CPT® Code 20660

The procedure described by CPT® Code 20660 involves the application of cranial tongs, a caliper, or a stereotactic frame, which are devices used to stabilize the cervical spine during medical treatment. This stabilization is crucial for patients who may require precise positioning of the head and neck, particularly in surgical or diagnostic settings. The process begins with the application of local anesthesia to ensure patient comfort. Prior to the placement of the device, the physician prepares the skin by shaving the areas where the pins will be inserted and applying an antiseptic solution, such as Betadine, to minimize the risk of infection. The cranial device is then secured by advancing pins into the cranial skin, ensuring that the skull is not penetrated, which is a critical aspect of the procedure to avoid complications. The stability of the device is maintained by tightening lock nuts, which are regularly checked to ensure they remain secure throughout the duration of use. Importantly, this code also encompasses the removal of the cranial device, indicating that both the application and removal are considered part of the same procedural service.