© Copyright 2026 American Medical Association. All rights reserved.
The procedure described by CPT® Code 20922 involves the harvesting of a fascia lata graft, which is a specialized type of tissue taken from the deep fascia of the thigh. This graft is utilized in various reconstructive surgeries where strong, durable tissue is required. The fascia lata is particularly valued for its strength and flexibility, making it suitable for complex surgical applications. The harvesting process begins with a surgical incision, allowing for direct exposure of the fascia. Unlike the method described in CPT® Code 20920, which employs a stripper device to obtain a strip of fascia, the technique for 20922 involves a more extensive surgical approach to obtain a sheet of fascia or to facilitate a complex fascia lata harvest. The procedure typically requires a longitudinal incision of up to 10 centimeters in the upper or lower thigh, followed by careful dissection to separate the fascia from surrounding fat and tissue. This meticulous exposure ensures that the fascia lata can be harvested in a manner that preserves its integrity and suitability for subsequent surgical use. After the graft is cut to the desired dimensions, the incision is closed, and appropriate post-operative care is initiated, including the placement of a drain and a pressure dressing to support healing.
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