CPT code 20694: Fixator removal, under anesthesia2026 Medicare rate & RVUs in South Dakota
Removal of an external fixation frame under anesthesia, typically after fracture healing or completion of staged bone correction.
In South Dakota, Medicare pays $444.41 for 20694 in the office and $310.81 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 20694 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 20694 covers
An orthopedic surgeon removes an external fixation system while the patient is under anesthesia. The device may stabilize a fracture, support an osteotomy, or maintain alignment during limb-lengthening or deformity correction. This service is commonly performed in an operating room or another setting where anesthesia is provided. It concerns removal of the external frame and its fixation elements, rather than removal of buried internal plates, screws, or other implants.
Report this code when the external fixation system is removed under anesthesia; documentation should identify the device, the reason for removal, and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted, and co-surgeon and team-surgery billing 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 South Dakota compares for 20694
Across 109 of 109 payment localities, the office rate for 20694 runs from $407.36 in Arkansas to $595.96 in San Benito County, CA. South Dakota pays $444.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$444.41
- Los Angeles, CA · California$513.00+$68.59
- Washington, DC area · District of Columbia$525.17+$80.76
- Miami, FL · Florida$514.43+$70.02
- Chicago, IL · Illinois$498.56+$54.15
- Manhattan, NY · New York$534.31+$89.90
- Alaska · Alaska$538.98+$94.57
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $413.45 | $296.55 |
| ArkansasArkansas | $407.36 | $292.60 |
| ArizonaArizona | $448.95 | $319.49 |
| Bakersfield, CACalifornia | $482.71 | $336.28 |
| Chico, CACalifornia | $480.50 | $334.07 |
| El Centro, CACalifornia | $480.63 | $334.20 |
| Fresno, CACalifornia | $480.50 | $334.07 |
| Hanford, CACalifornia | $480.50 | $334.07 |
| Madera, CACalifornia | $480.50 | $334.07 |
| Merced, CACalifornia | $480.50 | $334.07 |
| Modesto, CACalifornia | $480.50 | $334.07 |
| Napa, CACalifornia | $551.94 | $375.85 |
| Oxnard, CACalifornia | $509.81 | $351.89 |
| Redding, CACalifornia | $480.50 | $334.07 |
| Rest of CaliforniaCalifornia | $480.50 | $334.07 |
| Riverside, CACalifornia | $489.00 | $342.57 |
| Sacramento, CACalifornia | $503.00 | $347.62 |
| Salinas, CACalifornia | $501.12 | $346.27 |
| San Diego, CACalifornia | $512.10 | $352.31 |
| Marin County, CACalifornia | $582.36 | $393.98 |
| San Francisco, CACalifornia | $581.46 | $393.08 |
| San Benito County, CACalifornia | $595.96 | $403.31 |
| Santa Clara County, CACalifornia | $592.29 | $399.64 |
| San Luis Obispo, CACalifornia | $493.24 | $341.07 |
| Santa Cruz, CACalifornia | $516.31 | $353.98 |
| Santa Maria, CACalifornia | $502.77 | $346.99 |
| Santa Rosa, CACalifornia | $521.42 | $357.35 |
| Stockton, CACalifornia | $480.50 | $334.07 |
| Vallejo, CACalifornia | $550.65 | $374.56 |
| Visalia, CACalifornia | $480.50 | $334.07 |
| Yuba City, CACalifornia | $480.50 | $334.07 |
| ColoradoColorado | $476.79 | $334.63 |
| ConnecticutConnecticut | $493.07 | $349.18 |
