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 Halo application Medicare reimbursement rates in Alabama
Reports placement of the femoral fixation component of a halo-traction setup, commonly used to support gradual correction of severe spinal deformity. Compare 20663 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 20663 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$417.72
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alabama, 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.
$107.58
20665 describes removal of tongs or a halo other than from the femur. Femoral halo removal is included in 20663.
Compare 20663 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$417.72
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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 Alabama.
PPRRVU2026_Oct_nonQPP.csv
1,779
- Code
- 20663
- Physician work
- 5.60
- Practice expense
- 7.11
- Malpractice
- 1.21
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.60 | × 1.000 | 5.6000 |
| Practice expense | 7.11 | × 0.875 | 6.2213 |
| Malpractice | 1.21 | × 0.566 | 0.6849 |
| Total RVUs | 12.5061 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$417.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.6 | 1 |
| Practice expense | 7.11 | 0.875 |
| Malpractice | 1.21 | 0.566 |
(5.6 × 1 + 7.11 × 0.875 + 1.21 × 0.566) × $33.4009 = $417.72
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.
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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515