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See a sample rate comparisonCPT 20694 Fee Schedule
Last Verified: September 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.
Remove External Bone Hardware, Removal Of External Fixation System (Metal Hardware Placed Outside Of The Skin To Stabilize Broken Bones).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 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 20694 |
| Medicaid Fee Schedule | View Medicaid rates for 20694 |
National average reimbursement for CPT 20694 by major payers:
$549.80
$573.59
$611.36
$566.90
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CPT 20694
5 of 25 sample ratesHigher to lower in this preview
Peak One Surgery Center, LLC, Peak One Surgery Center
Peak One Surgery Center LLC
$4,618.00Published rateSanta Barbara Surgery Center Lp
$1,528.00Published rateJonathan Balagna
Deaconess Hospital Inc
$743.15Published rateMadison Street Surgery Center, LLC
Madison Street Surgery Center LLC
$555.00Published rateJ J Young Md, The Cataract Center Of Lawton
J J Young Md
$300.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20694 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20694 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 20694 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 |
|---|---|---|
| 20692-CPT | High | 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 | Moderate | 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 | Moderate | Remove External Bone Hardware, Removal Of External Fixation System (Metal Hardware Placed Outside Of The Skin To Stabilize Broken Bones). |
| 20696-CPT | High | 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 20694. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20694 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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