CPT code 20670: Implant removal, superficial hardware2026 Medicare rate & RVUs in North Dakota

Reports removal of accessible superficial orthopedic hardware, such as a buried wire or pin, when a clinician removes the implant from its site.

CMS RVU26DEffective Oct 1, 2026One payment locality6.2K Medicare services in 2024

In North Dakota, Medicare pays $365.06 for 20670 in the office and $134.59 when it’s performed in a hospital or facility.

$365.06Office (non-facility)
$134.59Hospital or facility
−1.4%vs the national office rate ($370.42)

Check a contract rate as a % of Medicare · 20670 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 20670 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 20670 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 20670 covers

This service covers removal of orthopedic hardware located superficially, such as a buried wire, pin, or screw that can be reached without the deeper dissection required for deep implants. An orthopedist or another clinician performing musculoskeletal procedures may remove it in an office procedure room, ambulatory surgery center, or hospital operating room, depending on the implant’s location and the work needed. The key distinction from deep-implant removal is the documented depth and surgical exposure, not simply the type of hardware.

Report the service for the superficial implant removal itself, and document the implant, anatomic site, and depth supporting the superficial classification. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; 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 North Dakota compares for 20670

Across 109 of 109 payment localities, the office rate for 20670 runs from $323.33 in Arkansas to $506.56 in San Benito County, CA. North Dakota pays $365.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

20670 in North Dakota vs other payment areas
  1. North Dakota · this page$365.06
  2. Los Angeles, CA · California$425.22+$60.16
  3. Washington, DC area · District of Columbia$428.52+$63.46
  4. Miami, FL · Florida$396.63+$31.57
  5. Chicago, IL · Illinois$384.02+$18.96
  6. Manhattan, NY · New York$428.52+$63.46
  7. Alaska · Alaska$415.28+$50.22

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

Every other payment area

20670 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$328.63$126.98
ArkansasArkansas$323.33$125.36
ArizonaArizona$359.73$136.40
Bakersfield, CACalifornia$397.08$144.49
Chico, CACalifornia$396.31$143.72
El Centro, CACalifornia$396.35$143.76
Fresno, CACalifornia$396.31$143.72
Hanford, CACalifornia$396.31$143.72

20670 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.

$323.33

$451.44

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

View every state and territory as a table
20670 office rate range by state
State / territoryOffice rate rangeLocalities
AK$415.281
AL$328.631
AR$323.331
AZ$359.731
CA$396.31–$506.5629
CO$388.531
CT$396.811
DC$428.521
DE$366.161
FL$361.62–$396.633
GA$339.43–$377.252
GU$408.121
HI$408.121
IA$339.231
ID$341.431
IL$349.14–$385.974
IN$343.671
KS$336.861
KY$336.021
LA$335.20–$353.772
MA$385.58–$430.592
MD$373.90–$428.523
ME$342.77–$364.362
MI$345.22–$366.002
MN$372.851
MO$328.37–$355.893
MS$325.951
MT$370.401
NC$346.861
ND$365.061
NE$341.481
NH$381.711
NJ$401.50–$423.182
NM$347.081
NV$369.211
NY$352.59–$439.145
OH$344.131
OK$335.991
OR$366.53–$402.672
PA$345.08–$385.632
PR$373.611
RI$380.551
SC$346.041
SD$364.431
TN$338.671
TX$342.51–$387.088
UT$351.321
VA$362.61–$428.522
VI$373.611
VT$362.931
WA$385.08–$440.462
WI$351.451
WV$334.621
WY$368.071

See 20670 in every payment locality

How the 20670 rate is calculated

Each of 20670’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 · 20670

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.75

1.75 RVUs× 1.000 GPCI

Practice expense9.07

9.07 RVUs× 1.000 GPCI

Malpractice0.27

0.27 RVUs× 1.000 GPCI

Adjusted RVUs

11.0900

Conversion factor

$33.4009

Medicare rate

$370.42

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,782

Code
20670
Physician work
1.75
Practice expense
9.07
Malpractice
0.27

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 20670 in North Dakota
ComponentRVULocality factorAdjusted
Physician work1.75× 1.0001.7500
Practice expense9.07× 1.0009.0700
Malpractice0.27× 0.4060.1096
Total RVUs10.9296
Conversion factor× 33.4009

Office rate, North Dakota$365.06

Office: (1.75 × 1 + 9.07 × 1 + 0.27 × 0.406) × $33.4009 = $365.06

Facility: (1.75 × 1 + 2.17 × 1 + 0.27 × 0.406) × $33.4009 = $134.59

Open 20670 in the RVU calculator

Payment rules and modifiers for 20670

20670 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 20670

Implant removal, superficial hardware

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 20670

Implant removal, superficial hardware

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

20670 without 51 · national office

$370.42

Implant removal, superficial hardware

20670-51 · Second procedure: 50%

$185.21

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 20670 has changed in North Dakota

20670 · Office / nonfacility

$365.06

Effective 2026-10-01

The base rate is $30.12 higher than on 2025-10-01, moving from $334.94 to $365.06 (9.0%).

