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CMS RVU26D · Effective 2026-10-01

20703 in Wyoming**

Office / nonfacility

$105.25

Base rate per service

Facility setting

$86.88

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 20703: Intramedullary drug-delivery device removal

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

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.

CMS billing rules for 20703

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.

Where the value comes from

  • Work RVU1.76 · 54%
  • Practice expense (office) RVU1.11 · 34%
  • Malpractice RVU0.38 · 12%

42

Medicare services in 2024 · #5459 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.

20703 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

20701

Device removal

Deep location

$63.98

Choose 20703 for an intramedullary device; 20701 is for removal from a deep site not classified as intramedullary.

20705

Device removal

Intra-articular drug delivery

$124.53

20705 applies to removal of an intra-articular device. 20703 applies to removal from the medullary canal.

20702

Drug delivery

Intramedullary insertion

$143.71

20702 describes preparation and insertion of an intramedullary drug-delivery device. 20703 describes removal of one already in place.

The same code, a different location

How does Wyoming** compare?

20703 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $105.25

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

    $113.48

    $8.23 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $119.76

    $14.51 higher than Wyoming**

  4. Miami

    $129.48

    $24.23 higher than Wyoming**

  5. Chicago

    $125.59

    $20.34 higher than Wyoming**

  6. Manhattan

    $125.76

    $20.51 higher than Wyoming**

  7. Alaska*

    $134.66

    $29.41 higher than Wyoming**

Other payment areas listed in Wyoming 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, 20703 ranges from $97.17 in Arkansas to $134.66 in Alaska*. 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 · 20703

    Office

    $98.41

    Facility

    $82.34

    $6.84 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 20703

    Office

    $97.17

    Facility

    $81.39

    $8.08 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 20703

    Office

    $105.58

    Facility

    $87.77

    $0.33 higher than Wyoming** for the office setting.

  • Bakersfield

    California · 20703

    Office

    $108.27

    Facility

    $88.13

    $3.02 higher than Wyoming** for the office setting.

  • Chico

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • El Centro

    California · 20703

    Office

    $107.29

    Facility

    $87.15

    $2.04 higher than Wyoming** for the office setting.

  • Fresno

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Madera

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Merced

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Modesto

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Napa

    California · 20703

    Office

    $117.80

    Facility

    $93.59

    $12.55 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 20703

    Office

    $112.16

    Facility

    $90.45

    $6.91 higher than Wyoming** for the office setting.

  • Redding

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 20703

    Office

    $111.30

    Facility

    $91.17

    $6.05 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 20703

    Office

    $110.82

    Facility

    $89.46

    $5.57 higher than Wyoming** for the office setting.

  • Salinas

    California · 20703

    Office

    $110.38

    Facility

    $89.09

    $5.13 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 20703

    Office

    $111.77

    Facility

    $89.80

    $6.52 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 20703

    Office

    $122.47

    Facility

    $96.57

    $17.22 higher than Wyoming** for the office setting.

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

    California · 20703

    Office

    $122.04

    Facility

    $96.14

    $16.79 higher than Wyoming** for the office setting.

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

    California · 20703

    Office

    $125.52

    Facility

    $99.03

    $20.27 higher than Wyoming** for the office setting.

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

    California · 20703

    Office

    $123.75

    Facility

    $97.26

    $18.50 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 20703

    Office

    $108.82

    Facility

    $87.89

    $3.57 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 20703

    Office

    $111.87

    Facility

    $89.55

    $6.62 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 20703

    Office

    $110.46

    Facility

    $89.04

    $5.21 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 20703

    Office

    $112.88

    Facility

    $90.32

    $7.63 higher than Wyoming** for the office setting.

  • Stockton

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Vallejo

    California · 20703

    Office

    $117.18

    Facility

    $92.97

    $11.93 higher than Wyoming** for the office setting.

