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CMS RVU26D · Effective 2026-10-01

20670 in Merced

Office / nonfacility

$396.31

Base rate per service

Facility setting

$143.72

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.

Orthopedic surgery

About 20670: Superficial orthopedic implant removal

Reports removal of accessible superficial orthopedic hardware, such as a buried wire or pin, when a clinician removes the implant from its site.

This service covers removal of orthopedic hardware located superficially, such as a buried wire, pin, or screw that can be reached without the deeper dissection required for deep implants. An orthopedist or another clinician performing musculoskeletal procedures may remove it in an office procedure room, ambulatory surgery center, or hospital operating room, depending on the implant’s location and the work needed. The key distinction from deep-implant removal is the documented depth and surgical exposure, not simply the type of hardware.

Report the service for the superficial implant removal itself, and document the implant, anatomic site, and depth supporting the superficial classification. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 20670

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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 RVU1.75 · 16%
  • Practice expense (office) RVU9.07 · 82%
  • Malpractice RVU0.27 · 2%

6.2K

Medicare services in 2024 · #1737 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.

20670 compared with similar codes

Office rates for Merced, from the same CMS release.

20680

Implant removal

Deep implant

$657.45

Choose 20670 for superficial hardware such as an accessible buried wire or pin. Choose 20680 when removal involves a deep implant and deeper dissection.

20650

Skeletal traction

Bone pin insertion

$260.49

20650 concerns wire or pin placement for skeletal traction, with removal included when performed. 20670 is for removal of a superficial implant as a removal service.

20665

Cranial device removal

Tongs or halo

$123.66

20665 is for removal of tongs or a halo. Use 20670 for superficial orthopedic implants outside that dedicated removal service.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 20670 is $397.08—$0.77 higher than the $396.31 rate in Merced. Both use the same code, release and participation basis.

20670 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $396.31

  2. Bakersfield

    $397.08

    $0.77 higher than Merced

  3. Chico

    $396.31

    The same base rate than Merced

  4. El Centro

    $396.35

    $0.04 higher than Merced

  5. Fresno

    $396.31

    The same base rate than Merced

  6. Hanford-Corcoran

    $396.31

    The same base rate than Merced

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

    $425.22

    $28.91 higher than Merced

Other payment areas listed in California 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, 20670 ranges from $323.33 in Arkansas to $506.56 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

  • Madera

    California · 20670

    Office

    $396.31

    Facility

    $143.72

    The same base rate than Merced for the office setting.

  • Modesto

    California · 20670

    Office

    $396.31

    Facility

    $143.72

    The same base rate than Merced for the office setting.

  • Napa

    California · 20670

    Office

    $466.00

    Facility

    $162.24

    $69.69 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 20670

    Office

    $423.79

    Facility

    $151.38

    $27.48 higher than Merced for the office setting.

  • Redding

    California · 20670

    Office

    $396.31

    Facility

    $143.72

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 20670

    Office

    $396.31

    Facility

    $143.72

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 20670

    Office

    $399.23

    Facility

    $146.63

    $2.92 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 20670

    Office

    $417.72

    Facility

    $149.68

    $21.41 higher than Merced for the office setting.

  • Salinas

    California · 20670

    Office

    $416.21

    Facility

    $149.10

    $19.90 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 20670

    Office

    $427.42

    Facility

    $151.78

    $31.11 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 20670

    Office

    $495.30

    Facility

    $170.34

    $98.99 higher than Merced for the office setting.

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

    California · 20670

    Office

    $494.99

    Facility

    $170.03

    $98.68 higher than Merced for the office setting.

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

    California · 20670

    Office

    $506.56

    Facility

    $174.23

    $110.25 higher than Merced for the office setting.

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

    California · 20670

    Office

    $505.31

    Facility

    $172.98

    $109.00 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 20670

    Office

    $409.33

    Facility

    $146.83

    $13.02 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 20670

    Office

    $432.59

    Facility

    $152.58

    $36.28 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 20670

    Office

    $418.16

    Facility

    $149.43

    $21.85 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 20670

    Office

    $437.06

    Facility

    $154.04

    $40.75 higher than Merced for the office setting.

