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See a sample rate comparisonCPT 20838 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Replant Foot Complete Amputation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office |
| Common Modifiers | None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 20838 |
| Medicaid Fee Schedule | View Medicaid rates for 20838 |
National average reimbursement for CPT 20838 by major payers:
$3,550.21
$3,593.89
$3,658.57
$4,386.73
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CPT 20838
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Southwest LLP, Memorial Hermann Surgery Center Southwest
Memorial Hermann Surgery Center Southwest LLP
$12,291.00Published rateKing Of Prussia Surgery Center, LLC, King Of Prussia Surgery Center
King Of Prussia Surgery Center LLC
$8,100.00Published rateQueens Endoscopy Asc, LLC
$4,265.00Published rateMarietta Outpatient Surgery, Ltd
Marietta Outpatient Surgery Ltd
$2,280.00Published rateSan Bernardino Eye Surgery Center, LLC, The Eye Surgery Center
San Bernardino Eye Surgery Center LLC
$935.00Published rate
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See a sample payer proposalCPT 20838 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20838 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 20838 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 20816-CPT | High | Replantation Digit Complete, Replantation Digit Excluding Thumb Includes Metacarpophalangeal Joint To Insertion Of Flexor Sublimis Tendon Complete Amputation |
| 20822-CPT | High | Replantation Digit Complete, Replantation Digit Excluding Thumb Includes Distal Tip To Sublimis Tendon Insertion Complete Amputation |
| 20838-CPT | High | Replant Foot Complete Amputation |
| 20955-CPT | High | Bone Graft With Microvascular, Bone Graft With Microvascular Anastomosis Fibulabone Graft With Microvascular Anastomosis Fibula |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20838. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20838 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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