20665 removal tongs/halo anthr indiv
Also known as: halo removal, tongs removal, external fixation removal
Removal of tongs, halo, or other external immobilization device under anesthesia.
In Plain Language
removal of external brace or skeletal pins; taking off neck or spine immobilizer
Clinical Context
Performed when immobilization period is complete and spine has achieved sufficient fusion or healing; often includes replacement with alternative immobilization.
RVU Breakdown
| Work RVU | 1.33 |
| Total RVU | 1.33 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.33, this code ranks in the 7th percentile among Surgery codes — 6.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20665?
CPT 20665 (removal tongs/halo anthr indiv) is a Surgery code. Removal of tongs, halo, or other external immobilization device under anesthesia.
What is the wRVU value for CPT 20665?
The work RVU for CPT 20665 is 1.33. This code is primarily used by Spine Surgery, Orthopedic Surgery. It has a 10-day global period.
When is CPT 20665 used?
Performed when immobilization period is complete and spine has achieved sufficient fusion or healing; often includes replacement with alternative immobilization.
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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.