CPT code 20650: Skeletal traction, bone pin insertion2026 Medicare rate & RVUs in Redding, CA

Reports placement of a wire or pin into bone to establish skeletal traction, such as temporary traction for selected fractures, including pin removal when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality894 Medicare services in 2024

In Redding, CA, Medicare pays $260.49 for 20650 in the office and $162.38 when it’s performed in a hospital or facility.

$260.49Office (non-facility)
$162.38Hospital or facility
+4.4%vs the national office rate ($249.50)

Check a contract rate as a % of Medicare · 20650 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 20650 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding, CA
  2. What 20650 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 20650 covers

An orthopedic surgeon places a wire or pin through bone and connects it to a traction setup to apply controlled pulling force. A typical use is temporary skeletal traction during management of a fracture when traction through a pin is needed. The service may be performed in a hospital or another setting where the clinician can place and manage the traction apparatus. The code includes removal of the traction wire or pin when performed.

Report the service when documentation identifies the bone and insertion site, the clinical reason for skeletal traction, and the pin or wire placement and traction application. The 10-day global period includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Redding, CA compares for 20650

Across 109 of 109 payment localities, the office rate for 20650 runs from $220.41 in Arkansas to $323.67 in San Benito County, CA. Redding, CA pays $260.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

20650 in Redding, CA vs other payment areas
  1. Redding, CA · this page$260.49
  2. Bakersfield, CA · California$261.57+$1.08
  3. Chico, CA · California$260.49
  4. El Centro, CA · California$260.56+$0.07
  5. Fresno, CA · California$260.49
  6. Hanford, CA · California$260.49
  7. Los Angeles, CA · California$278.05+$17.56

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

20650 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$260.49$162.38
Merced, CACalifornia$260.49$162.38
Modesto, CACalifornia$260.49$162.38
Napa, CACalifornia$299.66$181.68
Oxnard, CACalifornia$276.40$170.59
Rest of CaliforniaCalifornia$260.49$162.38
Riverside, CACalifornia$264.59$166.48
Sacramento, CACalifornia$272.80$168.69

20650 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$220.41

$292.08

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
20650 office rate range by state
State / territoryOffice rate rangeLocalities
AK$291.451
AL$223.661
AR$220.411
AZ$242.631
CA$260.49–$323.6729
CO$258.031
CT$266.181
DC$283.901
DE$246.641
FL$248.73–$275.583
GA$234.37–$254.882
GU$266.451
HI$266.451
IA$228.021
ID$229.801
IL$242.50–$267.274
IN$231.111
KS$227.591
KY$230.371
LA$230.27–$241.632
MA$256.74–$282.712
MD$251.16–$283.903
ME$231.69–$243.362
MI$236.99–$252.522
MN$245.291
MO$226.73–$241.723
MS$223.581
MT$249.481
NC$234.021
ND$241.971
NE$229.091
NH$254.591
NJ$268.67–$281.072
NM$238.551
NV$247.551
NY$237.60–$295.875
OH$235.451
OK$229.271
OR$245.08–$265.502
PA$235.47–$259.962
PR$251.101
RI$254.911
SC$235.241
SD$241.081
TN$228.831
TX$233.96–$257.648
UT$238.451
VA$243.01–$283.902
VI$251.101
VT$241.611
WA$256.06–$287.812
WI$233.891
WV$233.671
WY$246.201

See 20650 in every payment locality

How the 20650 rate is calculated

Each of 20650’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 20650

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.22

2.22 RVUs× 1.000 GPCI

Practice expense4.87

4.87 RVUs× 1.000 GPCI

Malpractice0.38

0.38 RVUs× 1.000 GPCI

Adjusted RVUs

7.4700

Conversion factor

$33.4009

Medicare rate

$249.50

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Redding, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,775

Code
20650
Physician work
2.22
Practice expense
4.87
Malpractice
0.38

GPCI2026.csv

19

Locality
Redding, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 20650 in Redding, CA
ComponentRVULocality factorAdjusted
Physician work2.22× 1.0172.2577
Practice expense4.87× 1.0965.3375
Malpractice0.38× 0.5360.2037
Total RVUs7.7989
Conversion factor× 33.4009

Office rate, Redding, CA$260.49

Office: (2.22 × 1.017 + 4.87 × 1.096 + 0.38 × 0.536) × $33.4009 = $260.49

Facility: (2.22 × 1.017 + 2.19 × 1.096 + 0.38 × 0.536) × $33.4009 = $162.38

Open 20650 in the RVU calculator

Payment rules and modifiers for 20650

20650 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 20650

Skeletal traction, bone pin insertion

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 20650

Skeletal traction, bone pin insertion

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

20650 without 51 · national office

$249.50

Skeletal traction, bone pin insertion

20650-51 · Second procedure: 50%

$124.75

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 20650 has changed in Redding, CA