| DelawareDelaware | $456.41 | $324.41 |
| Fort Lauderdale, FLFlorida | $487.11 | $351.77 |
| Rest of FloridaFlorida | $462.17 | $334.45 |
| Atlanta, GAGeorgia | $472.40 | $336.66 |
| Rest of GeorgiaGeorgia | $435.00 | $315.83 |
| Hawaii, Guam, HIHawaii | $491.41 | $339.51 |
| IowaIowa | $420.84 | $298.59 |
| IdahoIdaho | $424.33 | $301.41 |
| East St. Louis, ILIllinois | $464.99 | $342.07 |
| Rest of IllinoisIllinois | $451.02 | $329.03 |
| Suburban Chicago, ILIllinois | $491.28 | $354.07 |
| IndianaIndiana | $426.74 | $302.89 |
| KansasKansas | $420.41 | $299.63 |
| KentuckyKentucky | $426.81 | $308.03 |
| New Orleans, LALouisiana | $448.04 | $322.32 |
| Rest of LouisianaLouisiana | $426.76 | $308.52 |
| Metropolitan Boston, MAMassachusetts | $522.22 | $362.70 |
| Rest of MassachusettsMassachusetts | $474.51 | $333.82 |
| Baltimore area, MDMaryland | $492.04 | $348.69 |
| Rest of MarylandMaryland | $464.72 | $329.51 |
| Rest of MaineMaine | $428.26 | $305.34 |
| Southern Maine, MEMaine | $449.53 | $317.13 |
| Detroit, MIMichigan | $469.67 | $340.74 |
| Rest of MichiganMichigan | $439.56 | $317.58 |
| MinnesotaMinnesota | $451.95 | $314.47 |
| Metropolitan Kansas City, MOMissouri | $443.26 | $317.80 |
| Metropolitan St. Louis, MOMissouri | $447.77 | $320.58 |
| Rest of MissouriMissouri | $420.36 | $305.20 |
| MississippiMississippi | $413.87 | $298.83 |
| MontanaMontana | $461.88 | $328.28 |
| North CarolinaNorth Carolina | $432.56 | $307.91 |
| North DakotaNorth Dakota | $446.26 | $312.66 |
| NebraskaNebraska | $422.71 | $299.39 |
| New HampshireNew Hampshire | $470.78 | $331.70 |
| Northern New JerseyNew Jersey | $519.91 | $364.93 |
| Rest of New JerseyNew Jersey | $497.32 | $351.43 |
| New MexicoNew Mexico | $442.65 | $320.13 |
| NevadaNevada | $457.82 | $324.09 |
| NYC suburbs and Long Island, NYNew York | $549.46 | $390.60 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $501.89 | $355.59 |
| Queens, NYNew York | $536.43 | $378.51 |
| Rest of New YorkNew York | $439.28 | $312.36 |
| OhioOhio | $436.37 | $314.39 |
| OklahomaOklahoma | $424.35 | $305.04 |
| Portland, OROregon | $490.29 | $341.86 |
| Rest of OregonOregon | $452.91 | $319.84 |
| Metropolitan Philadelphia, PAPennsylvania | $481.68 | $342.60 |
| Rest of PennsylvaniaPennsylvania | $436.19 | $313.54 |
| Puerto RicoPuerto Rico | $464.80 | $329.72 |
| Rhode IslandRhode Island | $471.51 | $333.50 |
| South CarolinaSouth Carolina | $435.46 | $312.01 |
| TennesseeTennessee | $422.76 | $301.31 |
| Austin, TXTexas | $476.39 | $335.04 |
| Beaumont, TXTexas | $433.40 | $311.82 |
| Brazoria, TXTexas | $454.58 | $322.18 |
| Dallas, TXTexas | $458.26 | $325.19 |
| Fort Worth, TXTexas | $455.64 | $323.90 |
| Galveston, TXTexas | $456.44 | $323.77 |
| Houston, TXTexas | $470.90 | $338.23 |
| Rest of TexasTexas | $444.27 | $317.48 |
| UtahUtah | $441.47 | $315.88 |
| VirginiaVirginia | $449.14 | $317.81 |
| Virgin Islands, VIUnited States Virgin Islands | $464.80 | $329.72 |
| VermontVermont | $445.94 | $313.67 |
| Rest of WashingtonWashington | $473.14 | $332.46 |
| King County, WAWashington | $531.32 | $367.39 |
| WisconsinWisconsin | $431.23 | $303.24 |
| West VirginiaWest Virginia | $434.50 | $318.39 |
| WyomingWyoming | $455.07 | $321.47 |
20694 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.
