CPT code 20663: Halo application, femoral fixation2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $466.95 for 20663 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 20663 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 20663 covers

This service establishes femoral fixation for halo traction, in which traction applied through a femoral attachment can help manage severe spinal deformity. An orthopedic or spine surgeon typically performs the procedure in a surgical setting. The code includes removal of the femoral halo component when the traction course is complete; it identifies the femoral application, not cranial or pelvic halo placement.

Report the code when the documented service involves femoral halo fixation, rather than another skeletal traction device or a halo applied at a different site. The record should identify the femoral fixation and its role in the traction treatment. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery 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 Puerto Rico compares for 20663

Across 109 of 109 payment localities, the facility rate for 20663 runs from $411.85 in Arkansas to $571.73 in San Benito County, CA. Puerto Rico pays $466.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

20663 rates by state

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

See 20663 in every payment locality

How the 20663 rate is calculated

Each of 20663’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 20663

20663 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 20663

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

How 20663 has changed in Puerto Rico

Price 20663 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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