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CPT 20962: Vascularized Bone Graft for Major Bone Defect
CPT code 20962 identifies a surgical procedure for harvesting and transplanting a vascularized bone graft from donor sites other than the fibula, iliac crest, or metatarsals to reconstruct major bone defects. This code is clinically significant because vascularized grafts carry their own arterial and venous supply, which can accelerate healing and improve graft integration in complex reconstructions. Nationally, use of this procedure reflects advanced reconstructive orthopedic and microsurgical practice for traumatic, oncologic, or large segmental bone loss.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical indications and procedural context, payer coverage patterns and benchmarks where available, and policy or coding considerations that affect billing and reimbursement for complex vascularized bone graft procedures. The publication also highlights typical sites of service, common billing modifiers (listed separately), and where input data is missing. Content is presented to aid coding professionals, revenue-cycle managers, and clinical leaders seeking a national-level reference on CPT code 20962.
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Billing Code Overview
CPT code 20962 describes a vascularized bone graft procedure in which a provider harvests bone graft material from a donor site other than the fibula, iliac crest, or metatarsal bones along with its active vascular supply (arteries and veins) and transplants it to fill a major bone defect at the recipient site. The regained vascular supply at the recipient site promotes faster healing and bone growth.
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Service type: Surgical autologous vascularized bone grafting to repair major bone defects.
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Typical site of service: Operating room or surgical suite in an inpatient or outpatient hospital setting, or ambulatory surgery center, depending on clinical complexity and care needs.
Data not available in the input.