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See a sample rate comparisonCPT 20924 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.
Tndon Grft From A Distanc (Eg Palmaris Toe Extenso Plantari), Tendon Graft From A Distance (Eg Palmaris Toe Extensor Plantaris)
| 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 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20924 |
| Medicaid Fee Schedule | View Medicaid rates for 20924 |
National average reimbursement for CPT 20924 by major payers:
$655.31
$682.13
$699.97
$831.61
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CPT 20924
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Main Street, LLC
$7,838.00Published rateHedwig Asc, Houston Premiersurgery Center The Villages
Hedwig Asc
$2,600.00Published rateSan Luis Walk-In Clinic, Inc., San Luis Outpatient Surgery Center
San Luis Walk-In Clinic Inc
$1,975.00Published rateColumbia Surgicare Of Augusta, Ltd
Columbia Surgicare Of Augusta Ltd
$1,130.00Published rateIowa Endoscopy Center, Inc.
Iowa Endoscopy Center Inc
$683.00Published rate
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See a sample payer proposalCPT 20924 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20924 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 20924 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 20924. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20924 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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