20824 Replantation thumb complete
Also known as: thumb replantation, thumb reattachment
Replantation of a completely amputated thumb with vascular and nerve repair.
In Plain Language
sewing thumb back on after amputation; surgical reattachment of thumb
Clinical Context
Emergency procedure for complete thumb amputation; thumb replantation has high priority due to its critical role in hand function.
RVU Breakdown
| Work RVU | 31.15 |
| Total RVU | 31.15 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 31.15, this code ranks in the 93rd percentile among Surgery codes — 3.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20824?
CPT 20824 (Replantation thumb complete) is a Surgery code. Replantation of a completely amputated thumb with vascular and nerve repair.
What is the wRVU value for CPT 20824?
The work RVU for CPT 20824 is 31.15. This code is primarily used by Hand Surgery, Microsurgery. It has a 90-day global period.
When is CPT 20824 used?
Emergency procedure for complete thumb amputation; thumb replantation has high priority due to its critical role in hand function.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.