CPT 20680 Fee Schedule

CPT 20680 reports removal of a deep implant, such as a buried wire, pin, screw, metal band, nail, rod or plate, usually after a fracture has healed. Removal of a superficial implant uses 20670.

CPT 20680 has a 90-day global period, so routine postoperative visits within 90 days are included in the payment. It is often performed in a surgery center or hospital outpatient setting.

Medicare pays the surgeon for CPT 20680 under the Physician Fee Schedule, adjusted for the local cost of practice, and the hospital or surgery center bills a separate facility fee. Commercial payers negotiate their own professional rates, often as a percentage of Medicare, and those contracts vary widely by payer, plan and market.

This page lists the rates commercial payers have published for CPT 20680 in their Transparency in Coverage files, so you can compare payers and see where a contract falls. For government benchmarks, PayerPrice also has the Medicare fee schedule lookup and Medicaid fee schedules by state.

Medicare's hospital outpatient payment system (OPPS) assigns CPT 20680 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.

CMS lists CPT 20680 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.

CMS add-on code edits list CPT 20680 as a primary code for these add-on codes: 20702.

Hospital price transparency files list CPT 20680 under these revenue codes: including 0360, 0361, 0975, 0761 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.