  • Visalia

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Yuba City

    California · 20703

    Office

    $107.22

    Facility

    $87.09

    $1.97 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 20703

    Office

    $108.85

    Facility

    $89.31

    $3.60 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 20703

    Office

    $115.25

    Facility

    $95.46

    $10.00 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 20703

    Office

    $107.12

    Facility

    $88.97

    $1.87 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 20703

    Office

    $119.29

    Facility

    $100.68

    $14.04 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 20703

    Office

    $113.31

    Facility

    $95.74

    $8.06 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 20703

    Office

    $111.87

    Facility

    $93.21

    $6.62 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 20703

    Office

    $106.99

    Facility

    $90.60

    $1.74 higher than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 20703

    Office

    $108.29

    Facility

    $87.40

    $3.04 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 20703

    Office

    $97.75

    Facility

    $80.94

    $7.50 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 20703

    Office

    $98.90

    Facility

    $82.00

    $6.35 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 20703

    Office

    $118.46

    Facility

    $101.56

    $13.21 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 20703

    Office

    $112.47

    Facility

    $95.70

    $7.22 higher than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 20703

    Office

    $119.76

    Facility

    $100.90

    $14.51 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 20703

    Office

    $99.32

    Facility

    $82.29

    $5.93 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 20703

    Office

    $98.70

    Facility

    $82.09

    $6.55 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 20703

    Office

    $103.36

    Facility

    $87.03

    $1.89 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 20703

    Office

    $108.09

    Facility

    $90.81

    $2.84 higher than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 20703

    Office

    $103.76

    Facility

    $87.50

    $1.49 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 20703

    Office

    $116.76

    Facility

    $94.83

    $11.51 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 20703

    Office

    $108.88

    Facility

    $89.54

    $3.63 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 20703

    Office

    $115.21

    Facility

    $95.50

    $9.96 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 20703

    Office

    $108.54

    Facility

    $89.95

    $3.29 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 20703

    Office

    $100.79

    Facility

    $83.89

    $4.46 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 20703

    Office

    $103.54

    Facility

    $85.33

    $1.71 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 20703

    Office

    $115.96

    Facility

    $98.23

    $10.71 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 20703

    Office

    $106.96

    Facility

    $90.19

    $1.71 higher than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 20703

    Office

    $100.69

    Facility

    $81.79

    $4.56 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 20703

    Office

    $106.00

    Facility

    $88.75

    $0.75 higher than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 20703

    Office

    $106.80

    Facility

    $89.31

    $1.55 higher than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 20703

    Office

    $103.11

    Facility

    $87.27

    $2.14 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 20703

    Office

    $100.09

    Facility

    $84.27

    $5.16 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 20703

    Office

    $108.53

    Facility

    $90.16

    $3.28 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 20703

    Office

    $101.49

    Facility

    $84.35

    $3.76 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 20703

    Office

    $101.01

    Facility

    $82.64

    $4.24 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 20703

    Office

    $97.80

    Facility

    $80.85

    $7.45 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 20703

    Office

    $108.49

    Facility

    $89.36

    $3.24 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 20703

    Office

    $119.05

    Facility

    $97.74

    $13.80 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 20703

    Office

    $115.55

    Facility

    $95.49

    $10.30 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 20703

    Office

    $108.03

    Facility

    $91.18

    $2.78 higher than Wyoming** for the office setting.

  • Nevada**

    Nevada · 20703

    Office

    $106.47

    Facility

    $88.08

    $1.22 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 20703

    Office

    $130.20

    Facility

    $108.36

    $24.95 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 20703

    Office

    $117.39

    Facility

    $97.27

    $12.14 higher than Wyoming** for the office setting.

