CPT code 20702: Drug delivery, intramedullary insertion2026 Medicare rate & RVUs in Iowa
Report this add-on when a surgeon manually prepares and inserts a drug-delivery device into a bone’s medullary canal during a primary procedure.
In Iowa, Medicare pays $133.84 for 20702 in the office and $110.92 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 20702 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 20702 covers
This service covers manually preparing a drug-delivery device and placing it within the medullary canal of a bone. A typical example is an antibiotic-loaded cement rod or similar locally medicated device used during surgery for bone infection or an infected orthopedic implant. The orthopedic surgeon or another surgeon performing the primary operation documents the preparation and intramedullary placement; the code is not for a device placed in soft tissue or within a joint.
Report 20702 only with a primary procedure, not as a standalone service. The operative note should identify the bone or canal treated and describe the device preparation and insertion. Distinguish intramedullary placement from a deep, subfascial device or an intra-articular device. CMS classifies this as an add-on code paid within the primary procedure’s global period.
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 20702
Across 109 of 109 payment localities, the office rate for 20702 runs from $132.96 in Arkansas to $184.62 in Alaska. Iowa pays $133.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$133.84
- Los Angeles, CA · California$154.98+$21.14
- Washington, DC area · District of Columbia$163.13+$29.29
- Miami, FL · Florida$175.04+$41.20
- Chicago, IL · Illinois$169.98+$36.14
- Manhattan, NY · New York$170.89+$37.05
- Alaska · Alaska$184.62+$50.78
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $134.60 | $112.68 |
| ArkansasArkansas | $132.96 | $111.45 |
| ArizonaArizona | $144.06 | $119.78 |
| Bakersfield, CACalifornia | $147.92 | $120.47 |
| Chico, CACalifornia | $146.57 | $119.11 |
| El Centro, CACalifornia | $146.65 | $119.19 |
| Fresno, CACalifornia | $146.57 | $119.11 |
| Hanford, CACalifornia | $146.57 | $119.11 |
| Madera, CACalifornia | $146.57 | $119.11 |
| Merced, CACalifornia | $146.57 | $119.11 |
| Modesto, CACalifornia | $146.57 | $119.11 |
| Napa, CACalifornia | $160.98 | $127.96 |
| Oxnard, CACalifornia | $153.20 | $123.59 |
| Redding, CACalifornia | $146.57 | $119.11 |
| Rest of CaliforniaCalifornia | $146.57 | $119.11 |
| Riverside, CACalifornia | $151.84 | $124.38 |
| Sacramento, CACalifornia | $151.47 | $122.34 |
| Salinas, CACalifornia | $150.86 | $121.83 |
| San Diego, CACalifornia | $152.73 | $122.77 |
| Marin County, CACalifornia | $167.40 | $132.07 |
| San Francisco, CACalifornia | $166.84 | $131.52 |
| San Benito County, CACalifornia | $171.48 | $135.36 |
| Santa Clara County, CACalifornia | $169.21 | $133.08 |
| San Luis Obispo, CACalifornia | $148.72 | $120.19 |
| Santa Cruz, CACalifornia | $152.86 | $122.42 |
| Santa Maria, CACalifornia | $150.97 | $121.76 |
| Santa Rosa, CACalifornia | $154.24 | $123.48 |
| Stockton, CACalifornia | $146.57 | $119.11 |
| Vallejo, CACalifornia | $160.18 | $127.16 |
| Visalia, CACalifornia | $146.57 | $119.11 |
| Yuba City, CACalifornia | $146.57 | $119.11 |
| ColoradoColorado | $148.57 | $121.91 |
| ConnecticutConnecticut | $156.89 | $129.91 |
