20938 Sp bone agrft struct add-on
Also known as: structural autograft, cortical autograft
Spinal bone autograft of structural type, add-on code for supplemental structural autogenous bone.
In Plain Language
larger bone piece from patient for graft; structural autogenous bone
Clinical Context
Provides structural support from patient's own bone during spinal fusion or reconstruction.
RVU Breakdown
| Work RVU | 2.94 |
| Total RVU | 2.94 |
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.94, this code ranks in the 21st percentile among Surgery codes — 2.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20938?
CPT 20938 (Sp bone agrft struct add-on) is a Surgery code. Spinal bone autograft of structural type, add-on code for supplemental structural autogenous bone.
What is the wRVU value for CPT 20938?
The work RVU for CPT 20938 is 2.94. This code is primarily used by Spine Surgery, Orthopedic Surgery.
When is CPT 20938 used?
Provides structural support from patient's own bone during spinal fusion or reconstruction.
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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.