CPT 20670 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | General Introduction or Removal Procedures on the Musculoskeletal System General Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20670 |
National average reimbursement for CPT 20670 by major payers:
$423.62
$506.50
$531.99
$281.48
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 20670 | $1460.00 | 1972874907 - CAPITAL CITY SURGERY CENTER, LLC | 260804803 - (NC) CAPITAL CITY SURGERY CENTER LLC | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $576.00 | 1508304692 - THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, UCLA DEPT OF MEDICINE | 954373071 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $355.00 | 1164534400 - MISSION HILLS SURGICENTER, LLC, MISSION HILLS PAIN TREATMENT CENTER | 203206715 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $355.00 | 1962050492 - PRECISION AMBULATORY SURGERY CENTER, LLC | 830978495 - (TX) PRECISION AMBULATORY SURGERY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $330.00 | 1356080642 - LEGENT OUTPATIENT SURGERY SINGING HILLS, LLC, LEGENT OUTPATIENT SURGERY SINGING HILLS | 861677359 - (TX) LEGENT OUTPATIENT SURGERY SINGING HILLS LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $330.00 | 1184689408 - EVERGREEN EYE CENTER, PLLC, EYE ASSOCIATES NORTHWEST SURGERY CENTER | 911610832 - (WA) EYE ASSOCIATES NORTHWEST, PLLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $330.00 | 1053852236 - SURGERY CENTER OF ANAHEIM HILLS, LLC | 814260687 - (CA) SURGERY CENTER OF ANAHEIM HILLS LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $2817.00 | 1598769481 - MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD., DOCTORS UNITED SURGERY CENTER | 752832459 - (TX) MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD LTD | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $355.00 | 1730112178 - SAN JOAQUIN LASER SURGERY CENTER | 943308994 - (CA) SAN JOAQUIN LASER SURGERY CENTER | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $330.00 | 1285872945 - MONTEREY PENINSULA SURGERY CENTER MUNRAS AVE | 770470910 - (CA) MONTEREY PENINSULA SURGERY CENTER, LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $552.00 | 1982268322 - SURGERY CENTER ON 27 LLC | 812733475 - (FL) SURGERY CENTER ON 27 LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $487.00 | 1306958103 - NEI AMBULATORY SURGERY CENTER INC PC | 232429169 - (PA) NEI AMBULATORY SURGERY CENTER INC PC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $355.00 | 1225439250 - ADVANCED SURGERY CENTER OF SAN ANTONIO, LLC | 465742281 - (TX) ADVANCED SURGERY CENTER OF SAN ANTONIO, LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $355.00 | 1801822739 - SYLVAN SURGERY CENTER, INC. | 200500901 - (CA) SYLVAN SURGERY CENTER INC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 20670 | $522.00 | 1326189499 - KUNESH EYE SURGERY CENTER | 311298414 - (OH) KUNESH EYE SURGERY CENTER | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 20670 vs. Other General Surgical Procedures on the Musculoskeletal System Codes
The CPT 20670 code is part of the General Introduction or Removal Procedures on the Musculoskeletal System services used for General 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 20670 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 |
|---|---|---|
| 20662-CPT | Moderate | Device To Prevent Motion, Application Of A Halo (Ring-Shaped Fixture) To Prevent Movement Of The Head Neck Pelvis Or Leg. The Halo Is Used For X-Rays Traction Or Surgery. |
| 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 |
| 20680-CPT | Moderate | Removal Of Implant Deep (Eg, Removal Of Implant Deep (Eg Buried Wire Pin Screw Metalband Nail Rod Or Plate) Removal Of Implant Deep (Eg Buried Wire Pin Screw Metal |
| 20690-CPT | Moderate | Install Hardware To Hold Bones, Application Of External Fixation System (Metal Hardware Placed Outside Of The Skin To Stabilize Broken Bones). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20670 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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