How To Use CPT Code 20663

CPT 20663 describes the application of halo, including the removal of femoral traction. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 20663?

CPT 20663 is used to describe the application of halo, including the removal of femoral traction. This procedure is commonly performed to treat spinal deformities, particularly scoliosis, which is an abnormal curvature of the spine. The provider affixes halo rings to the femoral bones through threaded pins inserted near the bone ends. The service also includes the removal of the halo.

2. Official Description

The official description of CPT code 20663 is: ‘Application of halo, including removal femoral.’

3. Procedure

The procedure for CPT 20663 involves several steps:

1. The patient is appropriately prepped and anesthetized.
2. The provider makes a small percutaneous incision in the upper surface of the skin.
3. Threaded halo pins are inserted into the femur bones at the level of the condyle and proximal epiphysis.
4. The provider affixes the halo pin holder with a femoral pin and attaches it to a weighted traction device on the other end.
5. The alignment of the bones is checked with imaging studies.
6. The weights on the traction device are allowed to hang unobstructed.
7. The provider removes the halo when necessary.

4. Qualifying circumstances

CPT 20663 is typically performed on patients with spinal deformities, particularly scoliosis. The procedure is indicated when the application of halo, including femoral traction, is necessary for the treatment of the condition. The patient must meet the specific criteria for the procedure, as determined by the provider.

5. When to use CPT code 20663

CPT code 20663 should be used when the provider performs the application of halo, including the removal of femoral traction. It is important to ensure that the procedure meets the specific requirements outlined in the code description. If the procedure does not involve the application of halo or the removal of femoral traction, a different code should be used.

6. Documentation requirements

To support a claim for CPT 20663, the provider must document the following information:

• Patient’s diagnosis and the need for the application of halo, including the removal of femoral traction
• Details of the procedure, including the specific steps performed
• Date and duration of the procedure
• Any complications or additional procedures performed
• Signature of the provider performing the service

7. Billing guidelines

When billing for CPT 20663, ensure that the procedure meets the specific requirements outlined in the code description. It is important to accurately report the application of halo, including the removal of femoral traction. Do not report subsequent removal of the traction separately, as it is included in the basic procedure. Follow any additional guidelines provided by the payer or relevant coding guidelines.

8. Historical information

CPT 20663 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

Here are some examples of cases where CPT code 20663 may be billed:

1. A patient with severe scoliosis undergoes the application of halo, including the removal of femoral traction, to correct the spinal deformity.
2. A provider performs the application of halo, including the removal of femoral traction, on a patient with a spinal injury to stabilize the spine and promote healing.
3. A child with congenital scoliosis undergoes the application of halo, including the removal of femoral traction, as part of their treatment plan.
4. A patient with a spinal infection requires the application of halo, including the removal of femoral traction, to manage the condition and prevent further complications.
5. A provider performs the application of halo, including the removal of femoral traction, on a patient with a spinal tumor to provide stability and support during treatment.