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See a sample rate comparisonCPT 20922 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 Grft; By Ncision & Area Exposr Complx Or Sheet, Fascia Lata Graft; By Incision And Area Exposure Complex Or Sheet
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20922 |
| Medicaid Fee Schedule | View Medicaid rates for 20922 |
National average reimbursement for CPT 20922 by major payers:
$776.83
$796.08
$847.18
$807.83
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CPT 20922
5 of 25 sample ratesHigher to lower in this preview
Central Austin Ambulatory Surgery Center L.P., Dba Central Park Surgery Center
$3,993.00Published rateSpringfield Surgery Center, LLC
Springfield Surgery Center LLC
$1,751.00Published rateKarla Kitch
Deaconess Hospital Inc
$1,027.33Published rateSurgicenter Of Mansfield, Ltd.
$902.00Published rateWestglen Endoscopy Center LLC, Westglen Endoscopy Center
Westglen Endoscopy Center LLC
$622.00Published rate
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See a sample payer proposalCPT 20922 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20922 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 20922 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 20922. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20922 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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