Coding Brief: Cranial Tong Application (Code 20660) (April 2012)

Why This Topic Matters

Understanding the scope of this guidance helps readers recognize when the article applies to operative, trauma, and stereotactic cases involving cranial fixation or traction devices. It is useful for avoiding misinterpretation of a separate procedure and for identifying the type of documentation and scenario the brief addresses.

Article Sections

1. Code 20660 as an Integral Component

   Discusses how the article frames code 20660 in relation to other procedures when the service is part of a larger operative session. It also references related stereotactic radiosurgery coding context.

2. Code 20660 as an Independent or Unrelated Procedure

   Covers circumstances described in the article where the service may be considered separate from another procedure. This section includes trauma-related scenarios and documentation context.

3. Code 20660 Performed Distinct from Another Procedure or Service

   Addresses the article’s discussion of a separate session or distinct clinical context for the service. It includes an example involving a different physician and later operative treatment.

4. Box 1. Clinical Example and Description of Procedure for Code 20660 from the AMA Specialty Society Relative Value System Update Committee (RUC)

   Presents the AMA RUC clinical example and a procedural description associated with the service. The material provides contextual background on the clinical setting and procedural workflow.