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CPT 20922: Fascia Lata Graft Harvest, Open Excision
CPT code 20922 identifies the open excision harvest of fascia lata grafts from the thigh, used when larger or complex sheet grafts are required for tendon repair, chest wall or orbital reconstruction, or procedures such as unilateral gluteoplasty for fecal incontinence. This surgical harvesting code matters nationally because it is billed in a range of reconstructive and reparative procedures where autologous fascial tissue provides structural support that synthetic materials may not. Proper coding affects procedural grouping, payment, and the clinical documentation that supports use of an autologous graft rather than a synthetic substitute.
Key payers included in this profile are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of where CPT code 20922 is applied clinically, typical sites of service, and the payer landscape covered in the analysis. The publication summarizes common modifiers and coding context, explains clinical scenarios that prompt use of fascia lata grafts, and outlines benchmarking and policy updates relevant to surgical graft harvesting. Data not provided in the input—such as specific associated taxonomies, ICD-10 diagnosis pairings, and detailed payer-specific reimbursement—are noted as unavailable in source material.
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Billing Code Overview
CPT code 20922 describes the open harvest of a fascial graft from the fascia lata (deep fascia of the thigh). The procedure is used to obtain complex or larger sheet grafts for repair of ruptured tendons (for example, repair of an Achilles tendon), reconstruction of chest wall defects, eyelid and orbital defects, and for procedures such as unilateral gluteoplasty to treat fecal incontinence.
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Service type: Open surgical harvesting of fascia lata for grafting
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Typical site of service: Operating room or ambulatory surgery center with surgical capabilities