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

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 Nevada, Medicare pays $142.80 for 11983 in the office and $86.97 when it’s performed in a hospital or facility.

$142.80Office (non-facility)
$86.97Hospital or facility
−1.3%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 Nevada
  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 Nevada 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. Nevada pays $142.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

11983 in Nevada vs other payment areas
  1. Nevada · this page$142.80
  2. Los Angeles, CA · California$156.38+$13.58
  3. Washington, DC area · District of Columbia$161.93+$19.13
  4. Miami, FL · Florida$164.91+$22.11
  5. Chicago, IL · Illinois$160.12+$17.32
  6. Manhattan, NY · New York$166.78+$23.98
  7. Alaska · Alaska$175.21+$32.41

Other areas in Nevada 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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 11983 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.86× 1.0001.8600
Practice expense2.13× 1.0012.1321
Malpractice0.34× 0.8330.2832
Total RVUs4.2753
Conversion factor× 33.4009

Office rate, Nevada$142.80

Office: (1.86 × 1 + 2.13 × 1.001 + 0.34 × 0.833) × $33.4009 = $142.80

Facility: (1.86 × 1 + 0.46 × 1.001 + 0.34 × 0.833) × $33.4009 = $86.97

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, Nevada
Used instead
11981Drug implant insertion, non-biodegradable implantUse for insertion of a drug-delivery implant when no implant is removed during the encounter.$106.44
11982Implant removal, removal onlyUse for removal of a drug-delivery implant when no replacement is inserted.$113.35
11976Contraceptive implant removal, removal onlyA distinct removal code for a subcutaneous contraceptive capsule; distinguish the device and service performed.$145.04

How 11983 has changed in Nevada

11983 · Office / nonfacility

$142.80

Effective 2026-10-01

The base rate is $7.04 higher than on 2025-10-01, moving from $135.76 to $142.80 (5.2%).

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

    $135.76changed to$142.80

    • 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 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $140.37changed to$135.76

    • 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

    $138.08changed to$140.37

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $145.49changed to$138.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.01 changed to 2.02
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $150.72changed to$145.49

    • 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
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $152.90changed to$150.72

    • 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

    $151.50changed to$152.90

    • 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
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $236.82changed to$151.50

    • 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
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $235.83changed to$236.82

    • 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

    $233.27changed to$235.83

    • 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
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $230.93changed to$233.27

    • 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
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $232.14changed to$230.93

    • 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

    $230.98changed to$232.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $224.77changed to$230.98

    • 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
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $220.54changed to$224.77

    • 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
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$220.54

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$142.80$86.97RVU26D
2026-07-01$142.80$86.97RVU26C
2026-04-01$142.80$86.97RVU26B
2026-01-01$142.80$86.97RVU26A
2025-10-01$135.76$98.56RVU25D
2025-07-01$135.76$98.56RVU25C
2025-04-01$135.76$98.56RVU25B
2025-01-01$135.76$98.56RVU25A
2024-10-01$140.37$100.76RVU24D
2024-07-01$140.37$100.76RVU24C
2024-04-01$140.37$100.76RVU24B
2024-03-09$140.37$100.76RVU24AR
2024-01-01$138.08$99.12RVU24A
2023-10-01$145.49$105.50RVU23D
2023-07-01$145.49$105.50RVU23C
2023-04-01$145.49$105.50RVU23B
2023-01-01$145.49$105.50RVU23A
2022-10-01$150.72$109.89RVU22D
2022-07-01$150.72$109.89RVU22C
2022-04-01$150.72$109.89RVU22B
2022-01-01$150.72$109.89RVU22A
2021-10-01$152.90$110.33RVU21D
2021-07-01$152.90$110.33RVU21C
2021-04-01$152.90$110.33RVU21B
2021-01-01$152.90$110.33RVU21A
2020-10-01$151.50$110.36RVU20D
2020-07-01$151.50$110.36RVU20C
2020-04-01$151.50$110.36RVU20B
2020-01-01$151.50$110.36RVU20A
2019-10-01$236.82$184.04RVU19D
2019-07-01$236.82$184.04RVU19C
2019-04-01$236.82$184.04RVU19B
2019-01-01$236.82$184.04RVU19A
2018-10-01$235.83$183.48RVU18D
2018-07-01$235.83$183.48RVU18C
2018-04-01$235.83$183.48RVU18B
2018-01-01$235.83$183.48RVU18AR1
2017-10-01$233.27$182.80RVU17D
2017-07-01$233.27$182.80RVU17C
2017-04-01$233.27$182.80RVU17B
2017-01-01$233.27$182.80RVU17A
2016-10-01$230.93$181.25RVU16D
2016-07-01$230.93$181.25RVU16C
2016-04-01$230.93$181.25RVU16B
2016-01-01$230.93$181.25RVU16A
2015-10-01$232.14$182.28RVU15D
2015-07-01$232.14$182.28RVU15C
2015-04-01$230.98$181.38RVU15B
2015-01-01$230.98$181.38RVU15A
2014-10-01$224.77$177.53RVU14D
2014-07-01$224.77$177.53RVU14C
2014-04-01$224.77$177.53RVU14B
2014-01-01$224.77$177.53RVU14A
2013-10-01$220.54$171.58RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11983 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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