2025 CPT code 20662
(Active) Effective Date: N/A Revision Date: N/A Surgery - General Introduction or Removal Procedures Musculoskeletal System Feed
Application and removal of halo pelvic fixation.
Modifiers may be applicable depending on the specific circumstances of the procedure (e.g., modifier 76 for a repeat procedure, modifier 54 for surgical care only).
Halo pelvic fixation is medically necessary for patients with severe spinal deformities or dislocations that cannot be effectively managed with conservative measures. The procedure is indicated when there is significant pain, neurological compromise, or instability that threatens the patient's functional capacity or quality of life.
The physician or qualified healthcare professional is responsible for inserting pins into the pelvis and skull, connecting them with bars, adjusting the traction, and removing the device. This includes appropriate patient preparation, anesthesia, and post-procedure care.
In simple words: This code covers putting on and taking off a special device called a halo pelvic fixation. This device uses traction (pulling) to help fix spinal problems like curvature or dislocation. It involves placing pins in the pelvis and skull, connecting them with bars, and adjusting the pull. The removal of the device is also part of this procedure.
This CPT code encompasses the application and removal of halo pelvic fixation, a traction device used to correct spinal curvature or dislocation.The procedure involves inserting pins into the pelvis and skull, connecting them with bars, and adjusting the traction force as needed.Removal of the device is also included in this code.
Example 1: A patient with lumbosacral spondylolisthesis undergoes halo pelvic fixation for spinal stabilization and correction of the vertebral displacement. The procedure involves inserting pins into the pelvis and skull, connecting them with bars, and adjusting the traction. The device is removed after the desired level of correction is achieved., A patient with severe scoliosis requires halo pelvic fixation to reduce the spinal curvature. The procedure is performed under general anesthesia, with precise placement of pins and bars to provide optimal traction. Regular adjustments of the traction are made during the treatment period, and the device is removed once the curvature has significantly improved., A patient with tuberculous kyphosis presents with a significant spinal deformity requiring halo pelvic fixation. The surgeon carefully inserts pins, connects the bars, and adjusts the traction to gradually correct the kyphosis. The device is removed after the desired correction is attained, and the patient undergoes rehabilitation to maintain the corrected posture.
* Preoperative assessment and diagnosis (including imaging studies like X-rays or CT scans showing the spinal deformity).* Operative report detailing the technique used for pin placement, bar connection, and traction adjustment.* Postoperative assessment and imaging studies to evaluate the effectiveness of the procedure.* Documentation of any complications or adverse events.* Patient's consent form.
** This procedure is typically performed by an orthopedic surgeon or neurosurgeon.The specific approach and technique may vary depending on the patient's condition and the surgeon's preference. The global period for this procedure may vary depending on payer policies.Careful attention should be paid to post-operative care to prevent complications such as infection or pin loosening.
- Payment Status: Active
- Modifier TC rule: This code does not typically utilize a technical component modifier.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center