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See a sample rate comparisonCPT 20693 Fee Schedule
Medicare rates as of October 2026
CPT 20693 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Adjustment 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))
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 58Staged or related procedure during postoperative period RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600761Sign up to view all 3 |
| Medicare Fee Schedule | $429.87 national non-facility rate (2026)View Medicare rates for 20693 |
| Medicaid Fee Schedule | $345.665 median of the 8 states in the free previewView Medicaid rates for 20693 |
National average reimbursement for CPT 20693 by major payers:
$596.11
BCBS / Anthem
$609.62
UnitedHealthcare
$640.06
Aetna
$743.68
Cigna
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CPT 20693
5 of 25 sample ratesHigher to lower in this preview
Pearland Surgery Center, LLC
$6,904.00Published rateBsc Shea Park LLC
$2,799.00Published rateProhealth Ambulatory Surgery Center Inc
$1,948.00Published rateEmpire Surgery Center
$1,231.00Published rateHowerton Surgical Center, LLC
Howerton Surgical Center LLC
$480.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20693 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20693. 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) |
| 20693-CPT | Adjustment 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)) |
| 20694-CPT | Remove External Bone Hardware, Removal 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 20693. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20693 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 20693 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20693 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 20693 in an ambulatory surgery center?
CMS lists CPT 20693 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 20693?
Hospital price transparency files list CPT 20693 under these revenue codes: 0360, 0761 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.