CPT code 20693: Fixator adjustment, requiring anesthesia2026 Medicare rate & RVUs in New Mexico
Report this service when a surgeon adjusts or revises an existing external fixation system and the work requires anesthesia, rather than initial device placement or removal.
In New Mexico, Medicare pays $420.53 for 20693 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 20693 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 20693 covers
An orthopedic surgeon reports this service for adjustment or revision of an external fixation system when anesthesia is required. The work may address fracture alignment or correct a deformity using an existing frame. It is distinct from applying a new external fixator or removing the system. These procedures are commonly performed in an operating room or another setting equipped to provide anesthesia and manage the fixation device.
Select the code based on the documented adjustment or revision and the need for anesthesia. The operative record should identify the existing fixation system, the change made, the clinical purpose, and the anesthesia requirement. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 New Mexico compares for 20693
Across 109 of 109 payment localities, the facility rate for 20693 runs from $385.03 in Arkansas to $525.65 in Alaska. New Mexico pays $420.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$420.53
- Los Angeles, CA · California$462.30+$41.77
- Washington, DC area · District of Columbia$479.63+$59.10
- Miami, FL · Florida$491.59+$71.06
- Chicago, IL · Illinois$477.66+$57.13
- Manhattan, NY · New York$495.03+$74.50
- Alaska · Alaska$525.65+$105.12
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $389.97 |
| ArkansasArkansas | — | $385.03 |
| ArizonaArizona | — | $418.70 |
| Bakersfield, CACalifornia | — | $438.86 |
| Chico, CACalifornia | — | $435.90 |
| El Centro, CACalifornia | — | $436.08 |
| Fresno, CACalifornia | — | $435.90 |
| Hanford, CACalifornia | — | $435.90 |
| Madera, CACalifornia | — | $435.90 |
| Merced, CACalifornia | — | $435.90 |
| Modesto, CACalifornia | — | $435.90 |
| Napa, CACalifornia | — | $487.82 |
| Oxnard, CACalifornia | — | $458.10 |
| Redding, CACalifornia | — | $435.90 |
| Rest of CaliforniaCalifornia | — | $435.90 |
| Riverside, CACalifornia | — | $447.22 |
| Sacramento, CACalifornia | — | $452.88 |
| Salinas, CACalifornia | — | $451.10 |
| San Diego, CACalifornia | — | $458.42 |
| Marin County, CACalifornia | — | $510.58 |
| San Francisco, CACalifornia | — | $509.39 |
| San Benito County, CACalifornia | — | $522.56 |
| Santa Clara County, CACalifornia | — | $517.69 |
| San Luis Obispo, CACalifornia | — | $444.39 |
| Santa Cruz, CACalifornia | — | $460.18 |
| Santa Maria, CACalifornia | — | $451.89 |
| Santa Rosa, CACalifornia | — | $464.53 |
| Stockton, CACalifornia | — | $435.90 |
| Vallejo, CACalifornia | — | $486.11 |
| Visalia, CACalifornia | — | $435.90 |
| Yuba City, CACalifornia | — | $435.90 |
| ColoradoColorado | — | $437.19 |
| ConnecticutConnecticut | — | $456.38 |
| DelawareDelaware | — | $424.95 |
| Fort Lauderdale, FLFlorida | — | $460.77 |
| Rest of FloridaFlorida | — | $438.82 |
| Atlanta, GAGeorgia | — | $440.67 |
| Rest of GeorgiaGeorgia | — | $415.28 |
| Hawaii, Guam, HIHawaii | — | $442.15 |
| IowaIowa | — | $391.94 |
| IdahoIdaho | — | $395.60 |
| East St. Louis, ILIllinois | — | $449.64 |
| Rest of IllinoisIllinois | — | $432.44 |
| Suburban Chicago, ILIllinois | — | $463.66 |
| IndianaIndiana | — | $397.43 |
| KansasKansas | — | $393.52 |
| KentuckyKentucky | — | $404.98 |
| New Orleans, LALouisiana | — | $422.99 |
| Rest of LouisianaLouisiana | — | $405.70 |
| Metropolitan Boston, MAMassachusetts | — | $472.40 |
| Rest of MassachusettsMassachusetts | — | $436.37 |
| Baltimore area, MDMaryland | — | $455.75 |
| Rest of MarylandMaryland | — | $431.34 |
| Rest of MaineMaine | — | $400.82 |
| Southern Maine, MEMaine | — | $415.15 |
| Detroit, MIMichigan | — | $447.02 |
| Rest of MichiganMichigan | — | $417.22 |
| MinnesotaMinnesota | — | $410.90 |
| Metropolitan Kansas City, MOMissouri | — | $417.02 |
