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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20650 |
| Medicaid Fee Schedule | View Medicaid rates for 20650 |
National average reimbursement for CPT 20650 by major payers:

$265.92

$277.57

$290.95

$271.19
Choose a payer to see a sample of rates for CPT 20650.
Texas Health Harris Methodist Hospital Southwest Fort Worth
Physician Surgery Services L.P.
Quality Care Surgery Center LLC
West Central Surgical Centerbayside
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Rate Benchmarking
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See a sample payer proposalCPT 20650 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20650 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 20650 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 20650-CPT | Moderate | 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. |
| 20660-CPT | Moderate | Device 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-CPT | Moderate | Removal Of Implant Superfici, Removal Of Implant Superficial (Eg Buried Wire Pin Orrod) (Separate Procedure) Removal Of Implant Superficial (Eg Buried Wire Pin Or |
| 20692-CPT | High | Application 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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