CPT code 11982: Implant removal, removal only2026 Medicare rate & RVUs in Madera, CA

Removal of a non-biodegradable drug-delivery implant, commonly a contraceptive rod, when the implant is discontinued or replaced later.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In Madera, CA, Medicare pays $117.80 for 11982 in the office and $61.43 when it’s performed in a hospital or facility.

$117.80Office (non-facility)
$61.43Hospital or facility
+2.8%vs the national office rate ($114.57)

Check a contract rate as a % of Medicare · 11982 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 11982 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Madera, CA
  2. What 11982 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 11982 covers

CPT 11982 covers removal of a non-biodegradable implant that releases medication over time. A common example is removal of an etonogestrel contraceptive rod from the upper arm when its use ends, the patient requests removal, or treatment changes. The procedure is commonly performed in an office by a gynecologist, family-planning clinician, or other clinician trained in implant removal. The service may also occur in a facility when the clinical circumstances require it.

Report this code for removal alone; use the code for removal with reinsertion when a new drug-delivery implant is placed during the same service. Document the implant and removal site, the reason for removal, the steps taken, and whether the implant was removed completely. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery is paid only when medical necessity is documented; 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 Madera, CA compares for 11982

Across 109 of 109 payment localities, the office rate for 11982 runs from $101.94 in Arkansas to $143.72 in San Benito County, CA. Madera, CA pays $117.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

11982 in Madera, CA vs other payment areas
  1. Madera, CA · this page$117.80
  2. Bakersfield, CA · California$118.45+$0.65
  3. Chico, CA · California$117.80
  4. El Centro, CA · California$117.84+$0.04
  5. Fresno, CA · California$117.80
  6. Hanford, CA · California$117.80
  7. Los Angeles, CA · California$125.33+$7.53

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

Every other payment area

11982 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$117.80$61.43
Modesto, CACalifornia$117.80$61.43
Napa, CACalifornia$133.62$65.82
Oxnard, CACalifornia$124.38$63.58
Redding, CACalifornia$117.80$61.43
Rest of CaliforniaCalifornia$117.80$61.43
Riverside, CACalifornia$120.28$63.91
Sacramento, CACalifornia$122.87$63.04

11982 rates by state

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

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.

$101.94

$137.10

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

View every state and territory as a table
11982 office rate range by state
State / territoryOffice rate rangeLocalities
AK$137.101
AL$103.341
AR$101.941
AZ$111.501
CA$117.80–$143.7229
CO$117.451
CT$121.911
DC$129.031
DE$113.251
FL$115.65–$128.903
GA$109.22–$117.252
GU$119.981
HI$119.981
IA$104.571
ID$105.471
IL$113.40–$125.144
IN$106.011
KS$104.691
KY$106.901
LA$106.98–$111.892
MA$117.05–$127.762
MD$115.13–$129.033
ME$106.61–$111.162
MI$110.06–$117.632
MN$110.991
MO$105.65–$111.553
MS$103.791
MT$114.551
NC$107.561
ND$110.001
NE$104.931
NH$116.191
NJ$122.87–$127.942
NM$110.871
NV$113.351
NY$109.13–$135.885
OH$109.131
OK$106.101
OR$112.03–$120.312
PA$108.97–$119.422
PR$115.141
RI$116.651
SC$108.621
SD$109.461
TN$105.261
TX$108.34–$117.448
UT$109.991
VA$111.23–$129.032
VI$115.141
VT$110.141
WA$116.64–$129.682
WI$106.601
WV$109.611
WY$112.571

See 11982 in every payment locality

How the 11982 rate is calculated

Each of 11982’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 · 11982

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.31

1.31 RVUs× 1.000 GPCI

Practice expense1.89

1.89 RVUs× 1.000 GPCI

Malpractice0.23

0.23 RVUs× 1.000 GPCI

Adjusted RVUs

3.4300

Conversion factor

$33.4009

Medicare rate

$114.57

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

The exact Madera, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,394

Code
11982
Physician work
1.31
Practice expense
1.89
Malpractice
0.23

GPCI2026.csv

14

Locality
Madera, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 11982 in Madera, CA
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0171.3323
Practice expense1.89× 1.0962.0714
Malpractice0.23× 0.5360.1233
Total RVUs3.5270
Conversion factor× 33.4009

Office rate, Madera, CA$117.80

Office: (1.31 × 1.017 + 1.89 × 1.096 + 0.23 × 0.536) × $33.4009 = $117.80

Facility: (1.31 × 1.017 + 0.35 × 1.096 + 0.23 × 0.536) × $33.4009 = $61.43

Open 11982 in the RVU calculator

Payment rules and modifiers for 11982

The CMS indicators that decide how 11982 is paid alongside other services.

