t publish an office rate for 20808 in Utah.
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 20808 covers
This code is for surgery to reattach a hand that has been completely amputated. The surgeon restores the connection of the hand to the patient, typically repairing the structures needed for blood flow and function. The procedure is performed in an operating room, usually in an acute-care hospital, by a surgeon experienced in hand reconstruction and microsurgical techniques. It is distinct from replantation of an individual digit, thumb, forearm, or arm.
Select the code according to the replantation site and document the complete amputation and operative work. CMS assigns a 90-day global period, including 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 other procedures are subject to the standard 50% reduction. For bilateral replantation, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation. 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.
20808 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $3,375.45 |
How the 20808 rate is calculated
Each of 20808’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 · 20808
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 61.51Practice expense 29.52Malpractice 13.14
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 20808
20808 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 20808
Hand replantation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 20808
Hand replantation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
20808 without 50 · national facility
$3,479.37
Hand replantation
20808-50 · Bilateral: 150%
$5,219.06
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
20808 compared with similar codes
Compare codes
20808 vs 20805 vs 20816 vs 20824: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 20805Forearm replantation
- Choose 20805 when the replanted part is the forearm. This code is for reattachment at the hand.
- 20816Digit replantation
- Choose 20816 for replantation of a digit. This code applies when the complete hand is the replanted part.
- 20824Thumb replantation
- Choose 20824 when the replantation is limited to the thumb; this code is for replantation of the hand.
20808 billing questions
When should this code be selected instead of a digit or thumb replantation code?
Use this code when the completely amputated part being replanted is the hand. Use the digit or thumb code when the replantation is limited to that digit or thumb.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral hand replantation reported?
Report modifier 50 for a bilateral procedure. CMS pays the bilateral service at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only when supporting documentation is provided.
What happens 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 multiple-procedure reduction. Team surgery is not permitted for this code.
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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