No office rate
Both represent harvesting the patient’s bone for a graft. Choose 20900 for a minor or small harvest and 20902 for a major or large harvest.
On this page
CMS RVU26D · Effective 2026-10-01
20900 Bone graft harvest Medicare reimbursement rates in Virginia
Reports harvesting a small autogenous bone graft from a donor site for use in a reconstructive or orthopedic procedure requiring bone grafting. Compare 20900 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 20900 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
$388.59–$455.83
2 of 2 localities have a supported rate.
Facility setting
$155.15–$176.08
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.
Orthopedic surgery
About 20900: Small autogenous bone graft harvest
Reports harvesting a small autogenous bone graft from a donor site for use in a reconstructive or orthopedic procedure requiring bone grafting.
This service covers obtaining a small piece of the patient’s own bone for grafting, such as a small dowel- or button-shaped piece. An orthopedic, spine, or reconstructive surgeon may harvest it during an operation in which another site needs bone graft material. The operative record should identify the donor site and describe the harvested graft and the procedure for which it is used.
Select this code when the harvested graft is minor or small; code 20902 represents a major or large harvest. Report the harvest with the procedure that uses the graft when separately supported by the operative work. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 20900
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU2.93 · 25%
- Practice expense (office) RVU8.51 · 71%
- Malpractice RVU0.48 · 4%
7.9K
Medicare services in 2024 · #1599 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.
20900 compared with similar codes
Office rates for Virginia, from the same CMS release.
20936
No office rateSp bone agrft local add-on
20936 describes local spinal autograft obtained through the operative incision. Use 20900 for a separately documented small bone harvest rather than local bone collected at the recipient site.
No office rate
20937 represents a separately harvested morselized autograft for spinal surgery. Choose 20900 for a minor or small harvest that is not being reported under that spinal graft code.
No office rate
20938 represents a separately harvested structural autograft for spinal surgery. It differs from 20900, which identifies a minor or small bone harvest.
Compare 20900 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
$455.83
Facility
$176.08
Virginia →
Office / nonfacility
$388.59
Facility
$155.15
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20900 billing questions
How is 20900 distinguished from 20902?
Use 20900 for a minor or small bone harvest and 20902 for a major or large harvest. The operative documentation should support the extent of the harvest.
Is 20900 an add-on code?
No add-on status is listed for 20900. Report it for the separately performed small bone harvest when the operative record supports that work.
Can 20900 be reported with a spinal graft code?
A small separate-site harvest is distinct from local spinal autograft represented by 20936. Codes 20937 and 20938 describe other spinal autograft approaches, so select based on the documented graft and harvest method.
Should modifier 50 be appended for bilateral harvesting?
No. Modifier 50 is inappropriate for 20900 under the CMS bilateral adjustment rule.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. When other procedures are performed in the same session, standard multiple-procedure payment reduction applies.
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.
1,80120824,,Replantation thumb complete,A,,31.15,17.34,NA,17.34,,6.63,55.12,55.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80220827,,Replantation thumb complete,A,,26.79,16.71,NA,16.71,,5.71,49.21,49.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80320838,,Replantation foot complete,A,,41.81,23.93,NA,23.93,,8.93,74.67,74.67,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80420900,,Removal of bone for graft,A,,2.93,8.51,,1.40,,0.48,11.92,4.81,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80520902,,Removal of bone for graft,A,,4.47,1.94,NA,1.94,,0.83,7.24,7.24,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80620910,,Remove cartilage for graft,A,,5.39,7.35,NA,7.35,,1.15,13.89,13.89,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,80720912,,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