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

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 Iowa, Medicare pays $133.92 for 11976 in the office and $73.10 when it’s performed in a hospital or facility.

$133.92Office (non-facility)
$73.10Hospital or facility
−8.7%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 Iowa
  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 Iowa 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. Iowa pays $133.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

11976 in Iowa vs other payment areas
  1. Iowa · this page$133.92
  2. Los Angeles, CA · California$160.01+$26.09
  3. Washington, DC area · District of Columbia$164.87+$30.95
  4. Miami, FL · Florida$165.17+$31.25
  5. Chicago, IL · Illinois$160.41+$26.49
  6. Manhattan, NY · New York$168.94+$35.02
  7. Alaska · Alaska$176.29+$42.37

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

Every other payment area

11976 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, 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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 11976 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0001.7400
Practice expense2.35× 0.9152.1503
Malpractice0.30× 0.3970.1191
Total RVUs4.0094
Conversion factor× 33.4009

Office rate, Iowa$133.92

Office: (1.74 × 1 + 2.35 × 0.915 + 0.3 × 0.397) × $33.4009 = $133.92

Facility: (1.74 × 1 + 0.36 × 0.915 + 0.3 × 0.397) × $33.4009 = $73.10

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, Iowa
Used instead
11982Implant removal, removal onlyRemoval code for a drug-delivery implant rather than a contraceptive capsule.$104.57
11983Drug implant, removal with replacementRemoval and reinsertion code for a drug-delivery implant rather than a contraceptive capsule.$131.73

How 11976 has changed in Iowa

11976 · Office / nonfacility

$133.92

Effective 2026-10-01

The base rate is $5.31 higher than on 2025-10-01, moving from $128.61 to $133.92 (4.1%).

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

    $128.61changed to$133.92

    • 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 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $133.41changed to$128.61

    • 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

    $131.23changed to$133.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $134.65changed to$131.23

    • 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 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $135.71changed to$134.65

    • 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 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $136.37changed to$135.71

    • 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

    $136.94changed to$136.37

    • 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
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $137.13changed to$136.94

    • 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
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $136.82changed to$137.13

    • Malpractice RVU 0.20 changed to 0.22

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $136.17changed to$136.82

    • 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

    $134.02changed to$136.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.06 changed to 2.11
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $133.20changed to$134.02

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.05 changed to 2.06
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $133.86changed to$133.20

    • 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

    $133.20changed to$133.86

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $133.57changed to$133.20

    • 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 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $132.81changed to$133.57

    • 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 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $132.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$133.92$73.10RVU26D
2026-07-01$133.92$73.10RVU26C
2026-04-01$133.92$73.10RVU26B
2026-01-01$133.92$73.10RVU26A
2025-10-01$128.61$82.24RVU25D
2025-07-01$128.61$82.24RVU25C
2025-04-01$128.61$82.24RVU25B
2025-01-01$128.61$82.24RVU25A
2024-10-01$133.41$84.79RVU24D
2024-07-01$133.41$84.79RVU24C
2024-04-01$133.41$84.79RVU24B
2024-03-09$133.41$84.79RVU24AR
2024-01-01$131.23$83.40RVU24A
2023-10-01$134.65$85.93RVU23D
2023-07-01$134.65$85.93RVU23C
2023-04-01$134.65$85.93RVU23B
2023-01-01$134.65$85.93RVU23A
2022-10-01$135.71$87.06RVU22D
2022-07-01$135.71$87.06RVU22C
2022-04-01$135.71$87.06RVU22B
2022-01-01$135.71$87.06RVU22A
2021-10-01$136.37$87.63RVU21D
2021-07-01$136.37$87.63RVU21C
2021-04-01$136.37$87.63RVU21B
2021-01-01$136.37$87.63RVU21A
2020-10-01$136.94$90.46RVU20D
2020-07-01$136.94$90.46RVU20C
2020-04-01$136.94$90.46RVU20B
2020-01-01$136.94$90.46RVU20A
2019-10-01$137.13$89.73RVU19D
2019-07-01$137.13$89.73RVU19C
2019-04-01$136.82$89.43RVU19B
2019-01-01$136.82$89.43RVU19A
2018-10-01$136.17$90.13RVU18D
2018-07-01$136.17$90.13RVU18C
2018-04-01$136.17$90.13RVU18B
2018-01-01$136.17$90.13RVU18AR1
2017-10-01$134.02$90.32RVU17D
2017-07-01$134.02$90.32RVU17C
2017-04-01$134.02$90.32RVU17B
2017-01-01$134.02$90.32RVU17A
2016-10-01$133.20$89.89RVU16D
2016-07-01$133.20$89.89RVU16C
2016-04-01$133.20$89.89RVU16B
2016-01-01$133.20$89.89RVU16A
2015-10-01$133.86$90.40RVU15D
2015-07-01$133.86$90.40RVU15C
2015-04-01$133.20$89.95RVU15B
2015-01-01$133.20$89.95RVU15A
2014-10-01$133.57$91.39RVU14D
2014-07-01$133.57$91.39RVU14C
2014-04-01$133.57$91.39RVU14B
2014-01-01$133.57$91.39RVU14A
2013-10-01$132.81$88.15RVU13D
2013-07-01$132.81$88.15RVU13C
2013-04-01$132.81$88.15RVU13B
2013-01-01$132.81$88.15RVU13AR

Price 11976 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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