CPT code 20660: Cranial traction, tongs or calipers2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $210.66 for 20660 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 20660 nationwide

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

What 20660 covers

20660 covers placement of cranial tongs, calipers, or a comparable skull-anchored device to provide skeletal traction, with removal included. Orthopedic or spine surgeons commonly use it for cervical spine injuries requiring traction, often in an emergency department or hospital. The device applies controlled traction through cranial fixation rather than a halo frame.

Report the service when documentation supports application of cranial traction hardware, not placement of a cranial halo or a bone pin. Record the indication, device applied, and traction treatment; removal is included rather than separately reported. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. With other procedures in the same session, the highest-valued procedure is paid in full and other procedures receive the standard multiple-procedure reduction. Bilateral adjustment is not appropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting are 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 Delaware compares for 20660

Across 109 of 109 payment localities, the facility rate for 20660 runs from $183.86 in Wisconsin to $280.86 in Miami, FL. Delaware pays $210.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

20660 rates by state

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

See 20660 in every payment locality

How the 20660 rate is calculated

Each of 20660’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.

Payment rules and modifiers for 20660

The CMS indicators that decide how 20660 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 20660

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 20660 has changed in Delaware

Price 20660 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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

Open CMS sourceHow we calculate rates