No office rate
Choose 20922 when fascia is procured through an incision with direct exposure; 20920 describes procurement by stripping.
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CMS RVU26D · Effective 2026-10-01
20922 Fascia harvest Medicare reimbursement rates in Wisconsin
Reports harvesting fascia through an incision and direct exposure when fascia is obtained as graft material for a reconstructive procedure. Compare 20922 office and facility rates across CMS payment localities in Wisconsin.
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 20922 in Wisconsin?
Wisconsin 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
$606.42
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$427.55
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 20922: Fascia graft harvest by incision
Reports harvesting fascia through an incision and direct exposure when fascia is obtained as graft material for a reconstructive procedure.
This code represents harvesting fascia through an incision that exposes the donor tissue, rather than obtaining it by a stripping technique. It is used when a surgeon procures fascia—often fascia lata—for grafting during reconstruction, such as when tissue is needed to reinforce or replace damaged structures. The harvest and the procedure using the graft may involve separate operative sites.
Report the harvest when the operative note identifies the donor site, the fascia obtained, and the incision and exposure used to procure it. The code has 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, Medicare pays the highest-valued procedure in full and other procedures at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Medicare does not permit team-surgery payment for this code.
CMS billing rules for 20922
- 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 RVU6.76 · 34%
- Practice expense (office) RVU11.41 · 58%
- Malpractice RVU1.51 · 8%
289
Medicare services in 2024 · #4022 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.
20922 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
Use 20924 for tendon graft procurement, such as harvesting a tendon from a separate site. Use 20922 when the harvested graft tissue is fascia.
$375.11
Code 20900 describes bone graft procurement. Code 20922 is for fascia graft procurement through incision and exposure.
Compare 20922 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
Wisconsin →
Office / nonfacility
$606.42
Facility
$427.55
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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 20922 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
1,809
- Code
- 20922
- Physician work
- 6.76
- Practice expense
- 11.41
- Malpractice
- 1.51
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.76 | × 1.000 | 6.7600 |
| Practice expense | 11.41 | × 0.958 | 10.9308 |
| Malpractice | 1.51 | × 0.308 | 0.4651 |
| Total RVUs | 18.1559 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$606.42
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.76 | 1 |
| Practice expense | 11.41 | 0.958 |
| Malpractice | 1.51 | 0.308 |
(6.76 × 1 + 11.41 × 0.958 + 1.51 × 0.308) × $33.4009 = $606.42
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.76 | 1 |
| Practice expense | 5.82 | 0.958 |
| Malpractice | 1.51 | 0.308 |
(6.76 × 1 + 5.82 × 0.958 + 1.51 × 0.308) × $33.4009 = $427.55
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.
20922 billing questions
How is this different from 20920?
This code describes fascia harvest through incision and direct exposure. Code 20920 describes fascia obtained by stripping.
Can the fascia harvest be reported with the reconstruction that uses the graft?
The harvest represents procurement at the donor site, while the reconstruction represents work at the recipient site. Document both services and follow the reporting rules for the recipient procedure.
What documentation supports reporting this code?
Document the fascia donor site, the tissue harvested, and the incision and exposure used. The operative record should distinguish procurement from the work performed at the graft recipient site.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; Medicare does not permit team-surgery payment for this code.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and other procedures at 50% when multiple procedures are performed in the same session.
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.
1,80620910,,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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,