CPT code 11982: Implant removal, removal only2026 Medicare rate & RVUs in Maryland
Removal of a non-biodegradable drug-delivery implant, commonly a contraceptive rod, when the implant is discontinued or replaced later.
Medicare pays $115.13–$129.03 for 11982 in the office in Maryland, from Rest of Maryland to Washington, DC area. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 11982 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$115.13 to $129.03
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | $121.69 | $66.50 |
| Rest of Maryland | $115.13 | $63.08 |
| Washington, DC area | $129.03 | $68.44 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
11982 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 11981Drug implant insertionNon-biodegradable implant
- 11981 describes placing a drug-delivery implant. Choose 11982 when removing the implant without inserting a replacement during that service.
- 11983Drug implantRemoval with replacement
- 11983 covers removal followed by reinsertion during the same service. Report 11982 when the service removes the implant only.
- 11976Contraceptive implant removalRemoval only
- 11976 is for removal of an implantable contraceptive capsule. Choose between it and 11982 based on the implanted device and the service performed.
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
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