20650 · Office / nonfacility

$260.49

Effective 2026-10-01

The base rate is $22.56 higher than on 2025-10-01, moving from $237.93 to $260.49 (9.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $237.93changed to$260.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.28 changed to 2.22
    • Practice expense RVU 4.42 changed to 4.87
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $242.49changed to$237.93

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.36 changed to 4.42
    • Malpractice RVU 0.37 changed to 0.38

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $238.53changed to$242.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $238.23changed to$238.53

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.17 changed to 4.36
    • Malpractice RVU 0.35 changed to 0.37
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $235.85changed to$238.23

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.01 changed to 4.17
    • Malpractice RVU 0.34 changed to 0.35
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $231.07changed to$235.85

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.84 changed to 4.01
    • Malpractice RVU 0.32 changed to 0.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $225.34changed to$231.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.48 changed to 3.84
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $224.42changed to$225.34

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.46 changed to 3.48
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $223.58changed to$224.42

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.45 changed to 3.46
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $220.52changed to$223.58

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.35 changed to 3.45
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$220.52

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$260.49$162.38RVU26D
2026-07-01$260.49$162.38RVU26C
2026-04-01$260.49$162.38RVU26B
2026-01-01$260.49$162.38RVU26A
2025-10-01$237.93$169.35RVU25D
2025-07-01$237.93$169.35RVU25C
2025-04-01$237.93$169.35RVU25B
2025-01-01$237.93$169.35RVU25A
2024-10-01$242.49$171.54RVU24D
2024-07-01$242.49$171.54RVU24C
2024-04-01$242.49$171.54RVU24B
2024-03-09$242.49$171.54RVU24AR
2024-01-01$238.53$168.74RVU24A
2023-10-01$238.23$168.75RVU23D
2023-07-01$238.23$168.75RVU23C
2023-04-01$238.23$168.75RVU23B
2023-01-01$238.23$168.75RVU23A
2022-10-01$235.85$166.93RVU22D
2022-07-01$235.85$166.93RVU22C
2022-04-01$235.85$166.93RVU22B
2022-01-01$235.85$166.93RVU22A
2021-10-01$231.07$164.18RVU21D
2021-07-01$231.07$164.18RVU21C
2021-04-01$231.07$164.18RVU21B
2021-01-01$231.07$164.18RVU21A
2020-10-01$225.34$165.87RVU20D
2020-07-01$225.34$165.87RVU20C
2020-04-01$225.34$165.87RVU20B
2020-01-01$225.34$165.87RVU20A
2019-10-01$224.42$166.75RVU19D
2019-07-01$224.42$166.75RVU19C
2019-04-01$224.42$166.75RVU19B
2019-01-01$224.42$166.75RVU19A
2018-10-01$223.58$165.98RVU18D
2018-07-01$223.58$165.98RVU18C
2018-04-01$223.58$165.98RVU18B
2018-01-01$223.58$165.98RVU18AR1
2017-10-01$220.52$165.53RVU17D
2017-07-01$220.52$165.53RVU17C
2017-04-01$220.52$165.53RVU17B
2017-01-01$220.52$165.53RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 20650 for an earlier date of service

Where the Redding, CA rate applies

Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Redding
  • Anderson
  • Bella Vista
  • Big Bend
  • Burney
  • Cassel
  • Castella
  • Centerville

Browse all communities in California

20650 billing questions

How is 20650 different from cranial tongs or a halo?

20650 describes skeletal traction established with a wire or pin inserted into bone. Cranial tongs and halo services use different fixation devices and are reported with their respective codes.

Can pin removal be billed separately?

Removal of the traction wire or pin is included when performed as part of this service. The code does not describe removal of a separate, previously placed implant.

Should modifier 50 be appended for pins on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

What documentation supports reporting 20650?

Record the indication for skeletal traction, the bone and insertion site, the wire or pin placement, and the traction applied. Document removal when it is performed.

How are other procedures in the same session paid?

Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures in that session are subject to the reduction. Related postoperative visits are included for 10 days.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 20650PPRRVU2026_Oct_nonQPP.csv, line 1,775 (RVU26D)
Geographic factors for Redding, CAGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 20650 pays in Redding, CA?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 20650 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist