20969 Bone/skin graft microvasc
Also known as: bone-skin free flap, osteocutaneous flap
Microvascular free composite graft of bone and skin with vascular anastomosis.
In Plain Language
bone and skin transplant with blood vessels; vascularized bone-skin graft
Clinical Context
Used for large defects requiring both bone reconstruction and skin coverage with reliable vascularization.
RVU Breakdown
| Work RVU | 44.29 |
| Total RVU | 44.29 |
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 44.29, this code ranks in the 98th percentile among Surgery codes — 5.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20969?
CPT 20969 (Bone/skin graft microvasc) is a Surgery code. Microvascular free composite graft of bone and skin with vascular anastomosis.
What is the wRVU value for CPT 20969?
The work RVU for CPT 20969 is 44.29. This code is primarily used by Orthopedic Surgery, Plastic Surgery, Microsurgery. It has a 90-day global period.
When is CPT 20969 used?
Used for large defects requiring both bone reconstruction and skin coverage with reliable vascularization.
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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.