HCPCS code J7307: Etonogestrel implant, implant and supplies2026 Medicare rate & RVUs in Florida

CMS doesn’t publish an office rate for J7307 in Florida.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What J7307 covers

J7307 identifies an etonogestrel contraceptive implant system: a flexible rod placed under the skin of the upper arm, supplied with its related materials. Clinicians provide it for long-acting reversible contraception, typically in an office or family-planning setting. The supply code describes the implant system; CPT 11981 describes insertion, while CPT 11982 and 11983 describe removal-related procedures.

For Medicare, J7307 has physician fee schedule status I and is not valid for Medicare reporting. Medicare uses A4264 for this implantable contraceptive supply. CMS classifies J7307 as not separately priced by Medicare Part B and not payable by Medicare. The system includes the implant and supplies, not the professional service to place or remove it.

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.

Where J7307 pays more and less in Florida

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

How the J7307 rate is calculated

Each of J7307’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.

Payment rules and modifiers for J7307

J7307 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

J7307 compared with similar codes

How to choose

A4264Contraceptive implantPermanent intratubal

A4264 is the Medicare reporting code for the implantable contraceptive supply. J7307 identifies the same type of etonogestrel implant system but is not valid for Medicare reporting.

J7306Levonorgestrel implantImplant system

Use J7307 for an etonogestrel implant system; J7306 identifies a levonorgestrel implant system.

J7301Skyla IUD13.5 mg system

J7301 identifies a levonorgestrel intrauterine system. J7307 identifies an etonogestrel implant placed under the skin of the upper arm.

11981Drug implant insertionNon-biodegradable implant

CPT 11981 describes insertion of a contraceptive implant. J7307 identifies the implant system and supplies, not the insertion procedure.

Codes related to J7307

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

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

Open CMS sourceHow we calculate rates