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See a sample rate comparisonCPT 20939 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.
Bone Marrow Aspiration For Bon, Bone Marrow Aspiration For Bone Grafting Spine Surgery Only Through Separate Skin Or Fascial Incision (List Separately In Addition To Code For Primary Procedure) Imary Procedure) Tery Disease Data Preparation And Transmission A
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 20939 |
| Medicaid Fee Schedule | View Medicaid rates for 20939 |
National average reimbursement for CPT 20939 by major payers:
$100.57
$95.59
$96.96
$120.55
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CPT 20939
5 of 25 sample ratesHigher to lower in this preview
Metrocrest Surgery Center Lp, Baylor Surgicare At Carrollton
Metrocrest Surgery Center Lp
$1,446.00Published rateNorth Valley Orthopedic Surgery Center LLC, The Orthopedic Surgery Center Of Arizona
North Valley Orthopedic Surgery Center LLC
$574.00Published rateSemmes-Murphey Clinic PC, Semmes Murphey Surgery Center
Semmes-Murphey Clinic PC
$350.00Published rateSt. Charles Surgery Center
St. Charles Surgery Center, LLC
$196.00Published rateUro-Center Ambulatory Surgical Center LLC
Urocenter Ambulatory Surgical Center LLC
$67.00Published rate
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See a sample payer proposalCPT 20939 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20939 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 20939 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 |
|---|---|---|
| 20936-CPT | Low | Sp Bone Agrft Local Add On, Autograft For Spine Surgery Only Includes Harvesting The Graft Local Eg Ribs Spinous Process Or Laminar Fragments Obtained From Same Incision List Separately In Addition To Code For Primary Procedure |
| 20937-CPT | Moderate | Sp Bone Agrft Morsel Add-On, Autograft For Spine Surgery Only (Includes Harvesting The Graft); Morselized (Through Separate Skin Or Fascial Incision) (List Separately In Addition To Code For Primary Procedure) |
| 20938-CPT | Moderate | Sp Bone Agrft Struct Add-On, Autograft For Spine Surgery Only (Includes Harvesting The Graft); Structural Bicortical Or Tricortical (Through Separate Skin Or Fascial Incision) (List Separately In Addition To Code For Primary Procedure) |
| 20939-CPT | Low | Bone Marrow Aspiration For Bon, Bone Marrow Aspiration For Bone Grafting Spine Surgery Only Through Separate Skin Or Fascial Incision (List Separately In Addition To Code For Primary Procedure) Imary Procedure) Tery Disease Data Preparation And Transmission A |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20939. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20939 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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