CPT code 20650: Skeletal traction, bone pin insertion2026 Medicare rate & RVUs in Minnesota
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.
In Minnesota, Medicare pays $245.29 for 20650 in the office and $153.18 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Minnesota 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. Minnesota pays $245.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$245.29
- Los Angeles, CA · California$278.05+$32.76
- Washington, DC area · District of Columbia$283.90+$38.61
- Miami, FL · Florida$275.58+$30.29
- Chicago, IL · Illinois$267.27+$21.98
- Manhattan, NY · New York$288.04+$42.75
- Alaska · Alaska$291.45+$46.16
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $223.66 | $145.34 |
| ArkansasArkansas | $220.41 | $143.52 |
| ArizonaArizona | $242.63 | $155.90 |
| Bakersfield, CACalifornia | $261.57 | $163.46 |
| Chico, CACalifornia | $260.49 | $162.38 |
| El Centro, CACalifornia | $260.56 | $162.45 |
| Fresno, CACalifornia | $260.49 | $162.38 |
| Hanford, CACalifornia | $260.49 | $162.38 |
| 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 |
| Redding, CACalifornia | $260.49 | $162.38 |
| Rest of CaliforniaCalifornia | $260.49 | $162.38 |
| Riverside, CACalifornia | $264.59 | $166.48 |
| Sacramento, CACalifornia | $272.80 | $168.69 |
| Salinas, CACalifornia | $271.78 | $168.03 |
| San Diego, CACalifornia | $277.80 | $170.74 |
| Marin County, CACalifornia | $316.37 | $190.16 |
| San Francisco, CACalifornia | $315.94 | $189.73 |
| San Benito County, CACalifornia | $323.67 | $194.59 |
| Santa Clara County, CACalifornia | $321.90 | $192.82 |
| San Luis Obispo, CACalifornia | $267.49 | $165.53 |
| Santa Cruz, CACalifornia | $280.15 | $171.39 |
| Santa Maria, CACalifornia | $272.69 | $168.32 |
| Santa Rosa, CACalifornia | $282.93 | $173.00 |
| Stockton, CACalifornia | $260.49 | $162.38 |
| Vallejo, CACalifornia | $299.04 | $181.06 |
| Visalia, CACalifornia | $260.49 | $162.38 |
| Yuba City, CACalifornia | $260.49 | $162.38 |
| ColoradoColorado | $258.03 | $162.78 |
| ConnecticutConnecticut | $266.18 | $169.77 |
| DelawareDelaware | $246.64 | $158.20 |
| Fort Lauderdale, FLFlorida | $261.87 | $171.20 |
| Rest of FloridaFlorida | $248.73 | $163.16 |
| Atlanta, GAGeorgia | $254.88 | $163.93 |
| Rest of GeorgiaGeorgia | $234.37 | $154.53 |
| Hawaii, Guam, HIHawaii | $266.45 | $164.67 |
| IowaIowa | $228.02 | $146.12 |
| IdahoIdaho | $229.80 | $147.45 |
| East St. Louis, ILIllinois | $249.36 | $167.01 |
| Rest of IllinoisIllinois | $242.50 | $160.77 |
| Suburban Chicago, ILIllinois | $264.21 | $172.28 |
| IndianaIndiana | $231.11 | $148.13 |
| KansasKansas | $227.59 | $146.67 |
| KentuckyKentucky | $230.37 | $150.79 |
| New Orleans, LALouisiana | $241.63 | $157.40 |
| Rest of LouisianaLouisiana | $230.27 | $151.05 |
| Metropolitan Boston, MAMassachusetts | $282.71 | $175.83 |
| Rest of MassachusettsMassachusetts | $256.74 | $162.48 |
| Baltimore area, MDMaryland | $265.57 | $169.52 |
| Rest of MarylandMaryland | $251.16 | $160.57 |
| Rest of MaineMaine | $231.69 | $149.34 |
| Southern Maine, MEMaine | $243.36 | $154.65 |
| Detroit, MIMichigan | $252.52 | $166.14 |
| Rest of MichiganMichigan | $236.99 | $155.26 |
| Metropolitan Kansas City, MOMissouri | $239.29 | $155.24 |
| Metropolitan St. Louis, MOMissouri | $241.72 | $156.50 |
