How To Use CPT Code 20692

CPT code 20692 describes the application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system. 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 20692?

CPT code 20692 is used to describe the application of a multiplane, unilateral, external fixation system. This code is used when a healthcare provider applies a fixation device to one side of the patient’s body to join skeletal parts and maintain their normal alignment during the healing process. The external fixation system, also known as an external fixator, is placed inside the bones, while the device itself remains outside of the body. This allows the provider to make adjustments externally and eliminates the need for additional invasive procedures.

2. Official Description

The official description of CPT code 20692 is: ‘Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type).’ This code specifically refers to the application of a multiplane external fixation system, such as the Ilizarov or Monticelli types.

3. Procedure

The procedure for CPT code 20692 involves the following steps:

1. The patient is appropriately prepped and anesthetized.
2. The healthcare provider examines and plans the site for multiplanar fixation.
3. The provider localizes the fracture site and makes small skin incisions in a peripheral multiplanar manner.
4. Skeletal fixation pins are introduced through the skin incisions and drilled into the bone in a unilateral axial pattern.
5. Pins or wires are inserted into the holes and attached to an external rod that holds them in position, making the fracture joint immobile.
6. The provider confirms satisfactory fixation of the multiplanar fixation device using radiological studies.

4. Qualifying circumstances

CPT code 20692 is used for patients who require the application of a multiplane external fixation system to treat skeletal deformities or injuries, such as fractures. The procedure is performed by a healthcare provider and involves the use of pins or wires in more than one plane. The fixation system can be of various types, including the Ilizarov or Monticelli types.

5. When to use CPT code 20692

CPT code 20692 should be used when a healthcare provider applies a multiplane external fixation system to one side of the patient’s body. This code is specifically for cases where pins or wires are used in more than one plane. It is important to accurately document the procedure and ensure that the specific type of fixation system used is mentioned.

6. Documentation requirements

To support a claim for CPT code 20692, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for multiplane external fixation
• Specific type of multiplane external fixation system used (e.g., Ilizarov, Monticelli)
• Date of the procedure
• Start and end time of the procedure
• Details of the procedure, including the number and placement of pins or wires
• Confirmation of satisfactory fixation with radiological studies
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 20692, ensure that the procedure involves the application of a multiplane external fixation system. The specific type of fixation system used should be documented. It is important to follow the guidelines provided by the payer and accurately report the procedure code.

8. Historical information

CPT code 20692 was added to the Current Procedural Terminology system on January 1, 1991. The code description was updated on January 1, 2010 to clarify the application of a multiplane external fixation system.

9. Similar codes to CPT 20692

There are no similar codes to CPT code 20692 within the range of 20500-20705. This code specifically describes the application of a multiplane external fixation system.

9. Examples

1. A healthcare provider applies a multiplane external fixation system to treat a complex fracture in the patient’s leg.
2. A surgeon uses a multiplane external fixation system to correct a skeletal deformity in the patient’s arm.
3. A healthcare provider applies a multiplane external fixation system to stabilize a fracture in the patient’s pelvis.
4. A orthopedic specialist uses a multiplane external fixation system to treat a complex fracture in the patient’s spine.
5. A healthcare provider applies a multiplane external fixation system to join skeletal parts in the patient’s hand after a severe injury.
6. A surgeon uses a multiplane external fixation system to treat a complex fracture in the patient’s foot.
7. A healthcare provider applies a multiplane external fixation system to stabilize a fracture in the patient’s shoulder.
8. An orthopedic specialist uses a multiplane external fixation system to correct a skeletal deformity in the patient’s leg.
9. A healthcare provider applies a multiplane external fixation system to treat a complex fracture in the patient’s wrist.
10. A surgeon uses a multiplane external fixation system to join skeletal parts in the patient’s ankle after a severe injury.