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CPT code 11976: Contraceptive implant removal, removal only2026 Medicare rate & RVUs in Miami, FL

Removal of implantable contraceptive capsules beneath the skin, reported when the existing implant is removed without reinsertion during the same session.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Miami, FL, Medicare pays $165.17 for 11976 in the office and $95.98 when it’s performed in a hospital or facility.

$165.17Office (non-facility)
$95.98Hospital or facility
+12.6%vs the national office rate ($146.63)

Check a contract rate as a % of Medicare · 11976 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 11976 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 11976 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 11976 covers

This service covers removal of implantable contraceptive capsules placed beneath the skin, commonly in the upper arm. The clinician identifies the implant, makes an incision, and dissects and extracts the capsule or capsules. It is typically performed by a physician or other qualified practitioner in an outpatient setting.

Report 11976 when documentation supports removal of an implantable contraceptive capsule, including the site and work performed. Medicare coverage is restricted to specific circumstances; performing the procedure alone does not establish payment eligibility. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Miami, FL compares for 11976

Across 109 of 109 payment localities, the office rate for 11976 runs from $130.70 in Arkansas to $183.07 in San Benito County, CA. Miami, FL pays $165.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

11976 in Miami, FL vs other payment areas
  1. Miami, FL · this page$165.17
  2. Fort Lauderdale, FL · Florida$155.75−$9.42
  3. Rest of Florida · Florida$148.22−$16.95
  4. Los Angeles, CA · California$160.01−$5.16
  5. Washington, DC area · District of Columbia$164.87−$0.30
  6. Chicago, IL · Illinois$160.41−$4.76
  7. Manhattan, NY · New York$168.94+$3.77

Other areas in Florida first, then benchmark localities. Bars start at $0.

Every other payment area

11976 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$176.29$105.50
AlabamaAlabama$132.47$74.31
ArkansasArkansas$130.70$73.61
ArizonaArizona$142.75$78.35
Bakersfield, CACalifornia$151.35$78.50
Chico, CACalifornia$150.50$77.66
El Centro, CACalifornia$150.55$77.71
Fresno, CACalifornia$150.50$77.66

11976 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$130.70

$176.29

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11976 office rate range by state
State / territoryOffice rate rangeLocalities
AK$176.291
AL$132.471
AR$130.701
AZ$142.751
CA$150.50–$183.0729
CO$150.161
CT$155.941
DC$164.871
DE$144.971
FL$148.22–$165.173
GA$140.08–$150.072
GU$153.161
HI$153.161
IA$133.921
ID$135.071
IL$145.44–$160.414
IN$135.751
KS$134.121
KY$137.071
LA$137.18–$143.362
MA$149.69–$163.142
MD$147.33–$164.873
ME$136.56–$142.232
MI$141.09–$150.762
MN$141.851
MO$135.54–$142.883
MS$133.101
MT$146.611
NC$137.751
ND$140.681
NE$134.351
NH$148.601
NJ$157.15–$163.532
NM$142.131
NV$145.041
NY$139.73–$173.775
OH$139.881
OK$136.001
OR$143.34–$153.712
PA$139.64–$152.832
PR$147.341
RI$149.241
SC$139.161
SD$139.981
TN$134.851
TX$138.85–$150.318
UT$140.901
VA$142.35–$164.872
VI$147.341
VT$140.901
WA$149.15–$165.522
WI$136.401
WV$140.671
WY$144.021

See 11976 in every payment locality

How the 11976 rate is calculated

Each of 11976’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 11976

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.74

1.74 RVUs× 1.000 GPCI

Practice expense2.35

2.35 RVUs× 1.000 GPCI

Malpractice0.30

0.30 RVUs× 1.000 GPCI

Adjusted RVUs

4.3900

Conversion factor

$33.4009

Medicare rate

$146.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,391

Code
11976
Physician work
1.74
Practice expense
2.35
Malpractice
0.30

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 11976 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0001.7400
Practice expense2.35× 1.0412.4463
Malpractice0.30× 2.5290.7587
Total RVUs4.9451
Conversion factor× 33.4009

Office rate, Miami, FL$165.17

Office: (1.74 × 1 + 2.35 × 1.041 + 0.3 × 2.529) × $33.4009 = $165.17

Facility: (1.74 × 1 + 0.36 × 1.041 + 0.3 × 2.529) × $33.4009 = $95.98

Open 11976 in the RVU calculator

Payment rules and modifiers for 11976

The CMS indicators that decide how 11976 is paid alongside other services.