  • Stockton

    California · 20670

    Office

    $396.31

    Facility

    $143.72

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 20670

    Office

    $465.56

    Facility

    $161.80

    $69.25 higher than Merced for the office setting.

  • Visalia

    California · 20670

    Office

    $396.31

    Facility

    $143.72

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 20670

    Office

    $396.31

    Facility

    $143.72

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 20670

    Office

    $428.52

    Facility

    $157.03

    $32.21 higher than Merced for the office setting.

  • Miami

    Florida · 20670

    Office

    $396.63

    Facility

    $156.71

    $0.32 higher than Merced for the office setting.

  • Chicago

    Illinois · 20670

    Office

    $384.02

    Facility

    $152.40

    $12.29 lower than Merced for the office setting.

  • Manhattan

    New York · 20670

    Office

    $428.52

    Facility

    $160.72

    $32.21 higher than Merced for the office setting.

  • Alaska*

    Alaska · 20670

    Office

    $415.28

    Facility

    $169.84

    $18.97 higher than Merced for the office setting.

  • Alabama

    Alabama · 20670

    Office

    $328.63

    Facility

    $126.98

    $67.68 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 20670

    Office

    $323.33

    Facility

    $125.36

    $72.98 lower than Merced for the office setting.

  • Arizona

    Arizona · 20670

    Office

    $359.73

    Facility

    $136.40

    $36.58 lower than Merced for the office setting.

  • Colorado

    Colorado · 20670

    Office

    $388.53

    Facility

    $143.31

    $7.78 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 20670

    Office

    $396.81

    Facility

    $148.59

    $0.50 higher than Merced for the office setting.

  • Delaware

    Delaware · 20670

    Office

    $366.16

    Facility

    $138.46

    $30.15 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 20670

    Office

    $381.64

    Facility

    $148.18

    $14.67 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 20670

    Office

    $361.62

    Facility

    $141.30

    $34.69 lower than Merced for the office setting.

  • Atlanta

    Georgia · 20670

    Office

    $377.25

    Facility

    $143.10

    $19.06 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 20670

    Office

    $339.43

    Facility

    $133.85

    $56.88 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 20670

    Office

    $408.12

    Facility

    $146.08

    $11.81 higher than Merced for the office setting.

  • Iowa

    Iowa · 20670

    Office

    $339.23

    Facility

    $128.35

    $57.08 lower than Merced for the office setting.

  • Idaho

    Idaho · 20670

    Office

    $341.43

    Facility

    $129.40

    $54.88 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 20670

    Office

    $355.32

    Facility

    $143.30

    $40.99 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 20670

    Office

    $349.14

    Facility

    $138.72

    $47.17 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 20670

    Office

    $385.97

    Facility

    $149.28

    $10.34 lower than Merced for the office setting.

  • Indiana

    Indiana · 20670

    Office

    $343.67

    Facility

    $130.02

    $52.64 lower than Merced for the office setting.

  • Kansas

    Kansas · 20670

    Office

    $336.86

    Facility

    $128.52

    $59.45 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 20670

    Office

    $336.02

    Facility

    $131.14

    $60.29 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 20670

    Office

    $353.77

    Facility

    $136.90

    $42.54 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 20670

    Office

    $335.20

    Facility

    $131.24

    $61.11 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 20670

    Office

    $430.59

    Facility

    $155.42

    $34.28 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 20670

    Office

    $385.58

    Facility

    $142.90

    $10.73 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 20670

    Office

    $395.60

    Facility

    $148.31

    $0.71 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 20670

    Office

    $373.90

    Facility

    $140.66

    $22.41 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 20670

    Office

    $342.77

    Facility

    $130.74

    $53.54 lower than Merced for the office setting.

  • Southern Maine

    Maine · 20670

    Office

    $364.36

    Facility

    $135.97

    $31.95 lower than Merced for the office setting.