| Rest of MissouriMissouri | $226.73 | $149.57 |
| MississippiMississippi | $223.58 | $146.51 |
| MontanaMontana | $249.48 | $159.96 |
| North CarolinaNorth Carolina | $234.02 | $150.51 |
| North DakotaNorth Dakota | $241.97 | $152.45 |
| NebraskaNebraska | $229.09 | $146.46 |
| New HampshireNew Hampshire | $254.59 | $161.40 |
| Northern New JerseyNew Jersey | $281.07 | $177.23 |
| Rest of New JerseyNew Jersey | $268.67 | $170.92 |
| New MexicoNew Mexico | $238.55 | $156.47 |
| NevadaNevada | $247.55 | $157.94 |
| NYC suburbs and Long Island, NYNew York | $295.87 | $189.44 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $270.96 | $172.94 |
| Queens, NYNew York | $289.46 | $183.66 |
| Rest of New YorkNew York | $237.60 | $152.56 |
| OhioOhio | $235.45 | $153.73 |
| OklahomaOklahoma | $229.27 | $149.33 |
| Portland, OROregon | $265.50 | $166.05 |
| Rest of OregonOregon | $245.08 | $155.93 |
| Metropolitan Philadelphia, PAPennsylvania | $259.96 | $166.77 |
| Rest of PennsylvaniaPennsylvania | $235.47 | $153.29 |
| Puerto RicoPuerto Rico | $251.10 | $160.60 |
| Rhode IslandRhode Island | $254.91 | $162.44 |
| South CarolinaSouth Carolina | $235.24 | $152.53 |
| South DakotaSouth Dakota | $241.08 | $151.56 |
| TennesseeTennessee | $228.83 | $147.46 |
| Austin, TXTexas | $257.64 | $162.93 |
| Beaumont, TXTexas | $233.96 | $152.51 |
| Brazoria, TXTexas | $245.84 | $157.13 |
| Dallas, TXTexas | $247.72 | $158.56 |
| Fort Worth, TXTexas | $246.26 | $158.00 |
| Galveston, TXTexas | $246.78 | $157.89 |
| Houston, TXTexas | $253.73 | $164.84 |
| Rest of TexasTexas | $239.98 | $155.03 |
| UtahUtah | $238.45 | $154.31 |
| VirginiaVirginia | $243.01 | $155.02 |
| Virgin Islands, VIUnited States Virgin Islands | $251.10 | $160.60 |
| VermontVermont | $241.61 | $152.99 |
| Rest of WashingtonWashington | $256.06 | $161.80 |
| King County, WAWashington | $287.81 | $177.98 |
| WisconsinWisconsin | $233.89 | $148.13 |
| West VirginiaWest Virginia | $233.67 | $155.88 |
| WyomingWyoming | $246.20 | $156.69 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $291.45 | 1 |
| AL | $223.66 | 1 |
| AR | $220.41 | 1 |
| AZ | $242.63 | 1 |
| CA | $260.49–$323.67 | 29 |
| CO | $258.03 | 1 |
| CT | $266.18 | 1 |
| DC | $283.90 | 1 |
| DE | $246.64 | 1 |
| FL | $248.73–$275.58 | 3 |
| GA | $234.37–$254.88 | 2 |
| GU | $266.45 | 1 |
| HI | $266.45 | 1 |
| IA | $228.02 | 1 |
| ID | $229.80 | 1 |
| IL | $242.50–$267.27 | 4 |
| IN | $231.11 | 1 |
| KS | $227.59 | 1 |
| KY | $230.37 | 1 |
| LA | $230.27–$241.63 | 2 |
| MA | $256.74–$282.71 | 2 |
| MD | $251.16–$283.90 | 3 |
| ME | $231.69–$243.36 | 2 |
| MI | $236.99–$252.52 | 2 |
| MN | $245.29 | 1 |
| MO | $226.73–$241.72 | 3 |
| MS | $223.58 | 1 |
| MT | $249.48 | 1 |
| NC | $234.02 | 1 |
| ND | $241.97 | 1 |
| NE | $229.09 | 1 |
| NH | $254.59 | 1 |
| NJ | $268.67–$281.07 | 2 |
| NM | $238.55 | 1 |
| NV | $247.55 | 1 |
| NY | $237.60–$295.87 | 5 |
| OH | $235.45 | 1 |
| OK | $229.27 | 1 |
| OR | $245.08–$265.50 | 2 |
| PA | $235.47–$259.96 | 2 |
| PR | $251.10 | 1 |
| RI | $254.91 | 1 |
| SC | $235.24 | 1 |
| SD | $241.08 | 1 |
| TN | $228.83 | 1 |
| TX | $233.96–$257.64 | 8 |
| UT | $238.45 | 1 |
| VA | $243.01–$283.90 | 2 |
| VI | $251.10 | 1 |
| VT | $241.61 | 1 |
| WA | $256.06–$287.81 | 2 |
| WI | $233.89 | 1 |
| WV | $233.67 | 1 |
| WY | $246.20 | 1 |
