Orthopedic Services – Claim Documentation Requirements

Code Description Documentation Required
20696 Computer-assisted external fixation Operative report
20697 Computer-assisted external fixation Operative report

In addition, HMSA may require submission of clinical records before or after payment of claims for the purpose of investigating potential fraudulent, abusive or other inappropriate billing practices, but only as long as there is a reasonable basis for believing such investigation is warranted.


Revision History

Date Nature of Revision
08/03/2026 Migrated to new platform.