20650

CPT^® 20650, Under General Introduction or Removal Procedures on the Musculoskeletal System

The Current Procedural Terminology (CPT^®) code 20650 as maintained by American Medical Association, is a medical procedural code under the range - General Introduction or Removal Procedures on the Musculoskeletal System.

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Summary

Skeletal traction applies a pulling force on bones to treat skeletal disorders and fractures. It aligns and immobilizes bones, while relieving pressure on the muscles and nerves. This allows normal healing of a defect or fracture. Skeletal traction requires the insertion of pins, screws, or wires through the skin and bone and the attachment of weights to the traction device to produce the desired amount of pulling force. This service also includes removal of the traction device.

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Ortho Coding

Kris is correct. The only time I have reported this is in ortho trauma service where they apply traction while waiting for the definitive surgery/swelling to go down. However, as Kris advised above, i... [ Read More ]

External Fixator Distraction external fixation device orthopedic

For certain tibia pilon or tibia plateau fracture presentations, my providers will utilize a uniplane external fixator to distract the knee or ankle joint so that the fracture can be visualized and re... [ Read More ]

20650

Yes, I'm not aware any restrictions on this. Since 20650 has a 10-day global period, your surgery the next day would need a 58 modifier, as a staged procedure planned in advance, if performed by the ... [ Read More ]

20650

Can I bill for skeletal traction CPT 20650 one day prior to surgery? There is planned surgery next day. Thanks in advance.... [ Read More ]

Closed reduction percutaneous screw fixation of right displaced anterior column aceta

Hello, What CPT code would you use for this case. Unlisted and reference 27227 ( there is no code for percutaneous fixation) Our providers wants to bill 27227 and 20650 Post-Op Diagnosis: Closed dis... [ Read More ]

Cpt 20650

I agree with you. The pin placed across the MP joint was for "temporary" reduction and stabilization of the MP joint at the time of the procedure, and left in place postoperatively to protect his lig... [ Read More ]

Cpt 20650

Hello, I need another coder's opinion regarding CPT 20650. My provider wants to bill for this but I feel like the way that he is documenting it, it would be included in the main procedure. There are ... [ Read More ]

CMC Arthroplasty Question

[QUOTE="tammy roach, post: 404121, member: 30115"]Looks like only 25210 was done in this case.[/QUOTE] Would you also bill the 20650 for the k-wire insertion?... [ Read More ]

CMC Arthroplasty Question

Good morning! We've had a little back and forth going on in my office regarding a patient's surgery. The doctor wants us to bill 25447 along with 20650 for insertion of the k-wire. Based on the docume... [ Read More ]

ortho coding guidance: repair extensor pollicis longus tendon and pinning IP joint

Whoa Nellie! Unfortunately you have wandered way off course with some of your proposed &/or considered codes. The code 26418 is correct for repair of the extensor pollicis longus tendon laceration o... [ Read More ]

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