2025 CPT code 20930
(Active) Effective Date: N/A Revision Date: N/A Surgery - General Grafts (or Implants) Surgery/Musculoskeletal System Feed
Morselized allograft or placement of osteopromotive material for spine surgery. This code is reported in addition to the primary procedure.
Modifiers may be applicable, such as 59 (Distinct Procedural Service) if used for a distinctly separate procedure from the primary spinal surgery.
Medical necessity for this code is established by the need to promote bone healing and fusion in spinal surgery. The use of the graft should be justified based on the patient's specific condition and the primary procedure being performed.
After preparing and anesthetizing the patient during a spinal procedure like fusion or dislocation repair, the surgeon applies the morselized allograft or synthetic bone substitute to promote bone growth.
In simple words: During spinal surgery, the surgeon uses small pieces of donor bone or synthetic bone-like material to help the bones heal and fuse together. This procedure is done in addition to the main surgery.
Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)
Example 1: A patient undergoing a spinal fusion has morselized allograft applied to the fusion site to promote bone growth., During a spinal dislocation repair, the surgeon uses osteopromotive material to enhance bone healing., A patient with a spinal fracture has morselized allograft used in conjunction with internal fixation to facilitate bone union.
Documentation should include the type of graft material used, the location of application, and the primary spinal procedure performed. The medical necessity of the graft should also be clearly documented.
** Check with specific payers for coverage policies as some may consider certain graft materials investigational.
- Revenue Code: P3D - MAJOR PROCEDURE, ORTHOPEDIC - OTHER
- Payment Status: Active
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center