$407.36
$538.98
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 | $538.98 | 1 |
| AL | $413.45 | 1 |
| AR | $407.36 | 1 |
| AZ | $448.95 | 1 |
| CA | $480.50–$595.96 | 29 |
| CO | $476.79 | 1 |
| CT | $493.07 | 1 |
| DC | $525.17 | 1 |
| DE | $456.41 | 1 |
| FL | $462.17–$514.43 | 3 |
| GA | $435.00–$472.40 | 2 |
| GU | $491.41 | 1 |
| HI | $491.41 | 1 |
| IA | $420.84 | 1 |
| ID | $424.33 | 1 |
| IL | $451.02–$498.56 | 4 |
| IN | $426.74 | 1 |
| KS | $420.41 | 1 |
| KY | $426.81 | 1 |
| LA | $426.76–$448.04 | 2 |
| MA | $474.51–$522.22 | 2 |
| MD | $464.72–$525.17 | 3 |
| ME | $428.26–$449.53 | 2 |
| MI | $439.56–$469.67 | 2 |
| MN | $451.95 | 1 |
| MO | $420.36–$447.77 | 3 |
| MS | $413.87 | 1 |
| MT | $461.88 | 1 |
| NC | $432.56 | 1 |
| ND | $446.26 | 1 |
| NE | $422.71 | 1 |
| NH | $470.78 | 1 |
| NJ | $497.32–$519.91 | 2 |
| NM | $442.65 | 1 |
| NV | $457.82 | 1 |
| NY | $439.28–$549.46 | 5 |
| OH | $436.37 | 1 |
| OK | $424.35 | 1 |
| OR | $452.91–$490.29 | 2 |
| PA | $436.19–$481.68 | 2 |
| PR | $464.80 | 1 |
| RI | $471.51 | 1 |
| SC | $435.46 | 1 |
| SD | $444.41 | 1 |
| TN | $422.76 | 1 |
| TX | $433.40–$476.39 | 8 |
| UT | $441.47 | 1 |
| VA | $449.14–$525.17 | 2 |
| VI | $464.80 | 1 |
| VT | $445.94 | 1 |
| WA | $473.14–$531.32 | 2 |
| WI | $431.23 | 1 |
| WV | $434.50 | 1 |
| WY | $455.07 | 1 |
How the 20694 rate is calculated
Each of 20694’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 · 20694
RVUs × geographic indexes × conversion factor
Work4.17
4.17 RVUs× 1.000 GPCI
Practice expense8.87
8.87 RVUs× 1.000 GPCI
Malpractice0.79
0.79 RVUs× 1.000 GPCI
Adjusted RVUs
13.8300
Conversion factor
$33.4009
Medicare rate
$461.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,787
- Code
- 20694
- Physician work
- 4.17
- Practice expense
- 8.87
- Malpractice
- 0.79
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.17 | × 1.000 | 4.1700 |
| Practice expense | 8.87 | × 1.000 | 8.8700 |
| Malpractice | 0.79 | × 0.336 | 0.2654 |
| Total RVUs | 13.3054 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$444.41
Office: (4.17 × 1 + 8.87 × 1 + 0.79 × 0.336) × $33.4009 = $444.41
Facility: (4.17 × 1 + 4.87 × 1 + 0.79 × 0.336) × $33.4009 = $310.81
Payment rules and modifiers for 20694
20694 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 20694
Fixator removal, under 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 · 20694
Fixator removal, under 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
20694 without 51 · national office
$461.93
Fixator removal, under anesthesia
20694-51 · Second procedure: 50%
$230.97
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 20694 has changed in South Dakota
20694 · Office / nonfacility
$444.41
Effective 2026-10-01
The base rate is $34.52 higher than on 2025-10-01, moving from $409.89 to $444.41 (8.4%).
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
$409.89changed to$444.41
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.28 changed to 4.17
- Practice expense RVU 8.09 changed to 8.87
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$420.02changed to$409.89
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.04 changed to 8.09
- Malpractice RVU 0.78 changed to 0.79
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$413.17changed to$420.02
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$423.26changed to$413.17
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 7.93 changed to 8.04
- Malpractice RVU 0.77 changed to 0.78
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$425.21changed to$423.26
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 7.74 changed to 7.93
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$427.80changed to$425.21
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 7.72 changed to 7.74
- Malpractice RVU 0.75 changed to 0.77
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$424.53changed to$427.80
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.20 changed to 7.72
- Malpractice RVU 0.77 changed to 0.75
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$422.86changed to$424.53
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 7.15 changed to 7.20
- Malpractice RVU 0.78 changed to 0.77
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$421.68changed to$422.86
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 7.13 changed to 7.15
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$418.25changed to$421.68
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 7.07 changed to 7.13
- Malpractice RVU 0.77 changed to 0.78