| Metropolitan St. Louis, MOMissouri | — | $420.46 |
| Rest of MissouriMissouri | — | $401.72 |
| MississippiMississippi | — | $393.28 |
| MontanaMontana | — | $429.80 |
| North CarolinaNorth Carolina | — | $403.98 |
| North DakotaNorth Dakota | — | $409.04 |
| NebraskaNebraska | — | $392.86 |
| New HampshireNew Hampshire | — | $433.58 |
| Northern New JerseyNew Jersey | — | $476.27 |
| Rest of New JerseyNew Jersey | — | $459.33 |
| NevadaNevada | — | $424.21 |
| NYC suburbs and Long Island, NYNew York | — | $509.87 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $464.87 |
| Queens, NYNew York | — | $493.93 |
| Rest of New YorkNew York | — | $409.58 |
| OhioOhio | — | $412.98 |
| OklahomaOklahoma | — | $400.93 |
| Portland, OROregon | — | $445.96 |
| Rest of OregonOregon | — | $418.66 |
| Metropolitan Philadelphia, PAPennsylvania | — | $448.28 |
| Rest of PennsylvaniaPennsylvania | — | $411.75 |
| Puerto RicoPuerto Rico | — | $431.51 |
| Rhode IslandRhode Island | — | $436.35 |
| South CarolinaSouth Carolina | — | $409.61 |
| South DakotaSouth Dakota | — | $406.58 |
| TennesseeTennessee | — | $395.67 |
| Austin, TXTexas | — | $437.72 |
| Beaumont, TXTexas | — | $409.61 |
| Brazoria, TXTexas | — | $421.96 |
| Dallas, TXTexas | — | $425.88 |
| Fort Worth, TXTexas | — | $424.36 |
| Galveston, TXTexas | — | $424.03 |
| Houston, TXTexas | — | $443.25 |
| Rest of TexasTexas | — | $416.40 |
| UtahUtah | — | $414.45 |
| VirginiaVirginia | — | $416.20 |
| Virgin Islands, VIUnited States Virgin Islands | — | $431.51 |
| VermontVermont | — | $410.57 |
| Rest of WashingtonWashington | — | $434.52 |
| King County, WAWashington | — | $478.13 |
| WisconsinWisconsin | — | $397.31 |
| West VirginiaWest Virginia | — | $419.13 |
| WyomingWyoming | — | $420.75 |
20693 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 20693 rate is calculated
Each of 20693’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 · 20693
RVUs × geographic indexes × conversion factor
Work5.91
5.91 RVUs× 1.000 GPCI
Practice expense5.91
5.91 RVUs× 1.000 GPCI
Malpractice1.05
1.05 RVUs× 1.000 GPCI
Adjusted RVUs
12.8700
Conversion factor
$33.4009
Medicare rate
$429.87
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,786
- Code
- 20693
- Physician work
- 5.91
- Practice expense
- 5.91
- Malpractice
- 1.05
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.91 | × 1.000 | 5.9100 |
| Practice expense | 5.91 | × 0.917 | 5.4195 |
| Malpractice | 1.05 | × 1.201 | 1.2611 |
| Total RVUs | 12.5905 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$420.53
Facility: (5.91 × 1 + 5.91 × 0.917 + 1.05 × 1.201) × $33.4009 = $420.53
Payment rules and modifiers for 20693
20693 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 20693
Fixator adjustment, requiring anesthesia
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 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) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 20693
Fixator adjustment, requiring anesthesia
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
20693 without 51 · national facility
$429.87
Fixator adjustment, requiring anesthesia
20693-51 · Second procedure: 50%
$214.94
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 20693 has changed in New Mexico
20693 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $420.53 | RVU26D |
| 2026-07-01 | Not available in this setting | $420.53 | RVU26C |
| 2026-04-01 | Not available in this setting | $420.53 | RVU26B |
| 2026-01-01 | Not available in this setting | $420.53 | RVU26A |
| 2025-10-01 | Not available in this setting | $432.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $432.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $432.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $432.35 | RVU25A |
| 2024-10-01 | Not available in this setting | $437.98 | RVU24D |
| 2024-07-01 | Not available in this setting | $437.98 | RVU24C |
| 2024-04-01 | Not available in this setting | $437.98 | RVU24B |
| 2024-03-09 | Not available in this setting | $437.98 | RVU24AR |
