CPT code 11982: Implant removal, removal only2026 Medicare rate & RVUs in Puerto Rico

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 Puerto Rico, Medicare pays $115.14 for 11982 in the office and $63.14 when it’s performed in a hospital or facility.

$115.14Office (non-facility)
$63.14Hospital or facility
+0.5%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $115.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

11982 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$115.14
  2. Los Angeles, CA · California$125.33+$10.19
  3. Washington, DC area · District of Columbia$129.03+$13.89
  4. Miami, FL · Florida$128.90+$13.76
  5. Chicago, IL · Illinois$125.14+$10.00
  6. Manhattan, NY · New York$132.09+$16.95
  7. Alaska · Alaska$137.10+$21.96

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

Every other payment area

11982 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$103.34$58.33
ArkansasArkansas$101.94$57.75
ArizonaArizona$111.50$61.66
Bakersfield, CACalifornia$118.45$62.08
Chico, CACalifornia$117.80$61.43
El Centro, CACalifornia$117.84$61.47
Fresno, CACalifornia$117.80$61.43
Hanford, CACalifornia$117.80$61.43

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11982 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0001.3100
Practice expense1.89× 1.0111.9108
Malpractice0.23× 0.9850.2266
Total RVUs3.4473
Conversion factor× 33.4009

Office rate, Puerto Rico$115.14

Office: (1.31 × 1 + 1.89 × 1.011 + 0.23 × 0.985) × $33.4009 = $115.14

Facility: (1.31 × 1 + 0.35 × 1.011 + 0.23 × 0.985) × $33.4009 = $63.14

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 Puerto Rico

11982 · Office / nonfacility

$115.14

Effective 2026-10-01

The base rate is $7.81 higher than on 2025-10-01, moving from $107.33 to $115.14 (7.3%).

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

    $107.33changed to$115.14

    • 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
    • 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

    $111.45changed to$107.33

    • 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

    $109.63changed to$111.45

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $114.55changed to$109.63

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982
  5. October 1, 2023

    RVU23D

    $114.20changed to$114.55

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984
  6. January 1, 2023

    RVU23A

    $116.99changed to$114.20

    • Conversion factor 34.6062 changed to 33.8872
    • 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

    $120.43changed to$116.99

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

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $121.66changed to$120.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.77 changed to 1.85
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $162.32changed to$121.66

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

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $163.59changed to$162.32

    • 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.

  11. January 1, 2018

    RVU18AR1

    $146.60changed to$163.59

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.31 changed to 0.29
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $128.32changed to$146.60

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.43 changed to 2.46
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $129.29changed to$128.32

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.45 changed to 2.43

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $128.65changed to$129.29

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $124.75changed to$128.65

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.37 changed to 2.45
    • Malpractice RVU 0.23 changed to 0.31
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $121.88changed to$124.75

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.57 changed to 2.37
    • Malpractice RVU 0.24 changed to 0.23
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $121.88

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$115.14$63.14RVU26D
2026-07-01$115.14$63.14RVU26C
2026-04-01$115.14$63.14RVU26B
2026-01-01$115.14$63.14RVU26A
2025-10-01$107.33$70.52RVU25D
2025-07-01$107.33$70.52RVU25C
2025-04-01$107.33$70.52RVU25B
2025-01-01$107.33$70.52RVU25A
2024-10-01$111.45$72.56RVU24D
2024-07-01$111.45$72.56RVU24C
2024-04-01$111.45$72.56RVU24B
2024-03-09$111.45$72.56RVU24AR
2024-01-01$109.63$71.38RVU24A
2023-10-01$114.55$74.58RVU23D
2023-07-01$114.20$74.55RVU23C
2023-04-01$114.20$74.55RVU23B
2023-01-01$114.20$74.55RVU23A
2022-10-01$116.99$75.83RVU22D
2022-07-01$116.99$75.83RVU22C
2022-04-01$116.99$75.83RVU22B
2022-01-01$116.99$75.83RVU22A
2021-10-01$120.43$76.81RVU21D
2021-07-01$120.43$76.81RVU21C
2021-04-01$120.43$76.81RVU21B
2021-01-01$120.43$76.81RVU21A
2020-10-01$121.66$79.10RVU20D
2020-07-01$121.66$79.10RVU20C
2020-04-01$121.66$79.10RVU20B
2020-01-01$121.66$79.10RVU20A
2019-10-01$162.32$103.52RVU19D
2019-07-01$162.32$103.52RVU19C
2019-04-01$162.32$103.52RVU19B
2019-01-01$162.32$103.52RVU19A
2018-10-01$163.59$103.42RVU18D
2018-07-01$163.59$103.42RVU18C
2018-04-01$163.59$103.42RVU18B
2018-01-01$163.59$103.42RVU18AR1
2017-10-01$146.60$95.91RVU17D
2017-07-01$146.60$95.91RVU17C
2017-04-01$146.60$95.91RVU17B
2017-01-01$146.60$95.91RVU17A
2016-10-01$128.32$86.92RVU16D
2016-07-01$128.32$86.92RVU16C
2016-04-01$128.32$86.92RVU16B
2016-01-01$128.32$86.92RVU16A
2015-10-01$129.29$87.49RVU15D
2015-07-01$129.29$87.49RVU15C
2015-04-01$128.65$87.06RVU15B
2015-01-01$128.65$87.06RVU15A
2014-10-01$124.75$85.33RVU14D
2014-07-01$124.75$85.33RVU14C
2014-04-01$124.75$85.33RVU14B
2014-01-01$124.75$85.33RVU14A
2013-10-01$121.88$81.28RVU13D
2013-07-01$121.88$81.28RVU13C
2013-04-01$121.88$81.28RVU13B
2013-01-01$121.88$81.28RVU13AR

Price 11982 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

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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