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See a sample rate comparisonCPT 20973 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Free Osteocutaneous Flap With, Free Osteocutaneous Flap With Microvascular Anastomosisgreat Toe With Web Space Free Osteocutaneous Flap With Microvascular Anastomosis
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 20973 |
| Medicaid Fee Schedule | View Medicaid rates for 20973 |
National average reimbursement for CPT 20973 by major payers:
$4,030.28
$3,916.43
$3,973.40
$4,752.08
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CPT 20973
5 of 25 sample ratesHigher to lower in this preview
Roc Surgery LLC, Riley Outpatient Surgery Center
Roc Surgery LLC
$10,360.00Published rateBear Creek Surgery Center, LLC
$4,704.00Published rateJoint Replacement Center Of Louisiana
Joint Replacement Center Of Lous
$2,902.00Published rateRegional Surgical Centre, Inc.
Regional Surgical Centre Inc
$1,837.00Published rateSurgical Centers Of Michigan, LLC.
Surgical Centers Of Michigan LLC
$984.00Published rate
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See a sample payer proposalCPT 20973 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20973 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 20973 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 |
|---|---|---|
| 20973-CPT | High | Free Osteocutaneous Flap With, Free Osteocutaneous Flap With Microvascular Anastomosisgreat Toe With Web Space Free Osteocutaneous Flap With Microvascular Anastomosis |
| 20974-CPT | Low | Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing. |
| 20975-CPT | Moderate | Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing. |
| 20979-CPT | Low | Low Intens Ultrasou Stimul To Aid Bone Healing Noninvasi, Low Intensity Ultrasound Stimulation To Aid Bone Healing Noninvasive |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20973. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20973 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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