No office rate
20660 describes another form of skeletal traction-device application. Choose 20663 when the documented fixation is femoral halo traction.
On this page
CMS RVU26D · Effective 2026-10-01
20663 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$458.94
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic procedure
About 20663: Femoral halo traction application
Reports placement of the femoral fixation component of a halo-traction setup, commonly used to support gradual correction of severe spinal deformity.
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.
CMS billing rules for 20663
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.60 · 40%
- Practice expense (office) RVU7.11 · 51%
- Malpractice RVU1.21 · 9%
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.
20663 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
20661 is for cranial halo application; 20663 identifies the femoral site.
No office rate
20662 identifies pelvic halo application, not femoral fixation.
$116.92
20665 describes removal of tongs or a halo other than from the femur. Femoral halo removal is included in 20663.
The same code, a different location
How does Delaware compare?
20663 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 20663
Office
Unavailable
Facility
$417.72
No comparable office rate is available.
Arkansas
Arkansas · 20663
Office
Unavailable
Facility
$411.85
No comparable office rate is available.
Arizona
Arizona · 20663
Office
Unavailable
Facility
$451.76
No comparable office rate is available.
Bakersfield
California · 20663
Office
Unavailable
Facility
$475.49
No comparable office rate is available.
Chico
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
El Centro
California · 20663
Office
Unavailable
Facility
$472.37
No comparable office rate is available.
Fresno
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Hanford-Corcoran
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Madera
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Merced
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Modesto
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Napa
California · 20663
Office
Unavailable
Facility
$532.36
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 20663
Office
Unavailable
Facility
$498.16
No comparable office rate is available.
Redding
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Rest Of California
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 20663
Office
Unavailable
Facility
$485.16
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 20663
Office
Unavailable
Facility
$491.63
No comparable office rate is available.
Salinas
California · 20663
Office
Unavailable
Facility
$489.75
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 20663
Office
Unavailable
Facility
$498.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 20663
Office
Unavailable
Facility
$558.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 20663
Office
Unavailable
Facility
$556.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 20663
Office
Unavailable
Facility
$571.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 20663
Office
Unavailable
Facility
$566.11
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 20663
Office
Unavailable
Facility
$482.38
No comparable office rate is available.
Santa Cruz-Watsonville
California · 20663
Office
Unavailable
Facility
$501.17
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 20663
Office
Unavailable
Facility
$490.85
No comparable office rate is available.
Santa Rosa-Petaluma
California · 20663
Office
Unavailable
Facility
$505.94
No comparable office rate is available.
Stockton
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Vallejo
California · 20663
Office
Unavailable
Facility
$530.38
No comparable office rate is available.
Visalia
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Yuba City
California · 20663
Office
Unavailable
Facility
$472.17
No comparable office rate is available.
Colorado
Colorado · 20663
Office
Unavailable
Facility
$473.53
No comparable office rate is available.
Connecticut
Connecticut · 20663
Office
Unavailable
Facility
$495.45
No comparable office rate is available.
Fort Lauderdale
Florida · 20663
Office
Unavailable
Facility
$500.68
No comparable office rate is available.
Rest Of Florida
Florida · 20663
Office
Unavailable
Facility
$474.82
No comparable office rate is available.
Atlanta
Georgia · 20663
Office
Unavailable
Facility
$477.42
No comparable office rate is available.
Rest Of Georgia
Georgia · 20663
Office
Unavailable
Facility
$447.05
No comparable office rate is available.
Hawaii, Guam
Hawaii · 20663
Office
Unavailable
Facility
$480.46
No comparable office rate is available.
Iowa
Iowa · 20663
Office
Unavailable
Facility
$420.38
No comparable office rate is available.
Idaho
Idaho · 20663
Office
Unavailable
Facility
$424.64
No comparable office rate is available.
East St. Louis
Illinois · 20663
Office
Unavailable
Facility
$486.92
No comparable office rate is available.
Rest Of Illinois
Illinois · 20663
Office
Unavailable
Facility
$467.03
No comparable office rate is available.
Suburban Chicago
Illinois · 20663
Office
Unavailable
Facility
$503.86
No comparable office rate is available.
Indiana
Indiana · 20663
Office
Unavailable
Facility
$426.83
No comparable office rate is available.
