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CPT 20930: Spinal Bone Graft Application, Small Pieces
CPT code 20930 identifies the intraoperative application of small pieces of donor or synthetic bone graft material to the spine to encourage bone growth during postoperative healing. This code captures a specific grafting technique commonly used during spinal fusion and other spinal reconstructive procedures and is important for accurate surgical billing and tracking of implantable materials.
Key national payers covered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, payer coverage considerations, and typical sites of service. The publication provides benchmarks and coding guidance related to service lines that perform spinal fusion and reconstructive surgery, as well as summaries of recent policy updates that affect coverage and billing of graft material applications.
The content is intended for clinicians, coding professionals, and policy analysts who need a clear, national-level summary of what CPT code 20930 represents, how it is used in clinical practice, and where to look for policy and reimbursement details. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 20930 describes the application of small pieces of donor or synthetic bone graft material to a spinal surgical site to promote bone growth during the healing period. This procedure is a form of bone grafting used in spine surgery to facilitate fusion and structural healing.
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Service type: Surgical implant procedure (bone grafting during spine surgery)
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Typical site of service: Hospital operating room or ambulatory surgery center during spinal fusion or other spinal surgical procedures