  • Detroit

    Michigan · 20670

    Office

    $366.00

    Facility

    $143.60

    $30.31 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 20670

    Office

    $345.22

    Facility

    $134.81

    $51.09 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 20670

    Office

    $372.85

    Facility

    $135.70

    $23.46 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 20670

    Office

    $351.73

    Facility

    $135.32

    $44.58 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 20670

    Office

    $355.89

    Facility

    $136.49

    $40.42 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 20670

    Office

    $328.37

    Facility

    $129.71

    $67.94 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 20670

    Office

    $325.95

    Facility

    $127.52

    $70.36 lower than Merced for the office setting.

  • Montana**

    Montana · 20670

    Office

    $370.40

    Facility

    $139.93

    $25.91 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 20670

    Office

    $346.86

    Facility

    $131.84

    $49.45 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 20670

    Office

    $365.06

    Facility

    $134.59

    $31.25 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 20670

    Office

    $341.48

    Facility

    $128.76

    $54.83 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 20670

    Office

    $381.71

    Facility

    $141.79

    $14.60 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 20670

    Office

    $423.18

    Facility

    $155.84

    $26.87 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 20670

    Office

    $401.50

    Facility

    $149.83

    $5.19 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 20670

    Office

    $347.08

    Facility

    $135.75

    $49.23 lower than Merced for the office setting.

  • Nevada**

    Nevada · 20670

    Office

    $369.21

    Facility

    $138.52

    $27.10 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 20670

    Office

    $439.14

    Facility

    $165.12

    $42.83 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 20670

    Office

    $403.72

    Facility

    $151.36

    $7.41 higher than Merced for the office setting.

  • Queens

    New York · 20670

    Office

    $433.28

    Facility

    $160.87

    $36.97 higher than Merced for the office setting.

  • Rest Of New York

    New York · 20670

    Office

    $352.59

    Facility

    $133.65

    $43.72 lower than Merced for the office setting.

  • Ohio

    Ohio · 20670

    Office

    $344.13

    Facility

    $133.72

    $52.18 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 20670

    Office

    $335.99

    Facility

    $130.18

    $60.32 lower than Merced for the office setting.

  • Portland

    Oregon · 20670

    Office

    $402.67

    Facility

    $146.62

    $6.36 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 20670

    Office

    $366.53

    Facility

    $136.98

    $29.78 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 20670

    Office

    $385.63

    Facility

    $145.71

    $10.68 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 20670

    Office

    $345.08

    Facility

    $133.51

    $51.23 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 20670

    Office

    $373.61

    Facility

    $140.61

    $22.70 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 20670

    Office

    $380.55

    Facility

    $142.48

    $15.76 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 20670

    Office

    $346.04

    Facility

    $133.09

    $50.27 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 20670

    Office

    $364.43

    Facility

    $133.96

    $31.88 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 20670

    Office

    $338.67

    Facility

    $129.18

    $57.64 lower than Merced for the office setting.

  • Austin

    Texas · 20670

    Office

    $387.08

    Facility

    $143.24

    $9.23 lower than Merced for the office setting.

  • Beaumont

    Texas · 20670

    Office

    $342.51

    Facility

    $132.79

    $53.80 lower than Merced for the office setting.

  • Brazoria

    Texas · 20670

    Office

    $366.17

    Facility

    $137.78

    $30.14 lower than Merced for the office setting.

  • Dallas

    Texas · 20670

    Office

    $368.45

    Facility

    $138.91

    $27.86 lower than Merced for the office setting.

  • Fort Worth

    Texas · 20670

    Office

    $365.54

    Facility

    $138.30

    $30.77 lower than Merced for the office setting.

  • Galveston

    Texas · 20670

    Office

    $367.21

    Facility

    $138.36

    $29.10 lower than Merced for the office setting.

  • Houston

    Texas · 20670

    Office

    $372.15

    Facility

    $143.30

    $24.16 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 20670

    Office

    $354.09

    Facility

    $135.38

    $42.22 lower than Merced for the office setting.

  • Utah

    Utah · 20670

    Office

    $351.32

    Facility

    $134.68

    $44.99 lower than Merced for the office setting.

  • Virginia

    Virginia · 20670

    Office

    $362.61

    Facility

    $136.07

    $33.70 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 20670

    Office

    $373.61

    Facility

    $140.61

    $22.70 lower than Merced for the office setting.

