CPT® Code 20662

1. Indications

The application of a halo device, as described by CPT® Code 20662, is indicated for various conditions that require stabilization of the pelvic or femoral bones. The following are the explicitly provided indications for this procedure:

• Pelvic Fractures Stabilization of fractures in the pelvic region to promote healing and prevent further injury.
• Femoral Fractures Support and stabilization of fractures in the femur, particularly when traditional methods are insufficient.
• Post-Surgical Stabilization Providing support following surgical interventions in the pelvic or femoral areas to ensure proper alignment and healing.

2. Procedure

The procedure for the application of a halo device involves several critical steps to ensure effective stabilization of the pelvis. The following procedural steps are outlined:

• Step 1: Preparation The procedure begins with the patient being positioned appropriately, and the pin insertion sites are thoroughly cleansed with an anti-infective agent. This step is crucial to reduce the risk of infection at the site where the pins will be inserted.
• Step 2: Anesthesia Administration Local anesthesia is then injected at the insertion sites to ensure that the patient remains comfortable and pain-free throughout the procedure. This is an essential step to facilitate the subsequent pin insertion without causing discomfort.
• Step 3: Pin Insertion Two straight pins are advanced through the skin, targeting the anterior superior aspect of the iliac spines. The careful insertion of these pins is vital for achieving the desired stabilization effect.
• Step 4: Bone Penetration The pins are then passed through the bone, exiting at the posterior superior aspect of the iliac spines. This step ensures that the pins are securely anchored within the bone structure, providing the necessary support.
• Step 5: Connection to Pelvic Hoop Once the pins are in place, they are connected to the pelvic hoop. This connection is critical as it forms the basis of the stabilization framework.
• Step 6: Attachment of Vertical Bars The pelvic hoop is then linked to four vertical bars, which may be further connected to a cast or traction setup. This final step ensures that the entire assembly is stable and provides the necessary support for the healing process.

3. Post-Procedure

After the application of the halo device, post-procedure care is essential for ensuring optimal recovery. Patients are typically monitored for any signs of complications, such as infection or discomfort at the pin insertion sites. It is important to follow up with regular assessments to ensure that the device remains properly positioned and that the bones are healing as expected. Patients may also receive instructions regarding mobility restrictions and the care of the halo device to prevent any unnecessary strain on the pelvic region during the recovery period. The expected recovery time may vary based on the individual’s condition and adherence to post-procedure guidelines.