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
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 Minnesota 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
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.22 | × 1.000 | 2.2200 |
| Practice expense | 4.87 | × 1.029 | 5.0112 |
| Malpractice | 0.38 | × 0.296 | 0.1125 |
| Total RVUs | 7.3437 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Minnesota$245.29
Office: (2.22 × 1 + 4.87 × 1.029 + 0.38 × 0.296) × $33.4009 = $245.29
Facility: (2.22 × 1 + 2.19 × 1.029 + 0.38 × 0.296) × $33.4009 = $153.18
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
How 20650 has changed in Minnesota
20650 · Office / nonfacility
$245.29
Effective 2026-10-01
The base rate is $21.31 higher than on 2025-10-01, moving from $223.98 to $245.29 (9.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$223.98changed to$245.29
- 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
- Practice expense GPCI 1.025 changed to 1.029
- Malpractice GPCI 0.300 changed to 0.296
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$228.35changed to$223.98
- 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.
March 9, 2024
RVU24AR
$224.63changed to$228.35
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$225.12changed to$224.63
- 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
- Practice expense GPCI 1.019 changed to 1.025
- Malpractice GPCI 0.326 changed to 0.300
January 1, 2023
RVU23A
$223.63changed to$225.12
- 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
- Practice expense GPCI 1.013 changed to 1.019
- Malpractice GPCI 0.353 changed to 0.326
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$219.23changed to$223.63
- 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.
January 1, 2021
RVU21A
$213.51changed to$219.23
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.48 changed to 3.84
- Practice expense GPCI 1.012 changed to 1.013
- Malpractice GPCI 0.357 changed to 0.353
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$212.54changed to$213.51
- 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
- Practice expense GPCI 1.011 changed to 1.012
- Malpractice GPCI 0.362 changed to 0.357
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$211.81changed to$212.54
- 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.
January 1, 2018
RVU18AR1
$207.89changed to$211.81
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.35 changed to 3.45
- Practice expense GPCI 1.016 changed to 1.011
- Malpractice GPCI 0.341 changed to 0.362
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$206.06changed to$207.89
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.31 changed to 3.35
- Malpractice RVU 0.31 changed to 0.32
- Practice expense GPCI 1.020 changed to 1.016
- Malpractice GPCI 0.319 changed to 0.341
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$205.70changed to$206.06
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.28 changed to 3.31
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$204.68changed to$205.70
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$201.89changed to$204.68
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.22 changed to 3.28
- Malpractice RVU 0.28 changed to 0.31
- Practice expense GPCI 1.016 changed to 1.020
- Malpractice GPCI 0.301 changed to 0.319
Held through RVU15B.