Kansas
Kansas · 20663
Office
Unavailable
Facility
$422.10
No comparable office rate is available.
Kentucky
Kentucky · 20663
Office
Unavailable
Facility
$435.14
No comparable office rate is available.
New Orleans
Louisiana · 20663
Office
Unavailable
Facility
$456.43
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 20663
Office
Unavailable
Facility
$435.93
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 20663
Office
Unavailable
Facility
$514.23
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 20663
Office
Unavailable
Facility
$472.32
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 20663
Office
Unavailable
Facility
$494.85
No comparable office rate is available.
Rest Of Maryland
Maryland · 20663
Office
Unavailable
Facility
$466.35
No comparable office rate is available.
Rest Of Maine
Maine · 20663
Office
Unavailable
Facility
$430.67
No comparable office rate is available.
Southern Maine
Maine · 20663
Office
Unavailable
Facility
$447.89
No comparable office rate is available.
Detroit
Michigan · 20663
Office
Unavailable
Facility
$484.35
No comparable office rate is available.
Rest Of Michigan
Michigan · 20663
Office
Unavailable
Facility
$449.49
No comparable office rate is available.
Minnesota
Minnesota · 20663
Office
Unavailable
Facility
$443.38
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 20663
Office
Unavailable
Facility
$449.52
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 20663
Office
Unavailable
Facility
$453.62
No comparable office rate is available.
Rest Of Missouri
Missouri · 20663
Office
Unavailable
Facility
$431.12
No comparable office rate is available.
Mississippi
Mississippi · 20663
Office
Unavailable
Facility
$421.38
No comparable office rate is available.
Montana**
Montana · 20663
Office
Unavailable
Facility
$464.86
No comparable office rate is available.
North Carolina
North Carolina · 20663
Office
Unavailable
Facility
$434.44
No comparable office rate is available.
North Dakota**
North Dakota · 20663
Office
Unavailable
Facility
$440.93
No comparable office rate is available.
Nebraska
Nebraska · 20663
Office
Unavailable
Facility
$421.52
No comparable office rate is available.
New Hampshire
New Hampshire · 20663
Office
Unavailable
Facility
$469.63
No comparable office rate is available.
Northern Nj
New Jersey · 20663
Office
Unavailable
Facility
$517.47
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 20663
Office
Unavailable
Facility
$498.19
No comparable office rate is available.
New Mexico
New Mexico · 20663
Office
Unavailable
Facility
$453.35
No comparable office rate is available.
Nevada**
Nevada · 20663
Office
Unavailable
Facility
$458.43
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 20663
Office
Unavailable
Facility
$556.43
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 20663
Office
Unavailable
Facility
$504.41
No comparable office rate is available.
Queens
New York · 20663
Office
Unavailable
Facility
$538.00
No comparable office rate is available.
Rest Of New York
New York · 20663
Office
Unavailable
Facility
$441.06
No comparable office rate is available.
Ohio
Ohio · 20663
Office
Unavailable
Facility
$444.60
No comparable office rate is available.
Oklahoma
Oklahoma · 20663
Office
Unavailable
Facility
$430.52
No comparable office rate is available.
Portland
Oregon · 20663
Office
Unavailable
Facility
$483.95
No comparable office rate is available.
Rest Of Oregon
Oregon · 20663
Office
Unavailable
Facility
$451.99
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 20663
Office
Unavailable
Facility
$485.84
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 20663
Office
Unavailable
Facility
$443.24
No comparable office rate is available.
Puerto Rico
Puerto Rico · 20663
Office
Unavailable
Facility
$466.95
No comparable office rate is available.
Rhode Island
Rhode Island · 20663
Office
Unavailable
Facility
$471.97
No comparable office rate is available.
South Carolina
South Carolina · 20663
Office
Unavailable
Facility
$440.83
No comparable office rate is available.
South Dakota**
South Dakota · 20663
Office
Unavailable
Facility
$438.10
No comparable office rate is available.
Tennessee
Tennessee · 20663
Office
Unavailable
Facility
$424.62
No comparable office rate is available.
Austin
Texas · 20663
Office
Unavailable
Facility
$474.48
No comparable office rate is available.
Beaumont
Texas · 20663
Office
Unavailable
Facility
$440.70
No comparable office rate is available.
Brazoria
Texas · 20663
Office
Unavailable
Facility
$455.41
No comparable office rate is available.
