Billing code 0447T: Sensor removalMedicare rate & RVUs
Report removal of an implanted subcutaneous glucose sensor, such as an implantable continuous glucose monitor, when the sensor is extracted without replacement.
Medicare pays $100.87 for 0447T nationally in the office and $56.45 in a hospital or facility. Local office rates run $91.90–$128.51.
Medicare rate · 0447T
Sensor removal
Swap in your local Medicare rate.
- Work RVUs
- 1.31
- Total RVUs
- 3.02
- Global days
- 000
National rate · 2026
$100.87
Office setting, before claim adjustments.
See every locality for 0447T → · Billed by an NP, PA or therapist? →
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 10 sections
What 0447T covers
This service covers a procedure to remove an implantable glucose sensor from subcutaneous tissue, commonly from the upper arm. A clinician trained in implantable continuous glucose monitoring procedures, often in an endocrinology practice, makes an incision, locates the sensor, and extracts it; surrounding tissue may be removed as needed. It is distinct from taking off an external CGM sensor, which is worn on the skin.
Report 0447T when the encounter is for sensor removal alone. If the clinician removes the sensor and inserts a replacement during the same procedure, use 0448T instead. Document the implanted device, removal site, and that the sensor was actually extracted. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure payment reduction. Modifier 50 is not appropriate for this single-sensor removal. 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.
Where 0447T pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$91.90 to $128.51
109 of 109 payment localities
0447T rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$91.90
$125.09
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 | $125.09 | 1 |
| AL | $92.91 | 1 |
| AR | $91.90 | 1 |
| AZ | $98.80 | 1 |
| CA | $105.60–$128.51 | 29 |
| CO | $104.29 | 1 |
| CT | $106.50 | 1 |
| DC | $113.23 | 1 |
| DE | $100.17 | 1 |
| FL | $99.82–$107.19 | 3 |
| GA | $95.50–$102.41 | 2 |
| GU | $107.20 | 1 |
| HI | $107.20 | 1 |
| IA | $94.63 | 1 |
| ID | $95.11 | 1 |
| IL | $97.64–$104.91 | 4 |
| IN | $95.52 | 1 |
| KS | $94.32 | 1 |
| KY | $94.60 | 1 |
| LA | $94.50–$98.02 | 2 |
| MA | $103.91–$112.93 | 2 |
| MD | $101.74–$113.23 | 3 |
| ME | $95.51–$99.39 | 2 |
| MI | $96.48–$100.80 | 2 |
| MN | $100.57 | 1 |
| MO | $93.29–$98.26 | 3 |
| MS | $92.61 | 1 |
| MT | $100.87 | 1 |
| NC | $96.26 | 1 |
| ND | $99.28 | 1 |
| NE | $95.02 | 1 |
| NH | $102.77 | 1 |
| NJ | $107.89–$112.52 | 2 |
| NM | $96.89 | 1 |
| NV | $100.48 | 1 |
| NY | $97.35–$116.25 | 5 |
| OH | $96.16 | 1 |
| OK | $94.45 | 1 |
| OR | $99.86–$106.93 | 2 |
| PA | $96.26–$104.41 | 2 |
| PR | $101.43 | 1 |
| RI | $103.21 | 1 |
| SC | $96.33 | 1 |
| SD | $99.10 | 1 |
| TN | $94.68 | 1 |
| TX | $95.78–$103.81 | 8 |
| UT | $97.33 | 1 |
| VA | $99.16–$113.23 | 2 |
| VI | $101.43 | 1 |
| VT | $99.01 | 1 |
| WA | $103.69–$114.93 | 2 |
| WI | $96.74 | 1 |
| WV | $94.89 | 1 |
| WY | $100.18 | 1 |
How the 0447T rate is calculated
Each of 0447T’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 · 0447T
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.31Practice expense 1.63Malpractice 0.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 0447T
The CMS indicators that decide how 0447T is paid alongside other services.
CMS payment indicators · 0447T
Sensor removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
0447T without 51 · national office
$100.87
Sensor removal
0447T-51 · Second procedure: 50%
$50.44
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%).
0447T compared with similar codes
Compare codes
0447T vs 0446T vs 0448T vs 95250: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 0446TGlucose sensor insertion
- 0446T describes implanting a subcutaneous glucose sensor. Choose 0447T when the service is removal rather than insertion.
- 0448TSensor replacement
- 0448T is for removing an implantable sensor and inserting a replacement in the same procedure. Use 0447T when the sensor is removed without replacement.
- 95250CGM setup
- 95250 concerns professional CGM services involving an external sensor. 0447T is for removing a sensor implanted under the skin.
0447T billing questions
Should 0447T or 0448T be reported when the sensor is replaced?
Use 0447T for removal alone. When the clinician removes the old implantable sensor and inserts a replacement in the same procedure, report 0448T.
Can 0447T be reported for removal of an external CGM sensor?
No. This code is for removing an implanted subcutaneous sensor, not detaching an external sensor worn on the skin.
What documentation supports reporting 0447T?
Document the implantable sensor, its removal site, and the procedure establishing that the sensor was extracted. If a replacement was inserted during the same procedure, consider 0448T instead.
Can modifier 50 be used for bilateral sensor removal?
CMS identifies bilateral adjustment as inappropriate for this code. Report the removal of the individual implanted sensor without modifier 50.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. CMS assigns a 0-day global period.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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
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