January 1, 2014
RVU14A
$203.96changed to$201.89
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.59 changed to 3.22
- Malpractice RVU 0.29 changed to 0.28
- Practice expense GPCI 1.012 changed to 1.016
- Malpractice GPCI 0.282 changed to 0.301
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$203.96
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $245.29 | $153.18 | RVU26D |
| 2026-07-01 | $245.29 | $153.18 | RVU26C |
| 2026-04-01 | $245.29 | $153.18 | RVU26B |
| 2026-01-01 | $245.29 | $153.18 | RVU26A |
| 2025-10-01 | $223.98 | $159.66 | RVU25D |
| 2025-07-01 | $223.98 | $159.66 | RVU25C |
| 2025-04-01 | $223.98 | $159.66 | RVU25B |
| 2025-01-01 | $223.98 | $159.66 | RVU25A |
| 2024-10-01 | $228.35 | $161.82 | RVU24D |
| 2024-07-01 | $228.35 | $161.82 | RVU24C |
| 2024-04-01 | $228.35 | $161.82 | RVU24B |
| 2024-03-09 | $228.35 | $161.82 | RVU24AR |
| 2024-01-01 | $224.63 | $159.18 | RVU24A |
| 2023-10-01 | $225.12 | $159.51 | RVU23D |
| 2023-07-01 | $225.12 | $159.51 | RVU23C |
| 2023-04-01 | $225.12 | $159.51 | RVU23B |
| 2023-01-01 | $225.12 | $159.51 | RVU23A |
| 2022-10-01 | $223.63 | $158.08 | RVU22D |
| 2022-07-01 | $223.63 | $158.08 | RVU22C |
| 2022-04-01 | $223.63 | $158.08 | RVU22B |
| 2022-01-01 | $223.63 | $158.08 | RVU22A |
| 2021-10-01 | $219.23 | $155.61 | RVU21D |
| 2021-07-01 | $219.23 | $155.61 | RVU21C |
| 2021-04-01 | $219.23 | $155.61 | RVU21B |
| 2021-01-01 | $219.23 | $155.61 | RVU21A |
| 2020-10-01 | $213.51 | $157.26 | RVU20D |
| 2020-07-01 | $213.51 | $157.26 | RVU20C |
| 2020-04-01 | $213.51 | $157.26 | RVU20B |
| 2020-01-01 | $213.51 | $157.26 | RVU20A |
| 2019-10-01 | $212.54 | $158.25 | RVU19D |
| 2019-07-01 | $212.54 | $158.25 | RVU19C |
| 2019-04-01 | $212.54 | $158.25 | RVU19B |
| 2019-01-01 | $212.54 | $158.25 | RVU19A |
| 2018-10-01 | $211.81 | $157.58 | RVU18D |
| 2018-07-01 | $211.81 | $157.58 | RVU18C |
| 2018-04-01 | $211.81 | $157.58 | RVU18B |
| 2018-01-01 | $211.81 | $157.58 | RVU18AR1 |
| 2017-10-01 | $207.89 | $156.12 | RVU17D |
| 2017-07-01 | $207.89 | $156.12 | RVU17C |
| 2017-04-01 | $207.89 | $156.12 | RVU17B |
| 2017-01-01 | $207.89 | $156.12 | RVU17A |
| 2016-10-01 | $206.06 | $154.56 | RVU16D |
| 2016-07-01 | $206.06 | $154.56 | RVU16C |
| 2016-04-01 | $206.06 | $154.56 | RVU16B |
| 2016-01-01 | $206.06 | $154.56 | RVU16A |
| 2015-10-01 | $205.70 | $154.75 | RVU15D |
| 2015-07-01 | $205.70 | $154.75 | RVU15C |
| 2015-04-01 | $204.68 | $153.98 | RVU15B |
| 2015-01-01 | $204.68 | $153.98 | RVU15A |
| 2014-10-01 | $201.89 | $152.03 | RVU14D |
| 2014-07-01 | $201.89 | $152.03 | RVU14C |
| 2014-04-01 | $201.89 | $152.03 | RVU14B |
| 2014-01-01 | $201.89 | $152.03 | RVU14A |
| 2013-10-01 | $203.96 | $150.59 | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
- Ada
- Adams
- Adrian
- Afton
- Aitkin
- Akeley
- Albany
- Albert Lea
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
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