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CPT 20650 Fee Schedule

Medicare rates as of October 2026

CPT 20650 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.

Pin Insertion With Traction, Insertion Of A Pin Through The Broken Bone So That An End Pokes Through The Skin From Either Side. Weighted Traction Is Attached To The Pin To Keep The Bone Stable.
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21Inpatient Hospital

24Ambulatory Surgical Center

22On Campus Outpatient Hospital

Common Modifiers

59Distinct Procedural Service

RTRight side of body

Hospital Outpatient Group (APC)APC 5113 - Level 3 Musculoskeletal Procedures
Surgery Center Payment (ASC)G2 - Paid separately, from the OPPS relative weight
Common Revenue Codes04500360Sign up to view all 4
Medicare Fee Schedule$249.51 national non-facility rate (2026)View Medicare rates for 20650
Medicaid Fee Schedule$193.70 median of the 8 states in the free previewView Medicaid rates for 20650

National average reimbursement for CPT 20650 by major payers:

BCBS / Anthem logo

$265.92

BCBS / Anthem

UnitedHealthcare logo

$277.57

UnitedHealthcare

Aetna logo

$290.95

Aetna

Cigna logo

$271.19

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 20650.

CPT 20650
5 of 25 sample ratesHigher to lower in this preview
  1. Texas Health Harris Methodist Hospital Fort Worth

    Texas Health Harris Methodist Hospital Southwest Fort Worth

    TXAmbulatory Surgical Clinic/CenterNPI 1538292990Tax ID 75-2678857

    $11,871.00Published rate
  2. Physicians Surgery Services Lp, Advanced Surgery Center

    Physician Surgery Services L.P.

    CAAmbulatory Surgical Clinic/CenterNPI 1508942996Tax ID 20-1074818

    $2,859.00Published rate
  3. Quality Care Surgery Center, LLC

    Quality Care Surgery Center LLC

    CAAmbulatory Surgical Clinic/CenterNPI 1093156937Tax ID 46-2355538

    $1,880.00Published rate
  4. West Central Surgical Center-Bayside

    West Central Surgical Centerbayside

    OHAmbulatory Surgical Clinic/CenterNPI 1104214261Tax ID 47-2619181

    $1,476.00Published rate
  5. Inland Surgery Center Lp

    CAAmbulatory Surgical Clinic/CenterNPI 1942265939Tax ID 33-0018673

    $544.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 20650 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The table lists codes related to 20650. Select one to see its fee schedule.

CodeDescription
20650-CPTPin Insertion With Traction, Insertion Of A Pin Through The Broken Bone So That An End Pokes Through The Skin From Either Side. Weighted Traction Is Attached To The Pin To Keep The Bone Stable.
20660-CPTDevice To Stop Head Movement, Immobilization (Stop Movement) Of The Head And Neck By Attaching A Device Such As Cranial Tongs A Caliper Or A Frame.
20670-CPTRemoval Of Implant Superfici, Removal Of Implant Superficial (Eg Buried Wire Pin Orrod) (Separate Procedure) Removal Of Implant Superficial (Eg Buried Wire Pin Or
20692-CPTApplication Of A Multiplane (P, Application Of A Multiplane (Pins Or Wires In Morethan One Plane) Unilateral External Fixation Sy Stem (E.G. Ilizarov Monticelli Type)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 20650 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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Frequently Asked Questions

What APC is CPT 20650 assigned to?


Medicare's hospital outpatient payment system (OPPS) assigns CPT 20650 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.

How does Medicare pay for CPT 20650 in an ambulatory surgery center?


CMS lists CPT 20650 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.

Which revenue codes are billed with CPT 20650?


Hospital price transparency files list CPT 20650 under these revenue codes: 0450, 0360, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.

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