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CMS RVU26D · Effective 2026-10-01

0447T in Delaware

Office / nonfacility

$100.17

Base rate per service

Facility setting

$56.28

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Glucose monitoring procedure

About 0447T: Implantable glucose sensor removal

Report removal of an implanted subcutaneous glucose sensor, such as an implantable continuous glucose monitor, when the sensor is extracted without replacement.

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.

CMS billing rules for 0447T

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.31 · 43%
  • Practice expense (office) RVU1.63 · 54%
  • Malpractice RVU0.08 · 3%

76

Medicare services in 2024 · #5092 by national volume

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.

0447T compared with similar codes

Office rates for Delaware, from the same CMS release.

0446T

Glucose sensor insertion

Implantable sensor

$6,244.64

0446T describes implanting a subcutaneous glucose sensor. Choose 0447T when the service is removal rather than insertion.

0448T

Sensor replacement

Implantable glucose sensor

$6,145.50

0448T is for removing an implantable sensor and inserting a replacement in the same procedure. Use 0447T when the sensor is removed without replacement.

95250

CGM setup

Practice-supplied equipment

$150.66

95250 concerns professional CGM services involving an external sensor. 0447T is for removing a sensor implanted under the skin.

The same code, a different location

How does Delaware compare?

0447T across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $100.17

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $111.73

    $11.56 higher than Delaware

  3. Dc + Md/Va Suburbs

    $113.23

    $13.06 higher than Delaware

  4. Miami

    $107.19

    $7.02 higher than Delaware

  5. Chicago

    $104.91

    $4.74 higher than Delaware

  6. Manhattan

    $114.06

    $13.89 higher than Delaware

  7. Alaska*

    $125.09

    $24.92 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 0447T ranges from $91.90 in Arkansas to $128.51 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 0447T

    Office

    $92.91

    Facility

    $54.04

    $7.26 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 0447T

    Office

    $91.90

    Facility

    $53.74

    $8.27 lower than Delaware for the office setting.

  • Arizona

    Arizona · 0447T

    Office

    $98.80

    Facility

    $55.75

    $1.37 lower than Delaware for the office setting.

  • Bakersfield

    California · 0447T

    Office

    $105.88

    Facility

    $57.20

    $5.71 higher than Delaware for the office setting.

  • Chico

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • El Centro

    California · 0447T

    Office

    $105.61

    Facility

    $56.93

    $5.44 higher than Delaware for the office setting.

  • Fresno

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Madera

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Merced

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Modesto

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Napa

    California · 0447T

    Office

    $119.63

    Facility

    $61.08

    $19.46 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 0447T

    Office

    $111.00

    Facility

    $58.49

    $10.83 higher than Delaware for the office setting.

  • Redding

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Rest Of California

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 0447T

    Office

    $106.49

    Facility

    $57.80

    $6.32 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 0447T

    Office

    $110.08

    Facility

    $58.42

    $9.91 higher than Delaware for the office setting.

  • Salinas

    California · 0447T

    Office

    $109.64

    Facility

    $58.16

    $9.47 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 0447T

    Office

    $111.63

    Facility

    $58.50

    $11.46 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 0447T

    Office

    $125.90

    Facility

    $63.27

    $25.73 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 0447T

    Office

    $125.81

    Facility

    $63.18

    $25.64 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 0447T

    Office

    $128.51

    Facility

    $64.45

    $28.34 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 0447T

    Office

    $128.14

    Facility

    $64.08

    $27.97 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 0447T

    Office

    $107.94

    Facility

    $57.34

    $7.77 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 0447T

    Office

    $112.26

    Facility

    $58.28

    $12.09 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 0447T

    Office

    $109.89

    Facility

    $58.10

    $9.72 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 0447T

    Office

    $113.36

    Facility

    $58.80

    $13.19 higher than Delaware for the office setting.

  • Stockton

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Vallejo

    California · 0447T

    Office

    $119.49

    Facility

    $60.94

    $19.32 higher than Delaware for the office setting.

  • Visalia

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Yuba City

    California · 0447T

    Office

    $105.60

    Facility

    $56.91

    $5.43 higher than Delaware for the office setting.

  • Colorado

    Colorado · 0447T

    Office

    $104.29

    Facility

    $57.03

    $4.12 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 0447T

    Office

    $106.50

    Facility

    $58.66

    $6.33 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 0447T

    Office

    $103.74

    Facility

    $58.74

    $3.57 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 0447T

    Office

    $99.82

    Facility

    $57.35

    $0.35 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 0447T

    Office

    $102.41

    Facility

    $57.28

    $2.24 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 0447T

    Office

    $95.50

    Facility

    $55.88

    $4.67 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 0447T

    Office

    $107.20

    Facility

    $56.70

    $7.03 higher than Delaware for the office setting.

  • Iowa

    Iowa · 0447T

    Office

    $94.63

    Facility

    $53.98

    $5.54 lower than Delaware for the office setting.

  • Idaho

    Idaho · 0447T

    Office

    $95.11

    Facility

    $54.24

    $5.06 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 0447T

    Office

    $99.22

    Facility

    $58.36

    $0.95 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 0447T

    Office

    $97.64

    Facility

    $57.08

    $2.53 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 0447T

    Office

    $104.71

    Facility

    $59.09

    $4.54 higher than Delaware for the office setting.

  • Indiana

    Indiana · 0447T

    Office

    $95.52

    Facility

    $54.34

    $4.65 lower than Delaware for the office setting.

  • Kansas

    Kansas · 0447T

    Office

    $94.32

    Facility

    $54.16

    $5.85 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 0447T

    Office

    $94.60

    Facility

    $55.11

    $5.57 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 0447T

    Office

    $98.02

    Facility

    $56.22

    $2.15 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 0447T

    Office

    $94.50

    Facility

    $55.18

    $5.67 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 0447T

    Office

    $112.93

    Facility

    $59.89

    $12.76 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 0447T

    Office

    $103.91

    Facility

    $57.14

    $3.74 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 0447T

    Office

    $106.18

    Facility

    $58.51

    $6.01 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 0447T

    Office

    $101.74

    Facility

    $56.79

    $1.57 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 0447T

    Office

    $95.51

    Facility

    $54.64

    $4.66 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 0447T

    Office

    $99.39

    Facility

    $55.37

    $0.78 lower than Delaware for the office setting.

  • Detroit

    Michigan · 0447T

    Office

    $100.80

    Facility

    $57.93

    $0.63 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 0447T

    Office

    $96.48

    Facility

    $55.92

    $3.69 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 0447T

    Office

    $100.57

    Facility

    $54.86

    $0.40 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 0447T

    Office

    $97.49

    Facility

    $55.77

    $2.68 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 0447T

    Office

    $98.26

    Facility

    $55.97

    $1.91 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 0447T

    Office

    $93.29

    Facility

    $55.00

    $6.88 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 0447T

    Office

    $92.61

    Facility

    $54.36

    $7.56 lower than Delaware for the office setting.

  • Montana**

    Montana · 0447T

    Office

    $100.87

    Facility

    $56.44

    $0.70 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 0447T

    Office

    $96.26

    Facility

    $54.81

    $3.91 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 0447T

    Office

    $99.28

    Facility

    $54.86

    $0.89 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 0447T

    Office

    $95.02

    Facility

    $54.01

    $5.15 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 0447T

    Office

    $102.77

    Facility

    $56.52

    $2.60 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 0447T

    Office

    $112.52

    Facility

    $60.99

    $12.35 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 0447T

    Office

    $107.89

    Facility

    $59.38

    $7.72 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 0447T

    Office

    $96.89

    Facility

    $56.15

    $3.28 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 0447T

    Office

    $100.48

    Facility

    $56.01

    $0.31 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 0447T

    Office

    $116.25

    Facility

    $63.43

    $16.08 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 0447T

    Office

    $108.57

    Facility

    $59.93

    $8.40 higher than Delaware for the office setting.

  • Queens

    New York · 0447T

    Office

    $114.76

    Facility

    $62.25

    $14.59 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 0447T

    Office

    $97.35

    Facility

    $55.15

    $2.82 lower than Delaware for the office setting.

  • Ohio

    Ohio · 0447T

    Office

    $96.16

    Facility

    $55.60

    $4.01 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 0447T

    Office

    $94.45

    Facility

    $54.78

    $5.72 lower than Delaware for the office setting.

  • Portland

    Oregon · 0447T

    Office

    $106.93

    Facility

    $57.58

    $6.76 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 0447T

    Office

    $99.86

    Facility

    $55.61

    $0.31 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 0447T

    Office

    $104.41

    Facility

    $58.16

    $4.24 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 0447T

    Office

    $96.26

    Facility

    $55.48

    $3.91 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 0447T

    Office

    $101.43

    Facility

    $56.52

    $1.26 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 0447T

    Office

    $103.21

    Facility

    $57.32

    $3.04 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 0447T

    Office

    $96.33

    Facility

    $55.29

    $3.84 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 0447T

    Office

    $99.10

    Facility

    $54.67

    $1.07 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 0447T

    Office

    $94.68

    Facility

    $54.30

    $5.49 lower than Delaware for the office setting.

  • Austin

    Texas · 0447T

    Office

    $103.81

    Facility

    $56.81

    $3.64 higher than Delaware for the office setting.

  • Beaumont

    Texas · 0447T

    Office

    $95.78

    Facility

    $55.36

    $4.39 lower than Delaware for the office setting.

