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See a sample rate comparisonCPT 20692 Fee Schedule
Medicare rates as of October 2026
CPT 20692 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Add-on Codes | 20702 |
| Common Revenue Codes | 03600960Sign up to view all 4 |
| Medicare Fee Schedule | $1,047.12 national non-facility rate (2026)View Medicare rates for 20692 |
| Medicaid Fee Schedule | $828.50 median of the 8 states in the free previewView Medicaid rates for 20692 |
National average reimbursement for CPT 20692 by major payers:
$1,398.24
BCBS / Anthem
$1,392.06
UnitedHealthcare
$1,535.78
Aetna
$1,742.26
Cigna
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CPT 20692
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Alliance, LLC, Texas Health Surgery Center Alliance
$6,342.00Published rateEndoscopy Center Of Northern Ohio, LLC
Endoscopy Center Of Northern Ohio LLC
$3,570.00Published rateSequoia Surgery Center, LLC, Cypress Surgery Center, A Limited Partnership
Sequoia Surgery Center, LLC
$2,585.00Published rateAffiliated Endoscopy Services Of Clifton LLC, Affiliated Endoscopy Services Of Clifton
Affiliated Endoscopy Services Of Clifton LLC
$1,300.00Published ratePlymouth Laser Center, P.C., Plymouth Laser & Surgical Center
Plymouth Laser Center PC
$530.00Published rate
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See a sample payer proposalCPT 20692 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20692. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20690-CPT | Install Hardware To Hold Bones, Application Of External Fixation System (Metal Hardware Placed Outside Of The Skin To Stabilize Broken Bones). |
| 20692-CPT | 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) |
| 20694-CPT | Remove External Bone Hardware, Removal Of External Fixation System (Metal Hardware Placed Outside Of The Skin To Stabilize Broken Bones). |
| 20696-CPT | App Mltpln Uni Xtrnl Fix 1st, Application Of Multiplane Pins Or Wires In More Than 1 Plane Unilateral External Fixation With Stereotactic Computer Assisted Adjustment Eg Spatial Frame Including Imaging Initial And Subsequent Alignment S Assessment S And Computation S Of Adjustment Schedule S |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20692. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20692 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 20692 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20692 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 20692 in an ambulatory surgery center?
CMS lists CPT 20692 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which add-on codes are billed with CPT 20692?
CMS add-on code edits list CPT 20692 as a primary code for these add-on codes: 20702.
Which revenue codes are billed with CPT 20692?
Hospital price transparency files list CPT 20692 under these revenue codes: 0360, 0960, 0975 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.