No office rate
This code is for replantation at the forearm level; 20802 is the corresponding choice for an amputation at the arm level.
On this page
CMS RVU26D · Effective 2026-10-01
20805 Forearm replantation Medicare reimbursement rates in Virginia
Report complete forearm replantation when a surgically detached forearm is reattached with restoration of circulation and reconstruction of injured structures. Compare 20805 office and facility rates across CMS payment localities in Virginia.
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 20805 in Virginia?
Virginia 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
$2779.22–$3184.19
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.
Replantation surgery
About 20805: Complete forearm replantation
Report complete forearm replantation when a surgically detached forearm is reattached with restoration of circulation and reconstruction of injured structures.
This code represents microsurgical reattachment of a completely amputated forearm, including restoration of blood flow and repair needed to reconnect the limb. The operation may involve bone stabilization and repair of vessels, tendons, nerves, and soft tissue. It is generally performed by a microsurgeon, often a plastic, orthopedic, or hand surgeon, in an emergency operating-room setting after traumatic amputation.
Select the code for the anatomical level of the replantation; distinguish a forearm from an amputation at the arm, hand, or digit. The operative report should document the amputation level and the replantation performed. 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 at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 20805
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU50.17 · 58%
- Practice expense (office) RVU25.91 · 30%
- Malpractice RVU10.72 · 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.
20805 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Use 20805 for a forearm-level replantation and 20808 when the replantation is at the hand level.
No office rate
20816 applies to digit replantation. Use 20805 when the replanted part is the forearm.
Compare 20805 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$3184.19
Virginia →
Office / nonfacility
Unavailable
Facility
$2779.22
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20805 billing questions
How do I distinguish this code from arm or hand replantation?
Choose by the anatomical level of the replantation. Use the forearm code for a forearm-level amputation, not an amputation at the arm or hand.
Are related postoperative visits separately reported?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral forearm replantation reported?
Report bilateral surgery with modifier 50; CMS pays this bilateral procedure at 150%.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when other procedures are performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
1,79420704,,Mnl prep&insj i-artic rx dev,A,,2.54,1.61,,0.80,,0.51,4.66,3.85,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79520705,,Rmvl i-artic rx delivery dev,A,,2.10,1.31,,0.65,,0.43,3.84,3.18,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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