2025 CPT code 20962
(Active) Effective Date: N/A Revision Date: N/A Surgery - Bone Grafts and Bone Substitutes Musculoskeletal System Feed
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal.
Modifiers may be applicable in certain situations (e.g., 54 for surgical care only, 76 for repeat procedure). Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity must be established by documenting the underlying condition requiring the bone graft, the failure of conservative treatments, and the expected benefits of the procedure.
The physician performs the entire procedure, including harvesting the graft, preparing the recipient site, performing microvascular anastomosis, and closing both surgical sites.
In simple words: The surgeon takes a piece of bone, along with its blood vessels, from one part of your body (other than your lower leg, hip, or foot) and moves it to another area where bone is needed. The blood vessels are carefully reattached to ensure proper blood flow to the new bone, helping it heal faster.
This procedure involves harvesting a bone graft from a site other than the fibula, iliac crest, or metatarsal, along with its blood supply (arteries and veins). The graft is then transferred to the recipient site, where the blood vessels are reconnected using microvascular techniques. This method promotes faster healing and bone growth.
Example 1: A patient with a large bone defect in their arm following a traumatic injury undergoes bone grafting using a donor site from their rib., A patient with a bone infection requiring removal of a portion of their tibia receives a vascularized bone graft from their radius., A child with a congenital bone defect in their jaw undergoes reconstruction with a microvascular bone graft from their scapula.
Documentation should include the size and location of the bone defect, the donor site location, the type of microvascular anastomosis performed, and any complications encountered.
- Revenue Code: P5B (AMBULATORY PROCEDURES - MUSCULOSKELETAL)
- Payment Status: Active
- Specialties:Orthopedic Surgery, Plastic Surgery, Reconstructive Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center