CMS payment indicators · 11976

Contraceptive implant removal, removal only

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11976 without 51 · national office

$146.63

Contraceptive implant removal, removal only

11976-51 · Second procedure: 50%

$73.32

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 11976

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 11976
CodeHow it relatesOffice range, Miami, FL
Used instead
11982Implant removal, removal onlyRemoval code for a drug-delivery implant rather than a contraceptive capsule.$128.90
11983Drug implant, removal with replacementRemoval and reinsertion code for a drug-delivery implant rather than a contraceptive capsule.$164.91

How 11976 has changed in Miami, FL

11976 · Office / nonfacility

$165.17

Effective 2026-10-01

The base rate is $9.07 higher than on 2025-10-01, moving from $156.10 to $165.17 (5.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $156.10changed to$165.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.78 changed to 1.74
    • Practice expense RVU 2.26 changed to 2.35
    • Malpractice RVU 0.29 changed to 0.30
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $162.50changed to$156.10

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.29 changed to 2.26
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $159.85changed to$162.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $164.36changed to$159.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.27 changed to 2.29
    • Malpractice RVU 0.29 changed to 0.30
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $166.02changed to$164.36

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.23 changed to 2.27
    • Malpractice RVU 0.28 changed to 0.29
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $166.12changed to$166.02

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.22 changed to 2.23
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $167.88changed to$166.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.09 changed to 2.22
    • Malpractice RVU 0.28 changed to 0.27
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $163.48changed to$167.88

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.13 changed to 2.09
    • Malpractice RVU 0.22 changed to 0.28
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $161.63changed to$163.48

    • Malpractice RVU 0.20 changed to 0.22

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $161.64changed to$161.63

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.11 changed to 2.13
    • Malpractice RVU 0.21 changed to 0.20

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $159.16changed to$161.64

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.06 changed to 2.11
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $158.27changed to$159.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.05 changed to 2.06
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $159.74changed to$158.27

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $158.95changed to$159.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $167.25changed to$158.95

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.03 changed to 2.05
    • Malpractice RVU 0.29 changed to 0.22
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $169.62changed to$167.25

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.24 changed to 2.03
    • Malpractice RVU 0.30 changed to 0.29
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $169.62

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$165.17$95.98RVU26D
2026-07-01$165.17$95.98RVU26C
2026-04-01$165.17$95.98RVU26B
2026-01-01$165.17$95.98RVU26A
2025-10-01$156.10$103.95RVU25D
2025-07-01$156.10$103.95RVU25C
2025-04-01$156.10$103.95RVU25B
2025-01-01$156.10$103.95RVU25A
2024-10-01$162.50$107.81RVU24D
2024-07-01$162.50$107.81RVU24C
2024-04-01$162.50$107.81RVU24B
2024-03-09$162.50$107.81RVU24AR
2024-01-01$159.85$106.05RVU24A
2023-10-01$164.36$109.48RVU23D
2023-07-01$164.36$109.48RVU23C
2023-04-01$164.36$109.48RVU23B
2023-01-01$164.36$109.48RVU23A
2022-10-01$166.02$111.15RVU22D
2022-07-01$166.02$111.15RVU22C
2022-04-01$166.02$111.15RVU22B
2022-01-01$166.02$111.15RVU22A
2021-10-01$166.12$111.15RVU21D
2021-07-01$166.12$111.15RVU21C
2021-04-01$166.12$111.15RVU21B
2021-01-01$166.12$111.15RVU21A
2020-10-01$167.88$115.30RVU20D
2020-07-01$167.88$115.30RVU20C
2020-04-01$167.88$115.30RVU20B
2020-01-01$167.88$115.30RVU20A
2019-10-01$163.48$109.71RVU19D
2019-07-01$163.48$109.71RVU19C
2019-04-01$161.63$107.86RVU19B
2019-01-01$161.63$107.86RVU19A
2018-10-01$161.64$109.41RVU18D
2018-07-01$161.64$109.41RVU18C
2018-04-01$161.64$109.41RVU18B
2018-01-01$161.64$109.41RVU18AR1
2017-10-01$159.16$109.21RVU17D
2017-07-01$159.16$109.21RVU17C
2017-04-01$159.16$109.21RVU17B
2017-01-01$159.16$109.21RVU17A
2016-10-01$158.27$108.34RVU16D
2016-07-01$158.27$108.34RVU16C
2016-04-01$158.27$108.34RVU16B
2016-01-01$158.27$108.34RVU16A
2015-10-01$159.74$109.63RVU15D
2015-07-01$159.74$109.63RVU15C
2015-04-01$158.95$109.08RVU15B
2015-01-01$158.95$109.08RVU15A
2014-10-01$167.25$117.88RVU14D
2014-07-01$167.25$117.88RVU14C
2014-04-01$167.25$117.88RVU14B
2014-01-01$167.25$117.88RVU14A
2013-10-01$169.62$116.55RVU13D
2013-07-01$169.62$116.55RVU13C
2013-04-01$169.62$116.55RVU13B
2013-01-01$169.62$116.55RVU13AR

Price 11976 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

11976 billing questions

How does 11976 differ from 11982?

11976 is for removal of implantable contraceptive capsules. Use 11982 for removal of a different drug-delivery implant.

Does modifier 50 apply to bilateral removal?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

What documentation supports 11976?

Document the implant site and the removal performed. Medicare coverage is restricted to specific circumstances, so the procedure documentation alone does not establish payment eligibility.

How are assistant surgeons and multiple procedures handled?

Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and the others are paid at 50%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 11976PPRRVU2026_Oct_nonQPP.csv, line 1,391 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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