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

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 Houston, TX, Medicare pays $150.31 for 11976 in the office and $84.31 when it’s performed in a hospital or facility.

$150.31Office (non-facility)
$84.31Hospital or facility
+2.5%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $150.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

11976 in Houston, TX vs other payment areas
  1. Houston, TX · this page$150.31
  2. Austin, TX · Texas$150.16−$0.15
  3. Beaumont, TX · Texas$138.85−$11.46
  4. Brazoria, TX · Texas$144.18−$6.13
  5. Dallas, TX · Texas$145.42−$4.89
  6. Fort Worth, TX · Texas$144.76−$5.55
  7. Galveston, TX · Texas$144.82−$5.49

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

Every other payment area

11976 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$141.65$78.58
Los Angeles, CACalifornia$160.01$81.38
Washington, DC areaDistrict of Columbia$164.87$86.57
Miami, FLFlorida$165.17$95.98
Chicago, ILIllinois$160.41$93.61
Manhattan, NYNew York$168.94$91.70
AlaskaAlaska$176.29$105.50
AlabamaAlabama$132.47$74.31

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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 11976 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0081.7539
Practice expense2.35× 0.9932.3336
Malpractice0.30× 1.3760.4128
Total RVUs4.5003
Conversion factor× 33.4009

Office rate, Houston, TX$150.31

Office: (1.74 × 1.008 + 2.35 × 0.993 + 0.3 × 1.376) × $33.4009 = $150.31

Facility: (1.74 × 1.008 + 0.36 × 0.993 + 0.3 × 1.376) × $33.4009 = $84.31

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, Houston, TX
Used instead
11982Implant removal, removal onlyRemoval code for a drug-delivery implant rather than a contraceptive capsule.$117.36
11983Drug implant, removal with replacementRemoval and reinsertion code for a drug-delivery implant rather than a contraceptive capsule.$148.89

How 11976 has changed in Houston, TX

11976 · Office / nonfacility

$150.31

Effective 2026-10-01

The base rate is $5.39 higher than on 2025-10-01, moving from $144.92 to $150.31 (3.7%).

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

    $144.92changed to$150.31

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $150.61changed to$144.92

    • 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

    $148.15changed to$150.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $151.20changed to$148.15

    • 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
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $151.70changed to$151.20

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $152.29changed to$151.70

    • 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

    $152.12changed to$152.29

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $150.54changed to$152.12

    • 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
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $149.86changed to$150.54

    • Malpractice RVU 0.20 changed to 0.22

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $149.31changed to$149.86

    • 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

    $146.89changed to$149.31

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.06 changed to 2.11
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $145.96changed to$146.89

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.05 changed to 2.06
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $146.83changed to$145.96

    • 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

    $146.10changed to$146.83

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $147.42changed to$146.10

    • 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
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $146.89changed to$147.42

    • 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
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $146.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$150.31$84.31RVU26D
2026-07-01$150.31$84.31RVU26C
2026-04-01$150.31$84.31RVU26B
2026-01-01$150.31$84.31RVU26A
2025-10-01$144.92$93.99RVU25D
2025-07-01$144.92$93.99RVU25C
2025-04-01$144.92$93.99RVU25B
2025-01-01$144.92$93.99RVU25A
2024-10-01$150.61$97.19RVU24D
2024-07-01$150.61$97.19RVU24C
2024-04-01$150.61$97.19RVU24B
2024-03-09$150.61$97.19RVU24AR
2024-01-01$148.15$95.60RVU24A
2023-10-01$151.20$96.80RVU23D
2023-07-01$151.20$96.80RVU23C
2023-04-01$151.20$96.80RVU23B
2023-01-01$151.20$96.80RVU23A
2022-10-01$151.70$96.51RVU22D
2022-07-01$151.70$96.51RVU22C
2022-04-01$151.70$96.51RVU22B
2022-01-01$151.70$96.51RVU22A
2021-10-01$152.29$96.99RVU21D
2021-07-01$152.29$96.99RVU21C
2021-04-01$152.29$96.99RVU21B
2021-01-01$152.29$96.99RVU21A
2020-10-01$152.12$99.85RVU20D
2020-07-01$152.12$99.85RVU20C
2020-04-01$152.12$99.85RVU20B
2020-01-01$152.12$99.85RVU20A
2019-10-01$150.54$97.65RVU19D
2019-07-01$150.54$97.65RVU19C
2019-04-01$149.86$96.98RVU19B
2019-01-01$149.86$96.98RVU19A
2018-10-01$149.31$97.94RVU18D
2018-07-01$149.31$97.94RVU18C
2018-04-01$149.31$97.94RVU18B
2018-01-01$149.31$97.94RVU18AR1
2017-10-01$146.89$98.00RVU17D
2017-07-01$146.89$98.00RVU17C
2017-04-01$146.89$98.00RVU17B
2017-01-01$146.89$98.00RVU17A
2016-10-01$145.96$97.34RVU16D
2016-07-01$145.96$97.34RVU16C
2016-04-01$145.96$97.34RVU16B
2016-01-01$145.96$97.34RVU16A
2015-10-01$146.83$98.03RVU15D
2015-07-01$146.83$98.03RVU15C
2015-04-01$146.10$97.54RVU15B
2015-01-01$146.10$97.54RVU15A
2014-10-01$147.42$99.95RVU14D
2014-07-01$147.42$99.95RVU14C
2014-04-01$147.42$99.95RVU14B
2014-01-01$147.42$99.95RVU14A
2013-10-01$146.89$96.44RVU13D
2013-07-01$146.89$96.44RVU13C
2013-04-01$146.89$96.44RVU13B
2013-01-01$146.89$96.44RVU13AR

Price 11976 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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