Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 CPT code 20902

Bone graft, any donor area; major or large.

This code should only be reported when the graft is considered "major or large," requiring a significant amount of bone to be harvested. Separate incisions for harvesting bone grafts should be reported with the appropriate code unless the primary procedure code already includes obtaining the graft. This code does not include the application of the bone graft to the recipient site; other codes should be used for the implantation or placement of the graft.

Modifiers may be applicable to this code in certain circumstances. For instance, modifier 51 (Multiple Procedures) might be used if multiple grafts are harvested during the same operative session from different donor sites. Modifier 76 (Repeat Procedure or Service by Same Physician) might apply if the initial graft harvest fails and a second harvest is required.

Medical necessity for this code must be substantiated by documentation supporting the clinical rationale for the bone graft procedure. This typically includes the diagnosis of a bone defect or condition requiring structural support or augmentation for healing. The documentation should clearly outline the specific benefits expected from the bone grafting procedure and justify the size and type of graft utilized.

The physician is responsible for all aspects of the bone graft harvesting procedure. This includes preoperative planning, patient consent, surgical execution (incision, dissection, bone extraction), donor site closure, and postoperative care. The physician also determines the appropriate donor site and size of the graft based on the patient's specific needs.

In simple words: This procedure involves taking a large piece of bone from one part of your body to repair a bone defect in another area. The donor bone can be from your own body or from a donor. The surgeon will make an incision, carefully remove the bone, and then close the incision.

This code describes obtaining a major or large bone graft from any donor area. The procedure involves harvesting a significant piece of bone for grafting purposes, typically to fill larger bone defects or provide structural support. The graft may be autologous (from the patient's own body) or allogeneic (from a donor). The code includes all aspects of graft harvesting, such as incision, dissection, bone extraction, and closure of the donor site.

Example 1: A patient has a large tibial nonunion following a fracture. The surgeon harvests a large bone graft from the patient's iliac crest to promote bone healing at the nonunion site., During a spinal fusion surgery, the surgeon harvests a large bone graft from the patient's fibula to be used as a structural support for the fusion., A patient with a benign bone tumor requires resection of a portion of the femur. The surgeon harvests a large bone graft to reconstruct the femur after tumor removal.

Documentation should include the donor site location, size of the graft, method of harvest, and any complications encountered. The specific bone defect being addressed and rationale for the graft should also be documented. Operative notes detailing the surgical technique and any associated procedures performed are essential. Evidence of informed consent for the bone grafting procedure is also required.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.