HCPCS code G0517: Implant removal2026 Medicare rate & RVUs in Delaware
Removal of an implanted medication-delivery device, reported when a clinician extracts the implant rather than inserting or replacing it.
Medicare pays $196.65 for G0517 in the office in Delaware (Delaware). Which amount applies depends on the service address.
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 9 sections
What G0517 covers
A clinician removes a drug-delivery implant by locating it beneath the skin, making an incision as needed, and extracting the device. The service is typically performed by a physician or other qualified clinician in an office or outpatient setting when an implant is due for removal, is no longer needed, or needs to be taken out for a clinical reason.
Report G0517 for removal alone; use the combined removal-and-insertion code when a new drug-delivery implant is placed during the same service. The record should identify the implant and site, document the reason for removal, and describe the work performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this descriptor. Assistant-at-surgery payment requires documented medical necessity; 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.
G0517 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $196.65 | $96.66 |
How the G0517 rate is calculated
Each of G0517’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 · G0517
RVUs × geographic indexes × conversion factor
Work2.05
2.05 RVUs× 1.000 GPCI
Practice expense3.71
3.71 RVUs× 1.000 GPCI
Malpractice0.18
0.18 RVUs× 1.000 GPCI
Adjusted RVUs
5.9400
Conversion factor
$33.4009
Medicare rate
$198.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0517
The CMS indicators that decide how G0517 is paid alongside other services.
CMS payment indicators · G0517
Implant 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) | 0 | Not paid without supporting documentation. |
| 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
G0517 without 51 · national office
$198.40
Implant removal
G0517-51 · Second procedure: 50%
$99.20
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%).
G0517 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G0516Drug implant insertion
- G0516 reports insertion of a drug-delivery implant involving four or more implants. G0517 is for removal, not placement.
- G0518Implant replacement
- Choose G0518 when removal and insertion occur together; choose G0517 when the service removes the implant without replacement.
- 11982Implant removal
- CPT 11982 describes removal of a non-biodegradable drug-delivery implant. G0517 is the Medicare HCPCS code for drug-implant removal; select the code that matches the service and applicable coding context.
G0517 billing questions
When should G0517 be chosen over G0518?
Use G0517 when the drug-delivery implant is removed without inserting a replacement during that service. G0518 describes removal with insertion of a new implant.
What documentation supports G0517?
Document the implant and its location, the reason for removal, and the removal work performed. The record should make clear whether a new implant was inserted during the same service.
Can modifier 50 be used for removal of implants on both sides?
No. CMS bilateral handling identifies modifier 50 as inappropriate for this descriptor.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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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