CPT code 20660 is for applying a remote fixation device, a procedure used to stabilize bones or joints.
CPT code 20660 is used for the application of a fixation device, which is a medical procedure where a device is applied to stabilize and hold a bone or joint in place. This is typically done to ensure proper healing after a fracture or surgery.
When billing for CPT code 20660 (Apply rem fixation device), it is essential to consider the appropriate use of modifiers to ensure accurate reimbursement and compliance with payer requirements. Below is a list of potential modifiers that could be used with CPT code 20660, along with the reasons for their use:
1. Modifier 22 - Increased Procedural Services
- Use this modifier if the procedure required significantly more work than typically required. This could be due to factors such as patient complexity or unexpected complications.
2. Modifier 50 - Bilateral Procedure
- Apply this modifier if the procedure was performed on both sides of the body during the same session.
3. Modifier 51 - Multiple Procedures
- Use this modifier when multiple procedures are performed during the same surgical session. This helps indicate that the procedure is one of several performed.
4. Modifier 52 - Reduced Services
- Apply this modifier if the procedure was partially reduced or eliminated at the physician's discretion.
5. Modifier 59 - Distinct Procedural Service
- Use this modifier to indicate that the procedure was distinct or independent from other services performed on the same day. This is often used to bypass National Correct Coding Initiative (NCCI) edits.
6. Modifier 76 - Repeat Procedure by Same Physician
- Apply this modifier if the same procedure was repeated by the same physician on the same day.
7. Modifier 77 - Repeat Procedure by Another Physician
- Use this modifier if the same procedure was repeated by a different physician on the same day.
8. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period
- Apply this modifier if the patient had to return to the operating room for a related procedure during the postoperative period.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Use this modifier if an unrelated procedure was performed by the same physician during the postoperative period of the initial procedure.
10. Modifier LT - Left Side
- Apply this modifier if the procedure was performed on the left side of the body.
11. Modifier RT - Right Side
- Use this modifier if the procedure was performed on the right side of the body.
12. Modifier XS - Separate Structure
- Apply this modifier to indicate that a service was performed on a separate organ/structure.
13. Modifier XE - Separate Encounter
- Use this modifier to indicate that a service was performed during a separate encounter.
14. Modifier XP - Separate Practitioner
- Apply this modifier to indicate that a service was performed by a different practitioner.
15. Modifier XU - Unusual Non-Overlapping Service
- Use this modifier to indicate that the service does not overlap usual components of the main service.
Proper use of these modifiers can help ensure that claims are processed correctly and that healthcare providers receive appropriate reimbursement for their services. Always refer to the latest coding guidelines and payer-specific policies when applying modifiers.
Medicare reimbursement for CPT code 20660, which involves the application of a rem fixation device, depends on several factors including the specific Medicare plan, the setting in which the service is provided, and whether the procedure is deemed medically necessary. Generally, Medicare Part B may cover this procedure if it is performed in an outpatient setting and is considered medically necessary by the treating physician.
As of the latest available data, the national average reimbursement rate for CPT code 20660 under Medicare Part B is approximately $200. However, this amount can vary based on geographic location and other factors. It is essential to verify the specific reimbursement rate through the Medicare Physician Fee Schedule (MPFS) or consult with your Medicare Administrative Contractor (MAC) for the most accurate and up-to-date information.
Discover how MD Clarity's RevFind software can meticulously analyze your contracts and pinpoint underpayments down to the CPT code level, including specific codes like 20660 for applying a rem fixation device. Ensure you're receiving the full reimbursement you deserve from each payer. Schedule a demo today to see RevFind in action and protect your revenue.
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