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CPT code 11983: Drug implant, removal with replacement2026 Medicare rate & RVUs in Iowa

Reports removal of an existing nonbiodegradable subcutaneous drug implant and placement of a replacement implant during the same encounter.

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

In Iowa, Medicare pays $131.73 for 11983 in the office and $80.69 when it’s performed in a hospital or facility.

$131.73Office (non-facility)
$80.69Hospital or facility
−8.9%vs the national office rate ($144.63)

Check a contract rate as a % of Medicare · 11983 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 11983 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 11983 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 11983 covers

Code 11983 describes removing a nonbiodegradable drug-delivery implant from beneath the skin and placing a replacement during the same encounter. A common example is removal and replacement of an etonogestrel contraceptive implant in the upper arm. A qualified clinician, such as a physician or other authorized practitioner, performs the procedure in an office or facility, typically using local anesthesia and a small incision to remove the existing device and insert the new one.

Report 11983 when both removal and replacement are performed; the record should identify the implant, document both steps, and support the need for the procedure. Do not separately report 11981 and 11982 for those same insertion and removal services. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of 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 Iowa compares for 11983

Across 109 of 109 payment localities, the office rate for 11983 runs from $129.09 in Arkansas to $177.64 in San Benito County, CA. Iowa pays $131.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

11983 in Iowa vs other payment areas
  1. Iowa · this page$131.73
  2. Los Angeles, CA · California$156.38+$24.65
  3. Washington, DC area · District of Columbia$161.93+$30.20
  4. Miami, FL · Florida$164.91+$33.18
  5. Chicago, IL · Illinois$160.12+$28.39
  6. Manhattan, NY · New York$166.78+$35.05
  7. Alaska · Alaska$175.21+$43.48

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

Every other payment area

11983 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$130.80$82.00
ArkansasArkansas$129.09$81.17
ArizonaArizona$140.79$86.73
Bakersfield, CACalifornia$148.20$87.06
Chico, CACalifornia$147.24$86.11
El Centro, CACalifornia$147.30$86.16
Fresno, CACalifornia$147.24$86.11
Hanford, CACalifornia$147.24$86.11

11983 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.

$129.09

$175.21

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

View every state and territory as a table
11983 office rate range by state
State / territoryOffice rate rangeLocalities
AK$175.211
AL$130.801
AR$129.091
AZ$140.791
CA$147.24–$177.6429
CO$147.441
CT$153.731
DC$161.931
DE$142.941
FL$147.21–$164.913
GA$139.12–$148.232
GU$149.591
HI$149.591
IA$131.731
ID$132.951
IL$144.83–$160.124
IN$133.601
KS$132.161
KY$135.761
LA$135.97–$141.972
MA$147.09–$159.732
MD$145.17–$161.933
ME$134.64–$139.802
MI$139.90–$149.932
MN$138.691
MO$134.51–$141.233
MS$131.771
MT$144.601
NC$135.761
ND$137.881
NE$132.081
NH$146.121
NJ$154.76–$160.702
NM$141.001
NV$142.801
NY$137.70–$171.785
OH$138.531
OK$134.481
OR$140.97–$150.612
PA$138.17–$150.852
PR$145.241
RI$146.931
SC$137.521
SD$137.091
TN$132.891
TX$137.42–$148.898
UT$139.201
VA$140.08–$161.932
VI$145.241
VT$138.301
WA$146.49–$161.802
WI$133.781
WV$140.201
WY$141.671

See 11983 in every payment locality

How the 11983 rate is calculated

Each of 11983’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 · 11983

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.86

1.86 RVUs× 1.000 GPCI

Practice expense2.13

2.13 RVUs× 1.000 GPCI

Malpractice0.34

0.34 RVUs× 1.000 GPCI

Adjusted RVUs

4.3300

Conversion factor

$33.4009

Medicare rate

$144.63

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,395

Code
11983
Physician work
1.86
Practice expense
2.13
Malpractice
0.34

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 11983 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.86× 1.0001.8600
Practice expense2.13× 0.9151.9489
Malpractice0.34× 0.3970.1350
Total RVUs3.9439
Conversion factor× 33.4009

Office rate, Iowa$131.73

Office: (1.86 × 1 + 2.13 × 0.915 + 0.34 × 0.397) × $33.4009 = $131.73

Facility: (1.86 × 1 + 0.46 × 0.915 + 0.34 × 0.397) × $33.4009 = $80.69

Open 11983 in the RVU calculator

Payment rules and modifiers for 11983

The CMS indicators that decide how 11983 is paid alongside other services.

CMS payment indicators · 11983

Drug implant, removal with replacement

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

11983 without 51 · national office

$144.63

Drug implant, removal with replacement

11983-51 · Second procedure: 50%

$72.32

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 11983

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 11983
CodeHow it relatesOffice range, Iowa
Used instead
11981Drug implant insertion, non-biodegradable implantUse for insertion of a drug-delivery implant when no implant is removed during the encounter.$97.93
11982Implant removal, removal onlyUse for removal of a drug-delivery implant when no replacement is inserted.$104.57
11976Contraceptive implant removal, removal onlyA distinct removal code for a subcutaneous contraceptive capsule; distinguish the device and service performed.$133.92

How 11983 has changed in Iowa

11983 · Office / nonfacility

$131.73

Effective 2026-10-01

The base rate is $5.86 higher than on 2025-10-01, moving from $125.87 to $131.73 (4.7%).