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$418.05changed to$418.25
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 7.08 changed to 7.07
- Malpractice RVU 0.79 changed to 0.77
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$419.34changed to$418.05
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 7.07 changed to 7.08
- Malpractice RVU 0.80 changed to 0.79
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$417.26changed to$419.34
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$415.32changed to$417.26
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 7.01 changed to 7.07
- Malpractice RVU 0.73 changed to 0.80
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$419.45changed to$415.32
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 7.72 changed to 7.01
- Malpractice RVU 0.76 changed to 0.73
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $419.45
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $444.41 | $310.81 | RVU26D |
| 2026-07-01 | $444.41 | $310.81 | RVU26C |
| 2026-04-01 | $444.41 | $310.81 | RVU26B |
| 2026-01-01 | $444.41 | $310.81 | RVU26A |
| 2025-10-01 | $409.89 | $325.46 | RVU25D |
| 2025-07-01 | $409.89 | $325.46 | RVU25C |
| 2025-04-01 | $409.89 | $325.46 | RVU25B |
| 2025-01-01 | $409.89 | $325.46 | RVU25A |
| 2024-10-01 | $420.02 | $330.81 | RVU24D |
| 2024-07-01 | $420.02 | $330.81 | RVU24C |
| 2024-04-01 | $420.02 | $330.81 | RVU24B |
| 2024-03-09 | $420.02 | $330.81 | RVU24AR |
| 2024-01-01 | $413.17 | $325.41 | RVU24A |
| 2023-10-01 | $423.26 | $331.43 | RVU23D |
| 2023-07-01 | $423.26 | $331.43 | RVU23C |
| 2023-04-01 | $423.26 | $331.43 | RVU23B |
| 2023-01-01 | $423.26 | $331.43 | RVU23A |
| 2022-10-01 | $425.21 | $331.08 | RVU22D |
| 2022-07-01 | $425.21 | $331.08 | RVU22C |
| 2022-04-01 | $425.21 | $331.08 | RVU22B |
| 2022-01-01 | $425.21 | $331.08 | RVU22A |
| 2021-10-01 | $427.80 | $331.14 | RVU21D |
| 2021-07-01 | $427.80 | $331.14 | RVU21C |
| 2021-04-01 | $427.80 | $331.14 | RVU21B |
| 2021-01-01 | $427.80 | $331.14 | RVU21A |
| 2020-10-01 | $424.53 | $333.23 | RVU20D |
| 2020-07-01 | $424.53 | $333.23 | RVU20C |
| 2020-04-01 | $424.53 | $333.23 | RVU20B |
| 2020-01-01 | $424.53 | $333.23 | RVU20A |
| 2019-10-01 | $422.86 | $333.48 | RVU19D |
| 2019-07-01 | $422.86 | $333.48 | RVU19C |
| 2019-04-01 | $422.86 | $333.48 | RVU19B |
| 2019-01-01 | $422.86 | $333.48 | RVU19A |
| 2018-10-01 | $421.68 | $333.48 | RVU18D |
| 2018-07-01 | $421.68 | $333.48 | RVU18C |
| 2018-04-01 | $421.68 | $333.48 | RVU18B |
| 2018-01-01 | $421.68 | $333.48 | RVU18AR1 |
| 2017-10-01 | $418.25 | $331.40 | RVU17D |
| 2017-07-01 | $418.25 | $331.40 | RVU17C |
| 2017-04-01 | $418.25 | $331.40 | RVU17B |
| 2017-01-01 | $418.25 | $331.40 | RVU17A |
| 2016-10-01 | $418.05 | $331.05 | RVU16D |
| 2016-07-01 | $418.05 | $331.05 | RVU16C |
| 2016-04-01 | $418.05 | $331.05 | RVU16B |
| 2016-01-01 | $418.05 | $331.05 | RVU16A |
| 2015-10-01 | $419.34 | $331.31 | RVU15D |
| 2015-07-01 | $419.34 | $331.31 | RVU15C |
| 2015-04-01 | $417.26 | $329.66 | RVU15B |
| 2015-01-01 | $417.26 | $329.66 | RVU15A |
| 2014-10-01 | $415.32 | $329.70 | RVU14D |
| 2014-07-01 | $415.32 | $329.70 | RVU14C |
| 2014-04-01 | $415.32 | $329.70 | RVU14B |
| 2014-01-01 | $415.32 | $329.70 | RVU14A |
| 2013-10-01 | $419.45 | $328.26 | RVU13D |
| 2013-07-01 | $419.45 | $328.26 | RVU13C |
| 2013-04-01 | $419.45 | $328.26 | RVU13B |
| 2013-01-01 | $419.45 | $328.26 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
20694 billing questions
When should this code be chosen instead of 20693?
Use 20694 when the external fixation system is removed under anesthesia. Code 20693 describes adjustment or revision of the system under anesthesia when it remains in place.
Is this the code for removing buried plates or screws?
No. It covers removal of an external fixation system. Codes 20670 and 20680 concern removal of superficial and deep internal implants, respectively.
Can modifier 50 be used when fixators are removed on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the service according to the documented procedure rather than appending modifier 50.
What documentation supports reporting 20694?
Document the external fixation device, the clinical reason for removal, that removal was performed under anesthesia, and the operative work completed.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be reported?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. 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
Fee sheets
Put 20694 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet