2025 CPT code 20663
(Active) Effective Date: N/A Revision Date: N/A Surgery - General Introduction or Removal Procedures Musculoskeletal System Feed
Application and removal of a halo femoral traction device.
Modifiers such as 51 (multiple procedures), 76 (repeat procedure), and 54 (surgical care only) may be applicable depending on the clinical scenario. Refer to the CPT guidelines for specific modifier application rules.
Medical necessity is established based on the patient's clinical presentation, imaging studies demonstrating the need for spinal alignment correction, and a documented failure of conservative treatments. The physician should clearly document the indication for this procedure.
The physician or qualified healthcare professional is responsible for all aspects of the procedure, including patient preparation, pin insertion, device application, alignment verification using imaging techniques, and device removal.
In simple words: This code covers putting on and taking off a special device used to pull on the thigh bone to help correct spinal problems.It involves inserting pins into the bone and attaching the device.
This CPT code encompasses the application of a halo traction device to the femur, including the insertion of pins, attachment of the device, and verification of proper alignment. The code also includes the subsequent removal of the device.
Example 1: A patient with severe scoliosis requires halo femoral traction to correct the spinal curvature. The orthopedic surgeon performs the procedure, including pin insertion into the femur, device application, and post-procedure imaging to ensure correct alignment., A pediatric patient with a complex spinal fracture requires halo femoral traction for stabilization.The orthopedic surgeon carefully inserts pins into the femur, ensuring minimal trauma. The traction device is applied, and the patient’s progress is monitored closely., After a period of halo femoral traction, a patient’s spinal alignment has improved. The orthopedic surgeon removes the traction device, carefully extracting the pins. Post-removal care, including wound assessment and instructions, is provided.
Detailed operative report, including type of traction, pin placement sites, imaging studies (pre and post-procedure) confirming proper alignment, and description of device removal. Patient medical history detailing the indication for traction. Post-operative care notes.
** This procedure is typically performed under anesthesia and requires appropriate post-operative monitoring and care.
- Payment Status: Active
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center