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

    $125.87changed to$131.73

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.91 changed to 1.86
    • Practice expense RVU 2.00 changed to 2.13
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $130.14changed to$125.87

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.02 changed to 2.00

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $128.02changed to$130.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $131.79changed to$128.02

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.01 changed to 2.02
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $133.41changed to$131.79

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.99 changed to 2.01
    • Malpractice RVU 0.33 changed to 0.34
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $135.64changed to$133.41

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.03 changed to 1.99
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $136.85changed to$135.64

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.93 changed to 2.03
    • Malpractice RVU 0.31 changed to 0.32
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $217.29changed to$136.85

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 3.30 changed to 1.91
    • Practice expense RVU 2.79 changed to 1.93
    • Malpractice RVU 0.47 changed to 0.31
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $216.40changed to$217.29

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.77 changed to 2.79

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $212.26changed to$216.40

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.67 changed to 2.77
    • Malpractice RVU 0.45 changed to 0.47
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $208.37changed to$212.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.57 changed to 2.67
    • Malpractice RVU 0.44 changed to 0.45
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $209.44changed to$208.37

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.58 changed to 2.57

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $208.40changed to$209.44

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $202.76changed to$208.40

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.47 changed to 2.58
    • Malpractice RVU 0.33 changed to 0.44
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $196.17changed to$202.76

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.60 changed to 2.47
    • Malpractice RVU 0.35 changed to 0.33
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $196.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$131.73$80.69RVU26D
2026-07-01$131.73$80.69RVU26C
2026-04-01$131.73$80.69RVU26B
2026-01-01$131.73$80.69RVU26A
2025-10-01$125.87$91.91RVU25D
2025-07-01$125.87$91.91RVU25C
2025-04-01$125.87$91.91RVU25B
2025-01-01$125.87$91.91RVU25A
2024-10-01$130.14$93.98RVU24D
2024-07-01$130.14$93.98RVU24C
2024-04-01$130.14$93.98RVU24B
2024-03-09$130.14$93.98RVU24AR
2024-01-01$128.02$92.44RVU24A
2023-10-01$131.79$95.40RVU23D
2023-07-01$131.79$95.40RVU23C
2023-04-01$131.79$95.40RVU23B
2023-01-01$131.79$95.40RVU23A
2022-10-01$133.41$96.38RVU22D
2022-07-01$133.41$96.38RVU22C
2022-04-01$133.41$96.38RVU22B
2022-01-01$133.41$96.38RVU22A
2021-10-01$135.64$97.03RVU21D
2021-07-01$135.64$97.03RVU21C
2021-04-01$135.64$97.03RVU21B
2021-01-01$135.64$97.03RVU21A
2020-10-01$136.85$99.53RVU20D
2020-07-01$136.85$99.53RVU20C
2020-04-01$136.85$99.53RVU20B
2020-01-01$136.85$99.53RVU20A
2019-10-01$217.29$170.22RVU19D
2019-07-01$217.29$170.22RVU19C
2019-04-01$217.29$170.22RVU19B
2019-01-01$217.29$170.22RVU19A
2018-10-01$216.40$169.71RVU18D
2018-07-01$216.40$169.71RVU18C
2018-04-01$216.40$169.71RVU18B
2018-01-01$216.40$169.71RVU18AR1
2017-10-01$212.26$168.24RVU17D
2017-07-01$212.26$168.24RVU17C
2017-04-01$212.26$168.24RVU17B
2017-01-01$212.26$168.24RVU17A
2016-10-01$208.37$166.02RVU16D
2016-07-01$208.37$166.02RVU16C
2016-04-01$208.37$166.02RVU16B
2016-01-01$208.37$166.02RVU16A
2015-10-01$209.44$166.94RVU15D
2015-07-01$209.44$166.94RVU15C
2015-04-01$208.40$166.11RVU15B
2015-01-01$208.40$166.11RVU15A
2014-10-01$202.76$162.81RVU14D
2014-07-01$202.76$162.81RVU14C
2014-04-01$202.76$162.81RVU14B
2014-01-01$202.76$162.81RVU14A
2013-10-01$196.17$155.13RVU13D
2013-07-01$196.17$155.13RVU13C
2013-04-01$196.17$155.13RVU13B
2013-01-01$196.17$155.13RVU13AR

Price 11983 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

11983 billing questions

When should 11983 be reported instead of 11981 or 11982?

Use 11983 when the clinician removes an existing nonbiodegradable drug implant and inserts a replacement during the same encounter. Report 11981 for insertion alone and 11982 for removal alone.

Can 11981 and 11982 also be reported for the same replacement?

Do not separately report those codes for the insertion and removal already represented by 11983.

What documentation supports 11983?

Document the implant removed, the removal and replacement performed, and the clinical reason for the procedure. Identify the new implant and its placement site in the procedure record.

Is modifier 50 appropriate for implants placed on both sides?

No. Modifier 50 is inappropriate for this service based on its descriptor and anatomy.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

When is assistant-at-surgery payment allowed?

Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.

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 11983PPRRVU2026_Oct_nonQPP.csv, line 1,395 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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