No office rate
Use 20933 for partial hemicortical intercalary allograft reconstruction. Use 20932 when the graft reconstructs a major joint surface with bone and cartilage.
On this page
CMS RVU26D · Effective 2026-10-01
20932 Joint allograft Medicare reimbursement rates in Utah
Reports templating, shaping, and placing a donor osteoarticular graft to reconstruct a major joint surface during a primary operation. Compare 20932 office and facility rates across CMS payment localities in Utah.
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 20932 in Utah?
Utah 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
$631.35
1 of 1 localities have a supported rate.
Payment area: Utah
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.
Orthopedic surgery
About 20932: Major joint osteoarticular allograft reconstruction
Reports templating, shaping, and placing a donor osteoarticular graft to reconstruct a major joint surface during a primary operation.
An orthopedic surgeon, often an orthopedic oncologist, uses this service to reconstruct a major joint surface with donor bone and cartilage. The work includes planning the graft’s fit, cutting it to shape, and placing it; bone grafting is included when performed. A knee joint surface may be reconstructed after substantial resection or loss of the joint’s bone and cartilage. The code describes reconstruction with an osteoarticular graft, not a graft made only of bone for spinal fusion.
Report 20932 only with a primary procedure, as required for this add-on code. The operative report should identify the major joint and defect, document use of an osteoarticular allograft, and support the templating, cutting, and placement work. Include the grafting of bone in this service when performed rather than treating that work as a separate service under this code. CMS places payment within the primary procedure’s global period; 20932 has no separate global period.
CMS billing rules for 20932
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU12.68 · 65%
- Practice expense (office) RVU4.04 · 21%
- Malpractice RVU2.70 · 14%
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.
20932 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
20934 describes complete intercalary allograft reconstruction; 20932 describes osteoarticular allograft reconstruction of a major joint surface.
No office rate
20931 covers structural allograft in spine surgery. It does not describe reconstruction of a major joint surface.
20930
No office rateSp bone algrft morsel add-on
20930 is for morselized allograft in spine surgery, not a shaped osteoarticular graft placed at a major joint.
Compare 20932 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
Utah →
Office / nonfacility
Unavailable
Facility
$631.35
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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 20932 in Utah.
PPRRVU2026_Oct_nonQPP.csv
1,813
- Code
- 20932
- Physician work
- 12.68
- Practice expense
- 4.04
- Malpractice
- 2.70
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.68 | × 1.000 | 12.6800 |
| Practice expense | 4.04 | × 0.940 | 3.7976 |
| Malpractice | 2.70 | × 0.898 | 2.4246 |
| Total RVUs | 18.9022 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$631.35
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.68 | 1 |
| Practice expense | 4.04 | 0.94 |
| Malpractice | 2.7 | 0.898 |
(12.68 × 1 + 4.04 × 0.94 + 2.7 × 0.898) × $33.4009 = $631.35
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.
20932 billing questions
Can 20932 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How does 20932 differ from 20933 and 20934?
20932 is for an osteoarticular graft reconstructing a major joint surface. Codes 20933 and 20934 describe hemicortical partial and complete intercalary allograft reconstruction, respectively.
Is bone grafting separately reported with 20932?
Bone grafting is included when performed as part of the osteoarticular allograft reconstruction. The operative note should make clear how it relates to the graft placement.
What documentation supports reporting 20932?
Document the major joint and defect, the use of a donor osteoarticular graft, and the graft templating, cutting, and placement performed.
Does 20932 have its own global period?
No. CMS treats it as an add-on paid within the primary procedure’s global period.
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.
1,81020924,,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
1,81420933,,Hemicrt intrclry algrft prtl,A,,11.64,3.71,NA,3.71,,2.48,17.83,17.83,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,81520934,,Intercalary algrft compl,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
1,81620936,,Sp bone agrft local 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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985