20660 Apply rem fixation device
Also known as: external fixator, external fixation device
Application of a removable external fixation device for fracture stabilization or alignment.
In Plain Language
external metal frame to stabilize fracture; outside scaffold to hold bone in place
Clinical Context
Applied to complex fractures, open fractures, or when internal fixation is contraindicated; provides rigid stabilization while allowing soft tissue access.
RVU Breakdown
| Work RVU | 3.90 |
| Total RVU | 3.90 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.90, this code ranks in the 27th percentile among Surgery codes — 2.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20660?
CPT 20660 (Apply rem fixation device) is a Surgery code. Application of a removable external fixation device for fracture stabilization or alignment.
What is the wRVU value for CPT 20660?
The work RVU for CPT 20660 is 3.90. This code is primarily used by Orthopedic Surgery, Trauma Surgery.
When is CPT 20660 used?
Applied to complex fractures, open fractures, or when internal fixation is contraindicated; provides rigid stabilization while allowing soft tissue access.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.