| 2024-01-01 | Not available in this setting | $430.83 | RVU24A |
| 2023-10-01 | Not available in this setting | $435.34 | RVU23D |
| 2023-07-01 | Not available in this setting | $435.34 | RVU23C |
| 2023-04-01 | Not available in this setting | $435.34 | RVU23B |
| 2023-01-01 | Not available in this setting | $435.34 | RVU23A |
| 2022-10-01 | Not available in this setting | $438.28 | RVU22D |
| 2022-07-01 | Not available in this setting | $438.28 | RVU22C |
| 2022-04-01 | Not available in this setting | $438.28 | RVU22B |
| 2022-01-01 | Not available in this setting | $438.28 | RVU22A |
| 2021-10-01 | Not available in this setting | $438.91 | RVU21D |
| 2021-07-01 | Not available in this setting | $438.91 | RVU21C |
| 2021-04-01 | Not available in this setting | $438.91 | RVU21B |
| 2021-01-01 | Not available in this setting | $438.91 | RVU21A |
| 2020-10-01 | Not available in this setting | $448.72 | RVU20D |
| 2020-07-01 | Not available in this setting | $448.72 | RVU20C |
| 2020-04-01 | Not available in this setting | $448.72 | RVU20B |
| 2020-01-01 | Not available in this setting | $448.72 | RVU20A |
| 2019-10-01 | Not available in this setting | $452.08 | RVU19D |
| 2019-07-01 | Not available in this setting | $452.08 | RVU19C |
| 2019-04-01 | Not available in this setting | $452.08 | RVU19B |
| 2019-01-01 | Not available in this setting | $452.08 | RVU19A |
| 2018-10-01 | Not available in this setting | $451.47 | RVU18D |
| 2018-07-01 | Not available in this setting | $451.47 | RVU18C |
| 2018-04-01 | Not available in this setting | $451.47 | RVU18B |
| 2018-01-01 | Not available in this setting | $451.47 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $448.46 | RVU17D |
| 2017-07-01 | Not available in this setting | $448.46 | RVU17C |
| 2017-04-01 | Not available in this setting | $448.46 | RVU17B |
| 2017-01-01 | Not available in this setting | $448.46 | RVU17A |
| 2016-10-01 | Not available in this setting | $447.83 | RVU16D |
| 2016-07-01 | Not available in this setting | $447.83 | RVU16C |
| 2016-04-01 | Not available in this setting | $447.83 | RVU16B |
| 2016-01-01 | Not available in this setting | $447.83 | RVU16A |
| 2015-10-01 | Not available in this setting | $451.77 | RVU15D |
| 2015-07-01 | Not available in this setting | $451.77 | RVU15C |
| 2015-04-01 | Not available in this setting | $449.53 | RVU15B |
| 2015-01-01 | Not available in this setting | $449.53 | RVU15A |
| 2014-10-01 | Not available in this setting | $445.66 | RVU14D |
| 2014-07-01 | Not available in this setting | $445.66 | RVU14C |
| 2014-04-01 | Not available in this setting | $445.66 | RVU14B |
| 2014-01-01 | Not available in this setting | $445.66 | RVU14A |
| 2013-10-01 | Not available in this setting | $442.58 | RVU13D |
| 2013-07-01 | Not available in this setting | $442.58 | RVU13C |
| 2013-04-01 | Not available in this setting | $442.58 | RVU13B |
| 2013-01-01 | Not available in this setting | $442.58 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
20693 billing questions
How does this differ from applying an external fixator?
This code is for adjustment or revision of an existing system requiring anesthesia. Codes 20690 and 20692 describe initial application of specified external fixation systems.
Can this code be used for removal of the frame?
No. Removal of an external fixation system under anesthesia is described by 20694. Report 20693 when the service is an adjustment or revision.
What documentation supports reporting 20693?
Document the existing external fixation system, the adjustment or revision performed, its clinical purpose, and that the service required anesthesia.
Can modifier 50 be reported for adjustment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor, so modifier 50 should not be used.
How does the 90-day global period affect postoperative care?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. The service is treated as major surgery for this purpose.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
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
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