  • Vermont

    Vermont · 20670

    Office

    $362.93

    Facility

    $134.77

    $33.38 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 20670

    Office

    $385.08

    Facility

    $142.40

    $11.23 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 20670

    Office

    $440.46

    Facility

    $157.67

    $44.15 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 20670

    Office

    $351.45

    Facility

    $130.66

    $44.86 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 20670

    Office

    $334.62

    Facility

    $134.34

    $61.69 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 20670

    Office

    $368.07

    Facility

    $137.61

    $28.24 lower than Merced for the office setting.

See how rates vary across the country

20670 · 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.

$323.33

$451.44

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$415.281
AL$328.631
AR$323.331
AZ$359.731
CA$396.31–$506.5629
CO$388.531
CT$396.811
DC$428.521
DE$366.161
FL$361.62–$396.633
GA$339.43–$377.252
GU$408.121
HI$408.121
IA$339.231
ID$341.431
IL$349.14–$385.974
IN$343.671
KS$336.861
KY$336.021
LA$335.20–$353.772
MA$385.58–$430.592
MD$373.90–$428.523
ME$342.77–$364.362
MI$345.22–$366.002
MN$372.851
MO$328.37–$355.893
MS$325.951
MT$370.401
NC$346.861
ND$365.061
NE$341.481
NH$381.711
NJ$401.50–$423.182
NM$347.081
NV$369.211
NY$352.59–$439.145
OH$344.131
OK$335.991
OR$366.53–$402.672
PA$345.08–$385.632
PR$373.611
RI$380.551
SC$346.041
SD$364.431
TN$338.671
TX$342.51–$387.088
UT$351.321
VA$362.61–$428.522
VI$373.611
VT$362.931
WA$385.08–$440.462
WI$351.451
WV$334.621
WY$368.071

Explore 20670 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 20670 in Merced, the physician’s office rate is $396.31 and the facility-setting rate is $143.72: a difference of $252.59.

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 20670 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$435.94

$396.31 × 110% = $435.94

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 20670 in Merced.

PPRRVU2026_Oct_nonQPP.csv

1,782

Code
20670
Physician work
1.75
Practice expense
9.07
Malpractice
0.27

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 20670 in Merced
ComponentRVULocality factorAdjusted
Physician work1.75× 1.0171.7797
Practice expense9.07× 1.0969.9407
Malpractice0.27× 0.5360.1447
Total RVUs11.8652
Conversion factor× 33.4009

Office / nonfacility rate, Merced$396.31

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

Open 20670 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.751.017
Practice expense9.071.096
Malpractice0.270.536

(1.75 × 1.017 + 9.07 × 1.096 + 0.27 × 0.536) × $33.4009 = $396.31

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.751.017
Practice expense2.171.096
Malpractice0.270.536

(1.75 × 1.017 + 2.17 × 1.096 + 0.27 × 0.536) × $33.4009 = $143.72

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

20670 · Office / nonfacility

$396.31

Effective 2026-10-01

The base rate is $34.84 higher than on 2025-10-01, moving from $361.47 to $396.31 (9.6%).

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

    $361.47changed to$396.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.79 changed to 1.75
    • Practice expense RVU 8.42 changed to 9.07
    • Malpractice RVU 0.28 changed to 0.27
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $361.47

    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$396.31$143.72RVU26D
2026-07-01$396.31$143.72RVU26C
2026-04-01$396.31$143.72RVU26B
2026-01-01$396.31$143.72RVU26A
2025-10-01$361.47$146.87RVU25D
2025-07-01$361.47$146.87RVU25C
2025-04-01$361.47$146.87RVU25B
2025-01-01$361.47$146.87RVU25A

20670 billing questions

How is superficial removal distinguished from deep implant removal?

Use the documented implant depth and the exposure required. This code describes accessible superficial hardware; removal requiring deeper dissection is considered with 20680.

Are postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in this service.

Should modifier 50 be used for removal on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

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 20670PPRRVU2026_Oct_nonQPP.csv, line 1,782 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet