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

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 New Hampshire, Medicare pays $148.60 for 11976 in the office and $79.40 when it’s performed in a hospital or facility.

$148.60Office (non-facility)
$79.40Hospital or facility
+1.3%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 New Hampshire
  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 New Hampshire 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. New Hampshire pays $148.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

11976 in New Hampshire vs other payment areas
  1. New Hampshire · this page$148.60
  2. Los Angeles, CA · California$160.01+$11.41
  3. Washington, DC area · District of Columbia$164.87+$16.27
  4. Miami, FL · Florida$165.17+$16.57
  5. Chicago, IL · Illinois$160.41+$11.81
  6. Manhattan, NY · New York$168.94+$20.34
  7. Alaska · Alaska$176.29+$27.69

Other areas in New Hampshire 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 New Hampshire 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

74

Locality
New Hampshire
Physician work
1.000
Practice expense
1.041
Malpractice
0.875
Office calculation for 11976 in New Hampshire
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0001.7400
Practice expense2.35× 1.0412.4463
Malpractice0.30× 0.8750.2625
Total RVUs4.4489
Conversion factor× 33.4009

Office rate, New Hampshire$148.60

Office: (1.74 × 1 + 2.35 × 1.041 + 0.3 × 0.875) × $33.4009 = $148.60

Facility: (1.74 × 1 + 0.36 × 1.041 + 0.3 × 0.875) × $33.4009 = $79.40

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, New Hampshire
Used instead
11982Implant removal, removal onlyRemoval code for a drug-delivery implant rather than a contraceptive capsule.$116.19
11983Drug implant, removal with replacementRemoval and reinsertion code for a drug-delivery implant rather than a contraceptive capsule.$146.12

How 11976 has changed in New Hampshire

11976 · Office / nonfacility

$148.60

Effective 2026-10-01

The base rate is $7.01 higher than on 2025-10-01, moving from $141.59 to $148.60 (5.0%).

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

    $141.59changed to$148.60

    • 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 1.034 changed to 1.041
    • Malpractice GPCI 0.898 changed to 0.875

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $147.04changed to$141.59

    • 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

    $144.64changed to$147.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $148.93changed to$144.64

    • 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 1.036 changed to 1.034
    • Malpractice GPCI 0.907 changed to 0.898

  5. January 1, 2023

    RVU23A

    $150.59changed to$148.93

    • 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 1.038 changed to 1.036
    • Malpractice GPCI 0.917 changed to 0.907

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $151.16changed to$150.59

    • 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

    $152.78changed to$151.16

    • 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 1.042 changed to 1.038
    • Malpractice GPCI 0.984 changed to 0.917

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $152.69changed to$152.78

    • 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 1.045 changed to 1.042
    • Malpractice GPCI 1.050 changed to 0.984

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $151.94changed to$152.69

    • Malpractice RVU 0.20 changed to 0.22

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $151.39changed to$151.94

    • 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

    $148.91changed to$151.39

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.06 changed to 2.11
    • Practice expense GPCI 1.052 changed to 1.045
    • Malpractice GPCI 0.962 changed to 1.050

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $147.95changed to$148.91

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.05 changed to 2.06
    • Practice expense GPCI 1.058 changed to 1.052
    • Malpractice GPCI 0.873 changed to 0.962

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $148.80changed to$147.95

    • 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

    $148.06changed to$148.80

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $149.20changed to$148.06

    • 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 1.051 changed to 1.058
    • Malpractice GPCI 0.867 changed to 0.873

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    No ratechanged to$149.20

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$148.60$79.40RVU26D
2026-07-01$148.60$79.40RVU26C
2026-04-01$148.60$79.40RVU26B
2026-01-01$148.60$79.40RVU26A
2025-10-01$141.59$89.08RVU25D
2025-07-01$141.59$89.08RVU25C
2025-04-01$141.59$89.08RVU25B
2025-01-01$141.59$89.08RVU25A
2024-10-01$147.04$91.97RVU24D
2024-07-01$147.04$91.97RVU24C
2024-04-01$147.04$91.97RVU24B
2024-03-09$147.04$91.97RVU24AR
2024-01-01$144.64$90.47RVU24A
2023-10-01$148.93$93.46RVU23D
2023-07-01$148.93$93.46RVU23C
2023-04-01$148.93$93.46RVU23B
2023-01-01$148.93$93.46RVU23A
2022-10-01$150.59$94.91RVU22D
2022-07-01$150.59$94.91RVU22C
2022-04-01$150.59$94.91RVU22B
2022-01-01$150.59$94.91RVU22A
2021-10-01$151.16$95.38RVU21D
2021-07-01$151.16$95.38RVU21C
2021-04-01$151.16$95.38RVU21B
2021-01-01$151.16$95.38RVU21A
2020-10-01$152.78$99.38RVU20D
2020-07-01$152.78$99.38RVU20C
2020-04-01$152.78$99.38RVU20B
2020-01-01$152.78$99.38RVU20A
2019-10-01$152.69$98.08RVU19D
2019-07-01$152.69$98.08RVU19C
2019-04-01$151.94$97.33RVU19B
2019-01-01$151.94$97.33RVU19A
2018-10-01$151.39$98.35RVU18D
2018-07-01$151.39$98.35RVU18C
2018-04-01$151.39$98.35RVU18B
2018-01-01$151.39$98.35RVU18AR1
2017-10-01$148.91$97.94RVU17D
2017-07-01$148.91$97.94RVU17C
2017-04-01$148.91$97.94RVU17B
2017-01-01$148.91$97.94RVU17A
2016-10-01$147.95$96.81RVU16D
2016-07-01$147.95$96.81RVU16C
2016-04-01$147.95$96.81RVU16B
2016-01-01$147.95$96.81RVU16A
2015-10-01$148.80$97.48RVU15D
2015-07-01$148.80$97.48RVU15C
2015-04-01$148.06$96.99RVU15B
2015-01-01$148.06$96.99RVU15A
2014-10-01$149.20$99.50RVU14D
2014-07-01$149.20$99.50RVU14C
2014-04-01$149.20$99.50RVU14B
2014-01-01$149.20$99.50RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11976 for an earlier date of service

Where the New Hampshire rate applies

New Hampshire is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in New Hampshire. Some span more than one payment area; confirm with the service ZIP.

  • Alton
  • Amherst
  • Antrim
  • Ashland
  • Bartlett
  • Belmont
  • Bennington
  • Berlin

Browse all communities in New Hampshire

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 New HampshireGPCI2026.csv, line 74 (RVU26D)

Open CMS sourceHow we calculate rates

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