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

    $334.94changed to$365.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.79 changed to 1.75
    • Practice expense RVU 8.42 changed to 9.07
    • Malpractice RVU 0.28 changed to 0.27
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $351.17changed to$334.94

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.62 changed to 8.42
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $345.44changed to$351.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $359.81changed to$345.44

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.70 changed to 8.62
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $368.78changed to$359.81

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.75 changed to 8.70
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $385.79changed to$368.78

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.15 changed to 8.75

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $374.82changed to$385.79

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.46 changed to 9.15
    • Malpractice RVU 0.28 changed to 0.27
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $380.06changed to$374.82

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.61 changed to 8.46
    • Malpractice RVU 0.27 changed to 0.28
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $384.68changed to$380.06

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.75 changed to 8.61

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $382.33changed to$384.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.71 changed to 8.75
    • Malpractice RVU 0.28 changed to 0.27
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $381.50changed to$382.33

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $384.15changed to$381.50

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.74 changed to 8.71
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $382.24changed to$384.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $377.41changed to$382.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.59 changed to 8.74
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $393.82changed to$377.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.63 changed to 8.59
    • Malpractice RVU 0.30 changed to 0.29
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $393.82

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$365.06$134.59RVU26D
2026-07-01$365.06$134.59RVU26C
2026-04-01$365.06$134.59RVU26B
2026-01-01$365.06$134.59RVU26A
2025-10-01$334.94$138.60RVU25D
2025-07-01$334.94$138.60RVU25C
2025-04-01$334.94$138.60RVU25B
2025-01-01$334.94$138.60RVU25A
2024-10-01$351.17$141.46RVU24D
2024-07-01$351.17$141.46RVU24C
2024-04-01$351.17$141.46RVU24B
2024-03-09$351.17$141.46RVU24AR
2024-01-01$345.44$139.15RVU24A
2023-10-01$359.81$141.92RVU23D
2023-07-01$359.81$141.92RVU23C
2023-04-01$359.81$141.92RVU23B
2023-01-01$359.81$141.92RVU23A
2022-10-01$368.78$141.76RVU22D
2022-07-01$368.78$141.76RVU22C
2022-04-01$368.78$141.76RVU22B
2022-01-01$368.78$141.76RVU22A
2021-10-01$385.79$142.94RVU21D
2021-07-01$385.79$142.94RVU21C
2021-04-01$385.79$142.94RVU21B
2021-01-01$385.79$142.94RVU21A
2020-10-01$374.82$145.65RVU20D
2020-07-01$374.82$145.65RVU20C
2020-04-01$374.82$145.65RVU20B
2020-01-01$374.82$145.65RVU20A
2019-10-01$380.06$146.53RVU19D
2019-07-01$380.06$146.53RVU19C
2019-04-01$380.06$146.53RVU19B
2019-01-01$380.06$146.53RVU19A
2018-10-01$384.68$147.09RVU18D
2018-07-01$384.68$147.09RVU18C
2018-04-01$384.68$147.09RVU18B
2018-01-01$384.68$147.09RVU18AR1
2017-10-01$382.33$146.90RVU17D
2017-07-01$382.33$146.90RVU17C
2017-04-01$382.33$146.90RVU17B
2017-01-01$382.33$146.90RVU17A
2016-10-01$381.50$146.62RVU16D
2016-07-01$381.50$146.62RVU16C
2016-04-01$381.50$146.62RVU16B
2016-01-01$381.50$146.62RVU16A
2015-10-01$384.15$147.71RVU15D
2015-07-01$384.15$147.71RVU15C
2015-04-01$382.24$146.98RVU15B
2015-01-01$382.24$146.98RVU15A
2014-10-01$377.41$145.64RVU14D
2014-07-01$377.41$145.64RVU14C
2014-04-01$377.41$145.64RVU14B
2014-01-01$377.41$145.64RVU14A
2013-10-01$393.82$146.13RVU13D
2013-07-01$393.82$146.13RVU13C
2013-04-01$393.82$146.13RVU13B
2013-01-01$393.82$146.13RVU13AR

Price 20670 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

20670 billing questions

How is superficial removal distinguished from deep implant removal?

Use the documented implant depth and the exposure required. This code describes accessible superficial hardware; removal requiring deeper dissection is considered with 20680.

Are postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in this service.

Should modifier 50 be used for removal on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

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 20670PPRRVU2026_Oct_nonQPP.csv, line 1,782 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 20670 pays in North Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 20670 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist