2025 CPT code 20920
(Active) Effective Date: N/A Surgery - Musculoskeletal System Feed
Harvest of fascia lata graft using a stripper.
Modifiers may be applicable.For example, -54 (Surgical Care Only) may be used if the surgeon harvesting the graft is not performing the primary procedure.
Medical necessity for 20920 is established by the need for a fascia lata graft to repair or reconstruct a specific anatomical defect. The documentation should clearly link the graft harvest to the primary procedure where the graft will be used and justify why a fascia lata graft is the most appropriate choice for the patient's condition.
The physician is responsible for making the incision, harvesting the fascia lata graft using the stripper, and closing the incision. They must ensure proper technique to obtain a viable graft and minimize complications.
In simple words: A piece of strong tissue, called fascia lata, is taken from your thigh to be used for repairing other parts of your body.The doctor makes a small cut, carefully removes a strip of this tissue using a special tool, and then closes the cut.
The procedure involves harvesting a fascia lata graft from the thigh using a specialized stripper device.An incision is made, the fascia is identified, and a strip of fascia is extracted using the stripper. The incision is then closed.
Example 1: A patient with a ruptured Achilles tendon requiring surgical repair with a fascia lata graft., Reconstruction of a chest wall defect using a fascia lata graft., Repair of an eyelid or orbital defect with a fascia lata graft.
Documentation should include the location and size of the incision, the method of graft harvest (stripper), the length and width of the graft obtained, and the closure technique.The operative note should also detail the underlying condition necessitating the graft and the planned use of the graft.
- Specialties:Orthopedic Surgery, Plastic Surgery, General Surgery
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital