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CPT 20665 Fee Schedule

Last Verified: October 2026

Healthcare 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.

Removal Of Tongs Or Halo Appl, Removal Of Tongs Or Halo Applied By Another Physicianremoval Of Tongs Or Halo Applied By Another Physician
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

Common Modifiers

None

58 - Staged or related procedure during postoperative period

AS - PA/NP/CNS assistant at surgery

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 20665
Medicaid Fee ScheduleView Medicaid rates for 20665

National average reimbursement for CPT 20665 by major payers:

bcbs

$159.48

uhc

$152.55

aetna

$157.44

cigna

$162.39

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 20665.

CPT 20665
5 of 25 sample ratesHigher to lower in this preview
  1. Waukee Surgery Center LLC

    IAAmbulatory Surgical Clinic/CenterNPI 1043094527Tax ID 88-1808321

    $954.46Published rate
  2. Gastro Operating Company LLC, (Dba) Meadowbrook Endoscopy Center

    Gastro Operating Company, LLC

    NYAmbulatory Surgical Clinic/CenterNPI 1902070832Tax ID 20-2432134

    $511.00Published rate
  3. Fakhri Dalati

    Deaconess Hospital Inc

    MSHospitalist PhysicianNPI 1013967835Tax ID 35-0593390

    $195.52Published rate
  4. West Central Surgical Center-Bayside

    West Central Surgical Centerbayside

    OHAmbulatory Surgical Clinic/CenterNPI 1104214261Tax ID 47-2619181

    $100.00Published rate
  5. Digestive Health Specialists, PA

    Digestive Health Specialists, P.A.

    NCAmbulatory Surgical Clinic/CenterNPI 1538411145Tax ID 56-1242980

    $35.00Published rate

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

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CPT 20665 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 20665 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 20665 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.

CodeComplexityDescription
20660-CPTModerateDevice 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.
20664-CPTHighApplication Of Halo Including, Application Of Halo Including Removal Cranial 6or Morepins Placed For Thin Skull Osteology (Eg Pediatric Patients Hydrocephalus Osteogenesis Imperfecta) Requiring
20665-CPTLowRemoval Of Tongs Or Halo Appl, Removal Of Tongs Or Halo Applied By Another Physicianremoval Of Tongs Or Halo Applied By Another Physician
20693-CPTModerateAdjustment Or Revision Of Exte, Adjustment Or Revision Of External Fixation Systemrequiringanesthesia (Eg New Pin(S) Or Wire(S) An Dor New Ring(S) Or Bar(S))

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20665. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 20665 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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