| DelawareDelaware | $146.12 | $121.37 |
| Fort Lauderdale, FLFlorida | $161.84 | $136.47 |
| Rest of FloridaFlorida | $153.99 | $130.05 |
| Atlanta, GAGeorgia | $152.30 | $126.85 |
| Rest of GeorgiaGeorgia | $145.70 | $123.35 |
| Hawaii, Guam, HIHawaii | $147.94 | $119.46 |
| IdahoIdaho | $135.33 | $112.29 |
| East St. Louis, ILIllinois | $160.55 | $137.51 |
| Rest of IllinoisIllinois | $152.82 | $129.95 |
| Suburban Chicago, ILIllinois | $162.52 | $136.80 |
| IndianaIndiana | $135.90 | $112.67 |
| KansasKansas | $135.04 | $112.39 |
| KentuckyKentucky | $141.01 | $118.74 |
| New Orleans, LALouisiana | $147.24 | $123.66 |
| Rest of LouisianaLouisiana | $141.52 | $119.35 |
| Metropolitan Boston, MAMassachusetts | $159.23 | $129.32 |
| Rest of MassachusettsMassachusetts | $148.60 | $122.22 |
| Baltimore area, MDMaryland | $156.81 | $129.93 |
| Rest of MarylandMaryland | $148.04 | $122.69 |
| Rest of MaineMaine | $137.77 | $114.72 |
| Southern Maine, MEMaine | $141.48 | $116.65 |
| Detroit, MIMichigan | $157.44 | $133.27 |
| Rest of MichiganMichigan | $145.72 | $122.85 |
| MinnesotaMinnesota | $137.90 | $112.12 |
| Metropolitan Kansas City, MOMissouri | $144.53 | $121.01 |
| Metropolitan St. Louis, MOMissouri | $145.59 | $121.75 |
| Rest of MissouriMissouri | $140.63 | $119.03 |
| MississippiMississippi | $136.73 | $115.16 |
| MontanaMontana | $147.93 | $122.88 |
| North CarolinaNorth Carolina | $138.70 | $115.33 |
| North DakotaNorth Dakota | $138.24 | $113.19 |
| NebraskaNebraska | $133.93 | $110.81 |
| New HampshireNew Hampshire | $147.97 | $121.90 |
| Northern New JerseyNew Jersey | $162.23 | $133.17 |
| Rest of New JerseyNew Jersey | $157.42 | $130.07 |
| New MexicoNew Mexico | $147.10 | $124.13 |
| NevadaNevada | $145.28 | $120.21 |
| NYC suburbs and Long Island, NYNew York | $176.68 | $146.89 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $159.83 | $132.40 |
| Queens, NYNew York | $169.53 | $139.92 |
| Rest of New YorkNew York | $140.60 | $116.80 |
| OhioOhio | $143.74 | $120.87 |
| OklahomaOklahoma | $138.96 | $116.59 |
| Portland, OROregon | $150.64 | $122.81 |
| Rest of OregonOregon | $142.90 | $117.95 |
| Metropolitan Philadelphia, PAPennsylvania | $154.65 | $128.57 |
| Rest of PennsylvaniaPennsylvania | $142.96 | $119.96 |
| Puerto RicoPuerto Rico | $148.27 | $122.95 |
| Rhode IslandRhode Island | $149.40 | $123.52 |
| South CarolinaSouth Carolina | $141.70 | $118.56 |
| South DakotaSouth Dakota | $137.10 | $112.05 |
| TennesseeTennessee | $135.83 | $113.06 |
| Austin, TXTexas | $149.17 | $122.67 |
| Beaumont, TXTexas | $142.29 | $119.50 |
| Brazoria, TXTexas | $144.57 | $119.74 |
| Dallas, TXTexas | $146.18 | $121.22 |
| Fort Worth, TXTexas | $145.89 | $121.19 |
| Galveston, TXTexas | $145.45 | $120.58 |
| Houston, TXTexas | $154.42 | $129.55 |
| Rest of TexasTexas | $143.82 | $120.05 |
| UtahUtah | $143.29 | $119.74 |
| VirginiaVirginia | $142.30 | $117.68 |
| Virgin Islands, VIUnited States Virgin Islands | $148.27 | $122.95 |
| VermontVermont | $139.38 | $114.58 |
| Rest of WashingtonWashington | $147.77 | $121.39 |
| King County, WAWashington | $160.42 | $129.68 |
| WisconsinWisconsin | $134.54 | $110.54 |
| West VirginiaWest Virginia | $148.46 | $126.69 |
| WyomingWyoming | $143.71 | $118.66 |
20702 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.
