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CPT code 20703: Device removal, intramedullary placement2026 Medicare rate & RVUs in New Mexico

Report removal of a previously placed drug-delivery device from the medullary canal, alongside the primary procedure performed during that operative encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality42 Medicare services in 2024

In New Mexico, Medicare pays $108.03 for 20703 in the office and $91.18 when it’s performed in a hospital or facility.

$108.03Office (non-facility)
$91.18Hospital or facility
−0.5%vs the national office rate ($108.55)

Check a contract rate as a % of Medicare · 20703 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 20703 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 20703 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 20703 covers

This code describes surgical removal of a drug-delivery device positioned within the medullary canal, such as an intramedullary antibiotic implant used in treating bone infection. An orthopedic surgeon typically performs the removal in an operating room, often during a subsequent procedure after the device has served its treatment purpose. The code is specific to intramedullary placement; removal from another deep site or from a joint has a different code in this family.

Report 20703 only with an eligible primary procedure for the operative encounter. CMS treats it as an add-on code paid within the primary procedure’s global period, so it is not reported as a stand-alone service. The operative note should identify the intramedullary location, the device removed, and the removal performed. It should also support the primary procedure billed with the add-on. The code describes removal, not preparation or insertion of a replacement device.

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 New Mexico compares for 20703

Across 109 of 109 payment localities, the office rate for 20703 runs from $97.17 in Arkansas to $134.66 in Alaska. New Mexico pays $108.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

20703 in New Mexico vs other payment areas
  1. New Mexico · this page$108.03
  2. Los Angeles, CA · California$113.48+$5.45
  3. Washington, DC area · District of Columbia$119.76+$11.73
  4. Miami, FL · Florida$129.48+$21.45
  5. Chicago, IL · Illinois$125.59+$17.56
  6. Manhattan, NY · New York$125.76+$17.73
  7. Alaska · Alaska$134.66+$26.63

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

Every other payment area

20703 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$98.41$82.34
ArkansasArkansas$97.17$81.39
ArizonaArizona$105.58$87.77
Bakersfield, CACalifornia$108.27$88.13
Chico, CACalifornia$107.22$87.09
El Centro, CACalifornia$107.29$87.15
Fresno, CACalifornia$107.22$87.09
Hanford, CACalifornia$107.22$87.09

20703 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.

$97.17

$134.66

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

View every state and territory as a table
20703 office rate range by state
State / territoryOffice rate rangeLocalities
AK$134.661
AL$98.411
AR$97.171
AZ$105.581
CA$107.22–$125.5229
CO$108.851
CT$115.251
DC$119.761
DE$107.121
FL$113.31–$129.483
GA$106.99–$111.872
GU$108.291
HI$108.291
IA$97.751
ID$98.901
IL$112.47–$125.594
IN$99.321
KS$98.701
KY$103.361
LA$103.76–$108.092
MA$108.88–$116.762
MD$108.54–$119.763
ME$100.79–$103.542
MI$106.96–$115.962
MN$100.691
MO$103.11–$106.803
MS$100.091
MT$108.531
NC$101.491
ND$101.011
NE$97.801
NH$108.491
NJ$115.55–$119.052
NM$108.031
NV$106.471
NY$102.93–$130.205
OH$105.431
OK$101.761
OR$104.63–$110.362
PA$104.81–$113.582
PR$108.771
RI$109.521
SC$103.831
SD$100.131
TN$99.301
TX$104.32–$113.548
UT$105.031
VA$104.19–$119.762
VI$108.771
VT$101.911
WA$108.25–$117.592
WI$98.211
WV$109.171
WY$105.251

See 20703 in every payment locality

How the 20703 rate is calculated

Each of 20703’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 · 20703

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.76

1.76 RVUs× 1.000 GPCI

Practice expense1.11

1.11 RVUs× 1.000 GPCI

Malpractice0.38

0.38 RVUs× 1.000 GPCI

Adjusted RVUs

3.2500

Conversion factor

$33.4009

Medicare rate

$108.55

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,793

Code
20703
Physician work
1.76
Practice expense
1.11
Malpractice
0.38

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 20703 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0001.7600
Practice expense1.11× 0.9171.0179
Malpractice0.38× 1.2010.4564
Total RVUs3.2343
Conversion factor× 33.4009

Office rate, New Mexico$108.03

Office: (1.76 × 1 + 1.11 × 0.917 + 0.38 × 1.201) × $33.4009 = $108.03

Facility: (1.76 × 1 + 0.56 × 0.917 + 0.38 × 1.201) × $33.4009 = $91.18

Open 20703 in the RVU calculator

Payment rules and modifiers for 20703

The CMS indicators that decide how 20703 is paid alongside other services.

