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See a sample rate comparisonCPT 20920 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.
Fascia Lata Graft By Stripper
| 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 51 - Multiple procedures RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20920 |
| Medicaid Fee Schedule | View Medicaid rates for 20920 |
National average reimbursement for CPT 20920 by major payers:
$537.32
$531.07
$542.15
$657.19
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CPT 20920
5 of 25 sample ratesHigher to lower in this preview
Hamilton Surgery Center L.L.C., Surger Center At Hamilton
Hamilton Surgery Center, LLC
$1,910.00Published rateAdvanced Surgery Center Of San Antonio, LLC
$1,000.00Published rateAdvanced Eye Surgery Center
$788.00Published rateSwan Surgery Center, LLC
Swan Surgery Center LLC
$550.00Published rateFour Corners Ambulatory Surgical Center LLC
$197.00Published rate
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See a sample payer proposalCPT 20920 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20920 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 20920 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 |
|---|---|---|
| 20920-CPT | Moderate | Fascia Lata Graft By Stripper |
| 20922-CPT | Moderate | Fascia Lata Grft; By Ncision & Area Exposr Complx Or Sheet, Fascia Lata Graft; By Incision And Area Exposure Complex Or Sheet |
| 20924-CPT | Moderate | Tndon Grft From A Distanc (Eg Palmaris Toe Extenso Plantari), Tendon Graft From A Distance (Eg Palmaris Toe Extensor Plantaris) |
| 20930-CPT | Low | Sp Bone Algrft Morsel Add On, Allograft Morselized Or Placement Of Osteopromotive Material For Spine Surgery Only List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20920 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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