Dallas
Texas · 20663
Office
Unavailable
Facility
$459.94
No comparable office rate is available.
Fort Worth
Texas · 20663
Office
Unavailable
Facility
$458.09
No comparable office rate is available.
Galveston
Texas · 20663
Office
Unavailable
Facility
$457.82
No comparable office rate is available.
Houston
Texas · 20663
Office
Unavailable
Facility
$479.97
No comparable office rate is available.
Rest Of Texas
Texas · 20663
Office
Unavailable
Facility
$448.91
No comparable office rate is available.
Utah
Utah · 20663
Office
Unavailable
Facility
$446.57
No comparable office rate is available.
Virginia
Virginia · 20663
Office
Unavailable
Facility
$449.02
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 20663
Office
Unavailable
Facility
$466.95
No comparable office rate is available.
Vermont
Vermont · 20663
Office
Unavailable
Facility
$442.60
No comparable office rate is available.
Rest Of Washington
Washington · 20663
Office
Unavailable
Facility
$470.30
No comparable office rate is available.
Seattle (King Cnty)
Washington · 20663
Office
Unavailable
Facility
$520.80
No comparable office rate is available.
Wisconsin
Wisconsin · 20663
Office
Unavailable
Facility
$427.00
No comparable office rate is available.
West Virginia
West Virginia · 20663
Office
Unavailable
Facility
$451.25
No comparable office rate is available.
Wyoming**
Wyoming · 20663
Office
Unavailable
Facility
$454.43
No comparable office rate is available.
See how rates vary across the country
20663 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 20663 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$504.83
$458.94 × 110% = $504.83
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 20663 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
1,779
- Code
- 20663
- Physician work
- 5.60
- Practice expense
- 7.11
- Malpractice
- 1.21
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.60 | × 1.005 | 5.6280 |
| Practice expense | 7.11 | × 0.988 | 7.0247 |
| Malpractice | 1.21 | × 0.899 | 1.0878 |
| Total RVUs | 13.7405 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$458.94
Open 20663 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.6 | 1.005 |
| Practice expense | 7.11 | 0.988 |
| Malpractice | 1.21 | 0.899 |
(5.6 × 1.005 + 7.11 × 0.988 + 1.21 × 0.899) × $33.4009 = $458.94
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
20663 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $458.94 | RVU26D |
| 2026-07-01 | Not available in this setting | $458.94 | RVU26C |
| 2026-04-01 | Not available in this setting | $458.94 | RVU26B |
| 2026-01-01 | Not available in this setting | $458.94 | RVU26A |
| 2025-10-01 | Not available in this setting | $477.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $477.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $477.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $477.40 | RVU25A |
20663 billing questions
How does this differ from cranial or pelvic halo application?
This code identifies femoral fixation for halo traction. Use the cranial or pelvic sibling code when the halo is applied at that site.
Is removal of the femoral halo reported separately?
No. Removal of the femoral halo component is included in this service.
Can this be reported with a cranial halo code?
A cranial halo may be part of the same traction treatment, but report each service only when the corresponding site-specific application is performed and documented.
When is modifier 50 used?
For a bilateral procedure, modifier 50 applies under the CMS bilateral payment rule; payment is 150%.
What supports assistant-at-surgery payment?
The record must document medical necessity for the assistant. CMS does not permit co-surgeon or team-surgery payment for this code.
Does the global period include postoperative care?
Yes. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,77620660,,Apply rem fixation device,A,,3.90,1.27,NA,1.27,,1.26,6.43,6.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,77720661,,Application halo cranial,A,,5.13,9.68,NA,9.68,,1.76,16.57,16.57,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,77820662,,Application halo pelvic,A,,6.22,7.46,NA,7.46,,1.32,15.00,15.00,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,77920663,,Application halo femoral,A,,5.60,7.11,NA,7.11,,1.21,13.92,13.92,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,78020664,,Appl halo cranial 6+pins,A,,9.81,14.26,NA,14.26,,4.13,28.20,28.20,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,78120665,,Rmvl tongs/halo anthr indiv,A,,1.33,2.09,,1.13,,0.11,3.53,2.57,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,78220670,,Removal implant superficial,A,,1.75,9.07,,2.17,,0.27,11.09,4.19,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503