$132.96
$184.62
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $184.62 | 1 |
| AL | $134.60 | 1 |
| AR | $132.96 | 1 |
| AZ | $144.06 | 1 |
| CA | $146.57–$171.48 | 29 |
| CO | $148.57 | 1 |
| CT | $156.89 | 1 |
| DC | $163.13 | 1 |
| DE | $146.12 | 1 |
| FL | $153.99–$175.04 | 3 |
| GA | $145.70–$152.30 | 2 |
| GU | $147.94 | 1 |
| HI | $147.94 | 1 |
| IA | $133.84 | 1 |
| ID | $135.33 | 1 |
| IL | $152.82–$169.98 | 4 |
| IN | $135.90 | 1 |
| KS | $135.04 | 1 |
| KY | $141.01 | 1 |
| LA | $141.52–$147.24 | 2 |
| MA | $148.60–$159.23 | 2 |
| MD | $148.04–$163.13 | 3 |
| ME | $137.77–$141.48 | 2 |
| MI | $145.72–$157.44 | 2 |
| MN | $137.90 | 1 |
| MO | $140.63–$145.59 | 3 |
| MS | $136.73 | 1 |
| MT | $147.93 | 1 |
| NC | $138.70 | 1 |
| ND | $138.24 | 1 |
| NE | $133.93 | 1 |
| NH | $147.97 | 1 |
| NJ | $157.42–$162.23 | 2 |
| NM | $147.10 | 1 |
| NV | $145.28 | 1 |
| NY | $140.60–$176.68 | 5 |
| OH | $143.74 | 1 |
| OK | $138.96 | 1 |
| OR | $142.90–$150.64 | 2 |
| PA | $142.96–$154.65 | 2 |
| PR | $148.27 | 1 |
| RI | $149.40 | 1 |
| SC | $141.70 | 1 |
| SD | $137.10 | 1 |
| TN | $135.83 | 1 |
| TX | $142.29–$154.42 | 8 |
| UT | $143.29 | 1 |
| VA | $142.30–$163.13 | 2 |
| VI | $148.27 | 1 |
| VT | $139.38 | 1 |
| WA | $147.77–$160.42 | 2 |
| WI | $134.54 | 1 |
| WV | $148.46 | 1 |
| WY | $143.71 | 1 |
How the 20702 rate is calculated
Each of 20702’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 · 20702
RVUs × geographic indexes × conversion factor
Work2.44
2.44 RVUs× 1.000 GPCI
Practice expense1.50
1.50 RVUs× 1.000 GPCI
Malpractice0.49
0.49 RVUs× 1.000 GPCI
Adjusted RVUs
4.4300
Conversion factor
$33.4009
Medicare rate
$147.97
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
1,792
- Code
- 20702
- Physician work
- 2.44
- Practice expense
- 1.50
- Malpractice
- 0.49
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.000 | 2.4400 |
| Practice expense | 1.50 | × 0.915 | 1.3725 |
| Malpractice | 0.49 | × 0.397 | 0.1945 |
| Total RVUs | 4.0070 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$133.84
Office: (2.44 × 1 + 1.5 × 0.915 + 0.49 × 0.397) × $33.4009 = $133.84
Facility: (2.44 × 1 + 0.75 × 0.915 + 0.49 × 0.397) × $33.4009 = $110.92
Payment rules and modifiers for 20702
The CMS indicators that decide how 20702 is paid alongside other services.
