20838 Replantation foot complete
Also known as: foot replantation, foot reattachment
Replantation of a completely amputated foot with vascular and nerve repair.
In Plain Language
sewing foot back on after amputation; surgical reattachment of entire foot
Clinical Context
Emergency procedure for complete foot amputation; complex reconstruction required for weight-bearing function restoration.
RVU Breakdown
| Work RVU | 41.81 |
| Total RVU | 41.81 |
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 41.81, this code ranks in the 97th percentile among Surgery codes — 5.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20838?
CPT 20838 (Replantation foot complete) is a Surgery code. Replantation of a completely amputated foot with vascular and nerve repair.
What is the wRVU value for CPT 20838?
The work RVU for CPT 20838 is 41.81. This code is primarily used by Orthopedic Surgery, Plastic Surgery, Microsurgery. It has a 90-day global period.
When is CPT 20838 used?
Emergency procedure for complete foot amputation; complex reconstruction required for weight-bearing function restoration.
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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.