CMS payment indicators · 11982

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

11982 without 51 · national office

$114.57

Implant removal, removal only

11982-51 · Second procedure: 50%

$57.29

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

How 11982 has changed in Madera, CA

11982 · Office / nonfacility

$117.80

Effective 2026-10-01

The base rate is $8.17 higher than on 2025-10-01, moving from $109.63 to $117.80 (7.5%).

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

    $109.63changed to$117.80

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.34 changed to 1.31
    • Practice expense RVU 1.74 changed to 1.89
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $113.74changed to$109.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.76 changed to 1.74
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $111.88changed to$113.74

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $116.35changed to$111.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.78 changed to 1.76
    • Malpractice RVU 0.25 changed to 0.24
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $118.39changed to$116.35

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $121.98changed to$118.39

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.85 changed to 1.78

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $123.10changed to$121.98

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.77 changed to 1.85
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $164.79changed to$123.10

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 1.78 changed to 1.34
    • Practice expense RVU 2.41 changed to 1.77
    • Malpractice RVU 0.30 changed to 0.25
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $166.34changed to$164.79

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.46 changed to 2.41
    • Malpractice RVU 0.29 changed to 0.30

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $167.46changed to$166.34

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.31 changed to 0.29
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$167.46

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$117.80$61.43RVU26D
2026-07-01$117.80$61.43RVU26C
2026-04-01$117.80$61.43RVU26B
2026-01-01$117.80$61.43RVU26A
2025-10-01$109.63$69.68RVU25D
2025-07-01$109.63$69.68RVU25C
2025-04-01$109.63$69.68RVU25B
2025-01-01$109.63$69.68RVU25A
2024-10-01$113.74$71.53RVU24D
2024-07-01$113.74$71.53RVU24C
2024-04-01$113.74$71.53RVU24B
2024-03-09$113.74$71.53RVU24AR
2024-01-01$111.88$70.37RVU24A
2023-10-01$116.35$73.57RVU23D
2023-07-01$116.35$73.57RVU23C
2023-04-01$116.35$73.57RVU23B
2023-01-01$116.35$73.57RVU23A
2022-10-01$118.39$74.90RVU22D
2022-07-01$118.39$74.90RVU22C
2022-04-01$118.39$74.90RVU22B
2022-01-01$118.39$74.90RVU22A
2021-10-01$121.98$75.90RVU21D
2021-07-01$121.98$75.90RVU21C
2021-04-01$121.98$75.90RVU21B
2021-01-01$121.98$75.90RVU21A
2020-10-01$123.10$77.92RVU20D
2020-07-01$123.10$77.92RVU20C
2020-04-01$123.10$77.92RVU20B
2020-01-01$123.10$77.92RVU20A
2019-10-01$164.79$102.09RVU19D
2019-07-01$164.79$102.09RVU19C
2019-04-01$164.79$102.09RVU19B
2019-01-01$164.79$102.09RVU19A
2018-10-01$166.34$102.16RVU18D
2018-07-01$166.34$102.16RVU18C
2018-04-01$166.34$102.16RVU18B
2018-01-01$166.34$102.16RVU18AR1
2017-10-01$167.46$103.57RVU17D
2017-07-01$167.46$103.57RVU17C
2017-04-01$167.46$103.57RVU17B
2017-01-01$167.46$103.57RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
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 11982 for an earlier date of service

Where the Madera, CA rate applies

Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Madera
  • Ahwahnee
  • Bass Lake
  • Bonadelle Ranchos
  • Chowchilla
  • Coarsegold
  • Fairmead
  • La Vina

Browse all communities in California

11982 billing questions

When should 11982 be used instead of 11983?

Use 11982 when the drug-delivery implant is removed without placing a replacement during that service. Use 11983 when removal and reinsertion occur together.

Is removal of a contraceptive implant reported with 11982?

It can be when the device is a non-biodegradable drug-delivery implant, such as an etonogestrel rod. Select the code based on the implant and service performed, not contraceptive intent alone.

Can modifier 50 be appended for implants in both arms?

No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor or anatomy does not support modifier 50.

What documentation supports 11982?

Record the implant type and site, the reason for removal, the removal procedure, and whether the implant was completely removed. If a replacement is inserted during the service, consider 11983 instead.

How does CMS handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction, with payment at 50%.

Can an assistant or co-surgeon be reported?

An assistant at surgery is paid only with documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

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 11982PPRRVU2026_Oct_nonQPP.csv, line 1,394 (RVU26D)
Geographic factors for Madera, CAGPCI2026.csv, line 14 (RVU26D)

Open CMS sourceHow we calculate rates

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