  • Queens

    New York · 20703

    Office

    $124.67

    Facility

    $102.96

    $19.42 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 20703

    Office

    $102.93

    Facility

    $85.48

    $2.32 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 20703

    Office

    $105.43

    Facility

    $88.66

    $0.18 higher than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 20703

    Office

    $101.76

    Facility

    $85.35

    $3.49 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 20703

    Office

    $110.36

    Facility

    $89.95

    $5.11 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 20703

    Office

    $104.63

    Facility

    $86.34

    $0.62 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 20703

    Office

    $113.58

    Facility

    $94.46

    $8.33 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 20703

    Office

    $104.81

    Facility

    $87.95

    $0.44 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 20703

    Office

    $108.77

    Facility

    $90.20

    $3.52 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 20703

    Office

    $109.52

    Facility

    $90.55

    $4.27 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 20703

    Office

    $103.83

    Facility

    $86.86

    $1.42 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 20703

    Office

    $100.13

    Facility

    $81.75

    $5.12 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 20703

    Office

    $99.30

    Facility

    $82.60

    $5.95 lower than Wyoming** for the office setting.

  • Austin

    Texas · 20703

    Office

    $109.37

    Facility

    $89.94

    $4.12 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 20703

    Office

    $104.32

    Facility

    $87.60

    $0.93 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 20703

    Office

    $105.90

    Facility

    $87.69

    $0.65 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 20703

    Office

    $107.13

    Facility

    $88.83

    $1.88 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 20703

    Office

    $106.93

    Facility

    $88.81

    $1.68 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 20703

    Office

    $106.58

    Facility

    $88.34

    $1.33 higher than Wyoming** for the office setting.

  • Houston

    Texas · 20703

    Office

    $113.54

    Facility

    $95.29

    $8.29 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 20703

    Office

    $105.43

    Facility

    $88.00

    $0.18 higher than Wyoming** for the office setting.

  • Utah

    Utah · 20703

    Office

    $105.03

    Facility

    $87.77

    $0.22 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 20703

    Office

    $104.19

    Facility

    $86.13

    $1.06 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 20703

    Office

    $108.77

    Facility

    $90.20

    $3.52 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 20703

    Office

    $101.91

    Facility

    $83.73

    $3.34 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 20703

    Office

    $108.25

    Facility

    $88.90

    $3.00 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 20703

    Office

    $117.59

    Facility

    $95.04

    $12.34 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 20703

    Office

    $98.21

    Facility

    $80.61

    $7.04 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 20703

    Office

    $109.17

    Facility

    $93.20

    $3.92 higher than Wyoming** for the office setting.

See how rates vary across the country

20703 · 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.

$97.17

$134.66

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

View all state and territory rates as a table
State / territoryRate 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

Explore 20703 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 20703 in Wyoming**, the physician’s office rate is $105.25 and the facility-setting rate is $86.88: a difference of $18.37.

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 20703 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$115.78

$105.25 × 110% = $115.78

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 20703 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

1,793

Code
20703
Physician work
1.76
Practice expense
1.11
Malpractice
0.38

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 20703 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0001.7600
Practice expense1.11× 1.0001.1100
Malpractice0.38× 0.7400.2812
Total RVUs3.1512
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$105.25

Open 20703 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.761
Practice expense1.111
Malpractice0.380.74

(1.76 × 1 + 1.11 × 1 + 0.38 × 0.74) × $33.4009 = $105.25

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.761
Practice expense0.561
Malpractice0.380.74

(1.76 × 1 + 0.56 × 1 + 0.38 × 0.74) × $33.4009 = $86.88

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

20703 · Office / nonfacility

$105.25

Effective 2026-10-01

The base rate is $6.89 higher than on 2025-10-01, moving from $98.36 to $105.25 (7.0%).

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

    $98.36changed to$105.25

    • 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
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $98.36

    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$105.25$86.88RVU26D
2026-07-01$105.25$86.88RVU26C
2026-04-01$105.25$86.88RVU26B
2026-01-01$105.25$86.88RVU26A
2025-10-01$98.36$98.36RVU25D
2025-07-01$98.36$98.36RVU25C
2025-04-01$98.36$98.36RVU25B
2025-01-01$98.36$98.36RVU25A

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 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 20703PPRRVU2026_Oct_nonQPP.csv, line 1,793 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet