CPT code 20697: Fixator adjustment, each strut2026 Medicare rate & RVUs in Nevada

Reports adjustment or exchange of individual struts on a multiplane external fixation system, commonly during staged correction of a fracture or limb deformity.

CMS RVU26DEffective Oct 1, 2026One payment locality46 Medicare services in 2024

In Nevada, Medicare pays $1,912.27 for 20697 in the office.

$1,912.27Office (non-facility)
Not available in this settingHospital or facility
+0.1%vs the national office rate ($1,910.53)

Check a contract rate as a % of Medicare · 20697 nationwide

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

We’ll open 20697 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 20697 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 20697 covers

This service covers changing or adjusting individual struts on a multiplane, or orthogonal, external fixation system. Orthopedic surgeons commonly perform it during staged treatment with a hexapod or similar frame, such as when correcting a fracture alignment or limb deformity. Unlike applying the frame, the work addresses its struts while the external fixation system remains in use.

Report the service for each strut adjusted or exchanged, and document the frame, the specific strut work, and the clinical reason for the change. CMS assigns this code a 0-day global period, so same-day preoperative and postoperative care is included. CMS classifies it as technical-component-only, with interpretation covered by a separate code. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; 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 Nevada compares for 20697

Across 109 of 109 payment localities, the office rate for 20697 runs from $1,640.80 in Arkansas to $2,754.08 in San Benito County, CA. Nevada pays $1,912.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

20697 in Nevada vs other payment areas
  1. Nevada · this page$1,912.27
  2. Los Angeles, CA · California$2,259.64+$347.37
  3. Washington, DC area · District of Columbia$2,250.54+$338.27
  4. Miami, FL · Florida$1,990.35+$78.08
  5. Chicago, IL · Illinois$1,921.38+$9.11
  6. Manhattan, NY · New York$2,220.46+$308.19
  7. Alaska · Alaska$2,034.20+$121.93

Other areas in Nevada first, then benchmark localities. Bars start at $0.

Every other payment area

20697 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,671.41—
ArkansasArkansas$1,640.80—
ArizonaArizona$1,851.19—
Bakersfield, CACalifornia$2,093.45—
Chico, CACalifornia$2,093.38—
El Centro, CACalifornia$2,093.39—
Fresno, CACalifornia$2,093.38—
Hanford, CACalifornia$2,093.38—

20697 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.

$1,640.80

$2,423.73

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
20697 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,034.201
AL$1,671.411
AR$1,640.801
AZ$1,851.191
CA$2,093.38–$2,754.0829
CO$2,032.521
CT$2,057.781
DC$2,250.541
DE$1,887.521
FL$1,827.02–$1,990.353
GA$1,704.49–$1,941.292
GU$2,171.721
HI$2,171.721
IA$1,747.621
ID$1,757.241
IL$1,744.97–$1,962.864
IN$1,770.621
KS$1,726.721
KY$1,698.491
LA$1,690.89–$1,798.012
MA$2,011.53–$2,280.872
MD$1,933.36–$2,250.543
ME$1,757.39–$1,892.982
MI$1,744.53–$1,844.392
MN$1,965.201
MO$1,646.99–$1,818.883
MS$1,644.851
MT$1,910.531
NC$1,782.231
ND$1,909.941
NE$1,762.871
NH$1,988.701
NJ$2,086.31–$2,216.122
NM$1,752.241
NV$1,912.271
NY$1,814.76–$2,272.295
OH$1,744.411
OK$1,705.991
OR$1,902.60–$2,122.232
PA$1,753.89–$1,989.022
PR$1,931.521
RI$1,973.441
SC$1,765.261
SD$1,909.871
TN$1,736.301
TX$1,738.60–$2,021.178
UT$1,795.861
VA$1,877.77–$2,250.542
VI$1,931.521
VT$1,890.941
WA$2,011.50–$2,343.812
WI$1,829.641
WV$1,660.811
WY$1,910.271

See 20697 in every payment locality

How the 20697 rate is calculated

Each of 20697’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 · 20697

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense57.17

57.17 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

57.2000

Conversion factor

$33.4009

Medicare rate

$1,910.53

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,789

Code
20697
Physician work
0.00
Practice expense
57.17
Malpractice
0.03

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 20697 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense57.17× 1.00157.2272
Malpractice0.03× 0.8330.0250
Total RVUs57.2522
Conversion factor× 33.4009

Office rate, Nevada$1912.27

Office: (0 × 1 + 57.17 × 1.001 + 0.03 × 0.833) × $33.4009 = $1912.27

Open 20697 in the RVU calculator

Payment rules and modifiers for 20697

The CMS indicators that decide how 20697 is paid alongside other services.

CMS payment indicators · 20697

Fixator adjustment, each strut

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

20697 without 80 · national office

$1,910.53

Fixator adjustment, each strut

20697-80 · Assistant: 16%

$305.68

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

How 20697 has changed in Nevada

20697 · Office / nonfacility

$1912.27

Effective 2026-10-01

The base rate is $270.51 higher than on 2025-10-01, moving from $1641.76 to $1912.27 (16.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $1641.76changed to$1912.27

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 50.73 changed to 57.17
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1767.41changed to$1641.76

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 53.07 changed to 50.73

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1738.56changed to$1767.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1860.54changed to$1738.56

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 54.86 changed to 53.07
    • Malpractice RVU 0.04 changed to 0.03
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $1955.74changed to$1860.54

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 56.46 changed to 54.86
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2136.65changed to$1955.74

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 61.18 changed to 56.46

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $2086.48changed to$2136.65

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 57.78 changed to 61.18
    • Malpractice RVU 0.03 changed to 0.04
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $2159.41changed to$2086.48

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 58.89 changed to 57.78
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $2159.08changed to$2159.41

    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $2213.05changed to$2159.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 60.42 changed to 58.89
    • Malpractice RVU 0.03 changed to 0.02

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $2216.42changed to$2213.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 59.70 changed to 60.42
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $2116.66changed to$2216.42

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 56.23 changed to 59.70
    • Malpractice RVU 0.02 changed to 0.03
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $2265.19changed to$2116.66

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 59.97 changed to 56.23
    • Malpractice RVU 0.01 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $2253.92changed to$2265.19

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $1962.61changed to$2253.92

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 51.92 changed to 59.97
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $2323.98changed to$1962.61

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 64.55 changed to 51.92
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  17. October 1, 2013

    RVU13D

    No ratechanged to$2323.98

  18. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,912.27Not available in this settingRVU26D
2026-07-01$1,912.27Not available in this settingRVU26C
2026-04-01$1,912.27Not available in this settingRVU26B
2026-01-01$1,912.27Not available in this settingRVU26A
2025-10-01$1,641.76Not available in this settingRVU25D
2025-07-01$1,641.76Not available in this settingRVU25C
2025-04-01$1,641.76Not available in this settingRVU25B
2025-01-01$1,641.76Not available in this settingRVU25A
2024-10-01$1,767.41Not available in this settingRVU24D
2024-07-01$1,767.41Not available in this settingRVU24C
2024-04-01$1,767.41Not available in this settingRVU24B
2024-03-09$1,767.41Not available in this settingRVU24AR
2024-01-01$1,738.56Not available in this settingRVU24A
2023-10-01$1,860.54Not available in this settingRVU23D
2023-07-01$1,860.54Not available in this settingRVU23C
2023-04-01$1,860.54Not available in this settingRVU23B
2023-01-01$1,860.54Not available in this settingRVU23A
2022-10-01$1,955.74Not available in this settingRVU22D
2022-07-01$1,955.74Not available in this settingRVU22C
2022-04-01$1,955.74Not available in this settingRVU22B
2022-01-01$1,955.74Not available in this settingRVU22A
2021-10-01$2,136.65Not available in this settingRVU21D
2021-07-01$2,136.65Not available in this settingRVU21C
2021-04-01$2,136.65Not available in this settingRVU21B
2021-01-01$2,136.65Not available in this settingRVU21A
2020-10-01$2,086.48Not available in this settingRVU20D
2020-07-01$2,086.48Not available in this settingRVU20C
2020-04-01$2,086.48Not available in this settingRVU20B
2020-01-01$2,086.48Not available in this settingRVU20A
2019-10-01$2,159.41Not available in this settingRVU19D
2019-07-01$2,159.41Not available in this settingRVU19C
2019-04-01$2,159.08Not available in this settingRVU19B
2019-01-01$2,159.08Not available in this settingRVU19A
2018-10-01$2,213.05Not available in this settingRVU18D
2018-07-01$2,213.05Not available in this settingRVU18C
2018-04-01$2,213.05Not available in this settingRVU18B
2018-01-01$2,213.05Not available in this settingRVU18AR1
2017-10-01$2,216.42Not available in this settingRVU17D
2017-07-01$2,216.42Not available in this settingRVU17C
2017-04-01$2,216.42Not available in this settingRVU17B
2017-01-01$2,216.42Not available in this settingRVU17A
2016-10-01$2,116.66Not available in this settingRVU16D
2016-07-01$2,116.66Not available in this settingRVU16C
2016-04-01$2,116.66Not available in this settingRVU16B
2016-01-01$2,116.66Not available in this settingRVU16A
2015-10-01$2,265.19Not available in this settingRVU15D
2015-07-01$2,265.19Not available in this settingRVU15C
2015-04-01$2,253.92Not available in this settingRVU15B
2015-01-01$2,253.92Not available in this settingRVU15A
2014-10-01$1,962.61Not available in this settingRVU14D
2014-07-01$1,962.61Not available in this settingRVU14C
2014-04-01$1,962.61Not available in this settingRVU14B
2014-01-01$1,962.61Not available in this settingRVU14A
2013-10-01$2,323.98Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 20697 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

20697 billing questions

How does this differ from 20696?

20696 reports initial application of a multiplane external fixation system. Use 20697 for subsequent strut adjustment or exchange on the frame.

How does this differ from 20693?

20693 describes adjustment or revision of an external fixation system that requires anesthesia. Code 20697 is specific to strut adjustment or exchange on a multiplane orthogonal system.

How many units should be reported?

The code is reported for each strut adjusted or exchanged. Document which struts were changed and the work performed on each.

Is same-day postoperative care separately reported?

No. CMS assigns a 0-day global period, which includes same-day preoperative and postoperative care.

Can modifier 50 be used when struts on both sides are adjusted?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the service according to the struts treated, not with modifier 50.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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
RVUs for 20697PPRRVU2026_Oct_nonQPP.csv, line 1,789 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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