  • Brazoria

    Texas · 0447T

    Office

    $100.14

    Facility

    $56.12

    $0.03 lower than Delaware for the office setting.

  • Dallas

    Texas · 0447T

    Office

    $100.67

    Facility

    $56.42

    $0.50 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 0447T

    Office

    $100.16

    Facility

    $56.36

    $0.01 lower than Delaware for the office setting.

  • Galveston

    Texas · 0447T

    Office

    $100.38

    Facility

    $56.27

    $0.21 higher than Delaware for the office setting.

  • Houston

    Texas · 0447T

    Office

    $101.84

    Facility

    $57.73

    $1.67 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 0447T

    Office

    $97.83

    Facility

    $55.68

    $2.34 lower than Delaware for the office setting.

  • Utah

    Utah · 0447T

    Office

    $97.33

    Facility

    $55.57

    $2.84 lower than Delaware for the office setting.

  • Virginia

    Virginia · 0447T

    Office

    $99.16

    Facility

    $55.49

    $1.01 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 0447T

    Office

    $101.43

    Facility

    $56.52

    $1.26 higher than Delaware for the office setting.

  • Vermont

    Vermont · 0447T

    Office

    $99.01

    Facility

    $55.03

    $1.16 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 0447T

    Office

    $103.69

    Facility

    $56.91

    $3.52 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 0447T

    Office

    $114.93

    Facility

    $60.42

    $14.76 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 0447T

    Office

    $96.74

    Facility

    $54.18

    $3.43 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 0447T

    Office

    $94.89

    Facility

    $56.29

    $5.28 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 0447T

    Office

    $100.18

    Facility

    $55.75

    $0.01 higher than Delaware for the office setting.

See how rates vary across the country

0447T · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$91.90

$125.09

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$125.091
AL$92.911
AR$91.901
AZ$98.801
CA$105.60–$128.5129
CO$104.291
CT$106.501
DC$113.231
DE$100.171
FL$99.82–$107.193
GA$95.50–$102.412
GU$107.201
HI$107.201
IA$94.631
ID$95.111
IL$97.64–$104.914
IN$95.521
KS$94.321
KY$94.601
LA$94.50–$98.022
MA$103.91–$112.932
MD$101.74–$113.233
ME$95.51–$99.392
MI$96.48–$100.802
MN$100.571
MO$93.29–$98.263
MS$92.611
MT$100.871
NC$96.261
ND$99.281
NE$95.021
NH$102.771
NJ$107.89–$112.522
NM$96.891
NV$100.481
NY$97.35–$116.255
OH$96.161
OK$94.451
OR$99.86–$106.932
PA$96.26–$104.412
PR$101.431
RI$103.211
SC$96.331
SD$99.101
TN$94.681
TX$95.78–$103.818
UT$97.331
VA$99.16–$113.232
VI$101.431
VT$99.011
WA$103.69–$114.932
WI$96.741
WV$94.891
WY$100.181

Explore 0447T on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 0447T in Delaware, the physician’s office rate is $100.17 and the facility-setting rate is $56.28: a difference of $43.89.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 0447T in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$110.19

$100.17 × 110% = $110.19

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 0447T in Delaware.

PPRRVU2026_Oct_nonQPP.csv

404

Code
0447T
Physician work
1.31
Practice expense
1.63
Malpractice
0.08

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 0447T in Delaware
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0051.3165
Practice expense1.63× 0.9881.6104
Malpractice0.08× 0.8990.0719
Total RVUs2.9989
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$100.17

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 0447T in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.311.005
Practice expense1.630.988
Malpractice0.080.899

(1.31 × 1.005 + 1.63 × 0.988 + 0.08 × 0.899) × $33.4009 = $100.17

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.311.005
Practice expense0.30.988
Malpractice0.080.899

(1.31 × 1.005 + 0.3 × 0.988 + 0.08 × 0.899) × $33.4009 = $56.28

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

0447T · Office / nonfacility

$100.17

Effective 2026-10-01

The base rate is $4.87 higher than on 2025-10-01, moving from $95.30 to $100.17 (5.1%).

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

    $95.30changed to$100.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.34 changed to 1.31
    • Practice expense RVU 1.54 changed to 1.63
    • Malpractice RVU 0.07 changed to 0.08
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $95.30

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$100.17$56.28RVU26D
2026-07-01$100.17$56.28RVU26C
2026-04-01$100.17$56.28RVU26B
2026-01-01$100.17$56.28RVU26A
2025-10-01$95.30$63.53RVU25D
2025-07-01$95.30$63.53RVU25C
2025-04-01$95.30$63.53RVU25B
2025-01-01$95.30$63.53RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 0447TPPRRVU2026_Oct_nonQPP.csv, line 404 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet