2025 CPT code 20922
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - General Grafts (or Implants) Procedures Musculoskeletal System Feed
Harvesting of fascia lata graft via incision and exposure; complex or sheet graft.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 54 for surgical care only, 76 for a repeat procedure).
The medical necessity for a fascia lata graft is established by the presence of a significant soft tissue defect that requires repair or reconstruction.This may be due to trauma, congenital conditions, or surgical resection of disease processes.Proper documentation justifying the need for the graft is critical for appropriate reimbursement.
The surgeon's responsibilities include patient preparation, anesthesia administration (if applicable), creating the incision, carefully dissecting the fascia lata from surrounding tissues, harvesting the graft, hemostasis, wound closure, and appropriate post-operative care.
In simple words: The doctor removes a piece of tissue (fascia) from the thigh to use in another area of the body to repair a damaged area, such as a tendon or other soft tissue.
This CPT code encompasses the surgical procedure of obtaining a fascia lata graft through an open incision and area exposure.The procedure involves a complex or sheet graft harvest from the fascia lata, the deep fascia of the thigh.This technique is utilized for obtaining larger or more intricate grafts compared to simpler harvesting methods.The surgeon makes an incision, carefully dissects the fascia lata from surrounding structures, and excises the desired size and shape of graft. Meticulous surgical technique is necessary to avoid damage to adjacent muscles and vessels.The harvested fascia lata is then prepared for transplantation to the recipient site.
Example 1: A patient sustains a significant tendon rupture in the ankle requiring augmentation.The surgeon uses code 20922 to document the harvesting of a fascia lata graft for tendon repair., A patient with a chest wall defect following trauma requires soft tissue reconstruction.The fascia lata graft harvested using code 20922 is used to cover the defect., A patient undergoing a complex reconstructive procedure for fecal incontinence utilizes a fascia lata graft harvested using code 20922 during gluteoplasty.
** Accurate documentation of the complexity and size of the harvested graft is crucial for proper coding and reimbursement.The surgeon should clearly specify in the operative report whether the graft was a complex or sheet graft.
- Revenue Code: P5B (Ambulatory Procedures - Musculoskeletal)
- RVU: This information is not available in the provided text.RVUs vary based on geographic location, facility type, and other factors.
- Global Days: The global period for this procedure is not specified in the provided text and would depend on the specific payer and local policies.Consult payer guidelines for precise global period details.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: This information is not available in the provided text.Consult a fee schedule database for historical information on reimbursement.
- Specialties:Plastic Surgery, Orthopedic Surgery, General Surgery
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient and Outpatient), Office