CMS payment indicators · 20703

Device removal, intramedullary placement

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 20703

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

Codes related to 20703
CodeHow it relatesOffice range, New Mexico
Used instead
20701Device removal, deep locationRemoval code for a drug-delivery device at a deep site outside the intramedullary category.$65.38
20705Device removal, intra-articular drug deliveryRemoval code when the drug-delivery device is positioned intra-articularly.$127.51
20700Drug-delivery device, deep placementPreparation and insertion code for a deep drug-delivery device, rather than intramedullary device removal.$84.31
20704Drug device placement, intra-articular preparation and insertionPreparation and insertion code for an intra-articular drug-delivery device.$154.61
Often billed with
20702Drug delivery, intramedullary insertionIntramedullary device preparation and insertion may be reported when replacement placement is also performed.$147.10

How 20703 has changed in New Mexico

20703 · Office / nonfacility

$108.03

Effective 2026-10-01

The base rate is $7.20 higher than on 2025-10-01, moving from $100.83 to $108.03 (7.1%).

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

    $100.83changed to$108.03

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.80 changed to 1.76
    • Practice expense RVU 0.96 changed to 1.11
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $102.46changed to$100.83

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.93 changed to 0.96
    • Malpractice RVU 0.37 changed to 0.38

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $100.79changed to$102.46

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $102.37changed to$100.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.90 changed to 0.93
    • Malpractice RVU 0.35 changed to 0.37
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $105.44changed to$102.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.91 changed to 0.90
    • Malpractice RVU 0.37 changed to 0.35
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $101.46changed to$105.44

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.82 changed to 0.91
    • Malpractice RVU 0.32 changed to 0.37

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $104.68changed to$101.46

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.80 changed to 0.82
    • Malpractice RVU 0.31 changed to 0.32
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$104.68

    Held through RVU20B, RVU20C, RVU20D.

  9. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$108.03$91.18RVU26D
2026-07-01$108.03$91.18RVU26C
2026-04-01$108.03$91.18RVU26B
2026-01-01$108.03$91.18RVU26A
2025-10-01$100.83$100.83RVU25D
2025-07-01$100.83$100.83RVU25C
2025-04-01$100.83$100.83RVU25B
2025-01-01$100.83$100.83RVU25A
2024-10-01$102.46$102.46RVU24D
2024-07-01$102.46$102.46RVU24C
2024-04-01$102.46$102.46RVU24B
2024-03-09$102.46$102.46RVU24AR
2024-01-01$100.79$100.79RVU24A
2023-10-01$102.37$102.37RVU23D
2023-07-01$102.37$102.37RVU23C
2023-04-01$102.37$102.37RVU23B
2023-01-01$102.37$102.37RVU23A
2022-10-01$105.44$105.44RVU22D
2022-07-01$105.44$105.44RVU22C
2022-04-01$105.44$105.44RVU22B
2022-01-01$105.44$105.44RVU22A
2021-10-01$101.46$101.46RVU21D
2021-07-01$101.46$101.46RVU21C
2021-04-01$101.46$101.46RVU21B
2021-01-01$101.46$101.46RVU21A
2020-10-01$104.68$104.68RVU20D
2020-07-01$104.68$104.68RVU20C
2020-04-01$104.68$104.68RVU20B
2020-01-01$104.68$104.68RVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 20703 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

20703 billing questions

How does 20703 differ from 20701?

20703 is for removal from the medullary canal. 20701 describes removal of a drug-delivery device from a deep site outside that specific intramedullary category.

When would 20705 be used instead?

Use 20705 for removal of a drug-delivery device placed intra-articularly. Use 20703 when the device being removed was positioned within the medullary canal.

Can 20703 be reported by itself?

No. CMS identifies it as an add-on code that must be billed with a primary procedure and is paid within that procedure’s global period.

Does 20703 include inserting a replacement device?

No. It describes removal. If a new intramedullary drug-delivery device is prepared and inserted during the encounter, document that work separately for consideration of the applicable insertion code.

What should the operative note establish?

Document that the device was located in the medullary canal and was removed, identify the device, and describe the primary procedure performed with the add-on.

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 20703PPRRVU2026_Oct_nonQPP.csv, line 1,793 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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