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See a sample rate comparisonCPT 20902 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Collect Bone For Graft, Surgery To Take Healthy Bone From Rib Hip Leg Or Other Site To Use In Repairing A Skeletal Problem.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20902 |
| Medicaid Fee Schedule | View Medicaid rates for 20902 |
National average reimbursement for CPT 20902 by major payers:
$439.08
$462.94
$444.99
$512.33
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CPT 20902
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Chisholm Trail, LLC
Texas Health Surgery Center Chisholm Trail LLC
$6,342.00Published rateSaddle River Valley Surgical Center LLC, Saddle River Valley Surgical Center LLC
Saddle River Valley Surgical Center LLC
$2,266.00Published rateMountain Laurel Surgery Center L.L.C.
Mountain Laurel Surgery Center, LLC
$1,176.00Published rateDcr Surgery Center, LLC
Dcr Surgery Center LLC
$830.00Published rateJaved Iqbal
Deaconess Hospital Inc
$495.83Published rate
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See a sample payer proposalCPT 20902 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20902 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 20902 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 |
|---|---|---|
| 20900-CPT | Moderate | Bone Grft Any Donor Area; Minor Or Small (Eg Dowel Or Button), Bone Graft Any Donor Area; Minor Or Small (Eg Dowel Or Button) |
| 20902-CPT | Moderate | Collect Bone For Graft, Surgery To Take Healthy Bone From Rib Hip Leg Or Other Site To Use In Repairing A Skeletal Problem. |
| 20910-CPT | Moderate | Collect Cartilage For Graft, Surgery To Take Healthy Cartilage From Nasal Septum Or Rib For Reconstruction Of Another Area. |
| 20912-CPT | Moderate | Collect Cartilage For Graft, Surgery To Take Healthy Cartilage From Nasal Septum Or Rib For Reconstruction Of Another Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20902. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20902 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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