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

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 Puerto Rico, Medicare pays $147.34 for 11976 in the office and $80.14 when it’s performed in a hospital or facility.

$147.34Office (non-facility)
$80.14Hospital or facility
+0.5%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $147.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

11976 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$147.34
  2. Los Angeles, CA · California$160.01+$12.67
  3. Washington, DC area · District of Columbia$164.87+$17.53
  4. Miami, FL · Florida$165.17+$17.83
  5. Chicago, IL · Illinois$160.41+$13.07
  6. Manhattan, NY · New York$168.94+$21.60
  7. Alaska · Alaska$176.29+$28.95

Other areas in Puerto Rico 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11976 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0001.7400
Practice expense2.35× 1.0112.3758
Malpractice0.30× 0.9850.2955
Total RVUs4.4113
Conversion factor× 33.4009

Office rate, Puerto Rico$147.34

Office: (1.74 × 1 + 2.35 × 1.011 + 0.3 × 0.985) × $33.4009 = $147.34

Facility: (1.74 × 1 + 0.36 × 1.011 + 0.3 × 0.985) × $33.4009 = $80.14

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, Puerto Rico
Used instead
11982Implant removal, removal onlyRemoval code for a drug-delivery implant rather than a contraceptive capsule.$115.14
11983Drug implant, removal with replacementRemoval and reinsertion code for a drug-delivery implant rather than a contraceptive capsule.$145.24

How 11976 has changed in Puerto Rico

11976 · Office / nonfacility

$147.34

Effective 2026-10-01

The base rate is $6.94 higher than on 2025-10-01, moving from $140.40 to $147.34 (4.9%).

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

    $140.40changed to$147.34

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $145.82changed to$140.40

    • 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

    $143.44changed to$145.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $147.53changed to$143.44

    • 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 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $147.07changed to$147.53

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $148.94changed to$147.07

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $149.48changed to$148.94

    • 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.

  8. January 1, 2021

    RVU21A

    $150.25changed to$149.48

    • 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 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $149.30changed to$150.25

    • 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 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. July 1, 2019

    RVU19C

    $148.59changed to$149.30

    • Malpractice RVU 0.20 changed to 0.22

    Held through RVU19D.

  11. January 1, 2019

    RVU19A

    $148.05changed to$148.59

    • 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.

  12. January 1, 2018

    RVU18AR1

    $132.01changed to$148.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.06 changed to 2.11
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  13. January 1, 2017

    RVU17A

    $117.68changed to$132.01

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.05 changed to 2.06
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  14. January 1, 2016

    RVU16A

    $118.21changed to$117.68

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

    Held through RVU16B, RVU16C, RVU16D.

  15. July 1, 2015

    RVU15C

    $117.62changed to$118.21

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  16. January 1, 2015

    RVU15A

    $116.90changed to$117.62

    • 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 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  17. January 1, 2014

    RVU14A

    $114.77changed to$116.90

    • 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 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  18. January 1, 2013

    RVU13AR

    Earliest loaded release: $114.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$147.34$80.14RVU26D
2026-07-01$147.34$80.14RVU26C
2026-04-01$147.34$80.14RVU26B
2026-01-01$147.34$80.14RVU26A
2025-10-01$140.40$89.26RVU25D
2025-07-01$140.40$89.26RVU25C
2025-04-01$140.40$89.26RVU25B
2025-01-01$140.40$89.26RVU25A
2024-10-01$145.82$92.19RVU24D
2024-07-01$145.82$92.19RVU24C
2024-04-01$145.82$92.19RVU24B
2024-03-09$145.82$92.19RVU24AR
2024-01-01$143.44$90.68RVU24A
2023-10-01$147.53$93.56RVU23D
2023-07-01$147.07$93.53RVU23C
2023-04-01$147.07$93.53RVU23B
2023-01-01$147.07$93.53RVU23A
2022-10-01$148.94$94.87RVU22D
2022-07-01$148.94$94.87RVU22C
2022-04-01$148.94$94.87RVU22B
2022-01-01$148.94$94.87RVU22A
2021-10-01$149.48$95.32RVU21D
2021-07-01$149.48$95.32RVU21C
2021-04-01$149.48$95.32RVU21B
2021-01-01$149.48$95.32RVU21A
2020-10-01$150.25$98.60RVU20D
2020-07-01$150.25$98.60RVU20C
2020-04-01$150.25$98.60RVU20B
2020-01-01$150.25$98.60RVU20A
2019-10-01$149.30$96.68RVU19D
2019-07-01$149.30$96.68RVU19C
2019-04-01$148.59$95.96RVU19B
2019-01-01$148.59$95.96RVU19A
2018-10-01$148.05$96.94RVU18D
2018-07-01$148.05$96.94RVU18C
2018-04-01$148.05$96.94RVU18B
2018-01-01$148.05$96.94RVU18AR1
2017-10-01$132.01$90.53RVU17D
2017-07-01$132.01$90.53RVU17C
2017-04-01$132.01$90.53RVU17B
2017-01-01$132.01$90.53RVU17A
2016-10-01$117.68$83.60RVU16D
2016-07-01$117.68$83.60RVU16C
2016-04-01$117.68$83.60RVU16B
2016-01-01$117.68$83.60RVU16A
2015-10-01$118.21$84.01RVU15D
2015-07-01$118.21$84.01RVU15C
2015-04-01$117.62$83.59RVU15B
2015-01-01$117.62$83.59RVU15A
2014-10-01$116.90$84.18RVU14D
2014-07-01$116.90$84.18RVU14C
2014-04-01$116.90$84.18RVU14B
2014-01-01$116.90$84.18RVU14A
2013-10-01$114.77$80.63RVU13D
2013-07-01$114.77$80.63RVU13C
2013-04-01$114.77$80.63RVU13B
2013-01-01$114.77$80.63RVU13AR

Price 11976 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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