CMS payment indicators · 20702
Drug delivery, intramedullary insertion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
How 20702 has changed in Iowa
20702 · Office / nonfacility
$133.84
Effective 2026-10-01
The base rate is $7.78 higher than on 2025-10-01, moving from $126.06 to $133.84 (6.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$126.06changed to$133.84
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.50 changed to 2.44
- Practice expense RVU 1.28 changed to 1.50
- Malpractice RVU 0.50 changed to 0.49
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$128.66changed to$126.06
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.25 changed to 1.28
- Malpractice RVU 0.49 changed to 0.50
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$126.56changed to$128.66
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$130.28changed to$126.56
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.24 changed to 1.25
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$132.48changed to$130.28
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.23 changed to 1.24
- Malpractice RVU 0.50 changed to 0.49
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$129.98changed to$132.48
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.14 changed to 1.23
- Malpractice RVU 0.45 changed to 0.50
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$133.27changed to$129.98
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.10 changed to 1.14
- Malpractice RVU 0.46 changed to 0.45
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$133.27
Held through RVU20B, RVU20C, RVU20D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $133.84 | $110.92 | RVU26D |
| 2026-07-01 | $133.84 | $110.92 | RVU26C |
| 2026-04-01 | $133.84 | $110.92 | RVU26B |
| 2026-01-01 | $133.84 | $110.92 | RVU26A |
| 2025-10-01 | $126.06 | $126.06 | RVU25D |
| 2025-07-01 | $126.06 | $126.06 | RVU25C |
| 2025-04-01 | $126.06 | $126.06 | RVU25B |
| 2025-01-01 | $126.06 | $126.06 | RVU25A |
| 2024-10-01 | $128.66 | $128.66 | RVU24D |
| 2024-07-01 | $128.66 | $128.66 | RVU24C |
| 2024-04-01 | $128.66 | $128.66 | RVU24B |
| 2024-03-09 | $128.66 | $128.66 | RVU24AR |
| 2024-01-01 | $126.56 | $126.56 | RVU24A |
| 2023-10-01 | $130.28 | $130.28 | RVU23D |
| 2023-07-01 | $130.28 | $130.28 | RVU23C |
| 2023-04-01 | $130.28 | $130.28 | RVU23B |
| 2023-01-01 | $130.28 | $130.28 | RVU23A |
| 2022-10-01 | $132.48 | $132.48 | RVU22D |
| 2022-07-01 | $132.48 | $132.48 | RVU22C |
| 2022-04-01 | $132.48 | $132.48 | RVU22B |
| 2022-01-01 | $132.48 | $132.48 | RVU22A |
| 2021-10-01 | $129.98 | $129.98 | RVU21D |
| 2021-07-01 | $129.98 | $129.98 | RVU21C |
| 2021-04-01 | $129.98 | $129.98 | RVU21B |
| 2021-01-01 | $129.98 | $129.98 | RVU21A |
| 2020-10-01 | $133.27 | $133.27 | RVU20D |
| 2020-07-01 | $133.27 | $133.27 | RVU20C |
| 2020-04-01 | $133.27 | $133.27 | RVU20B |
| 2020-01-01 | $133.27 | $133.27 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
20702 billing questions
Can 20702 be reported by itself?
No. It is an add-on code and must be reported with a primary procedure.
How is 20702 different from 20700?
20702 describes insertion into a bone’s medullary canal. 20700 is for a deep, such as subfascial, drug-delivery device.
Does removal of an intramedullary device use 20702?
No. 20702 covers manual preparation and insertion. Removal of an intramedullary drug-delivery device is described by 20703.
What documentation supports 20702?
Document the device preparation, its insertion into the medullary canal, and the bone treated. The claim must also include the primary procedure.
Is a device placed inside a joint reported with 20702?
No. 20702 is for intramedullary placement; 20704 describes manual preparation and insertion of an intra-articular drug-delivery device.
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
Fee sheets · Coming soon
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