$113.29
11981 describes insertion alone. Choose 11983 when the encounter also includes removal of the existing drug implant.
On this page
CMS RVU26D · Effective 2026-10-01
11983 Drug implant Medicare reimbursement rates in Hawaii
Reports removal of an existing nonbiodegradable subcutaneous drug implant and placement of a replacement implant during the same encounter. Compare 11983 office and facility rates across CMS payment localities in Hawaii.
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.
What does Medicare pay for 11983 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$149.59
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$86.17
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Implant procedure
About 11983: Drug implant removal and replacement
Reports removal of an existing nonbiodegradable subcutaneous drug implant and placement of a replacement implant during the same encounter.
Code 11983 describes removing a nonbiodegradable drug-delivery implant from beneath the skin and placing a replacement during the same encounter. A common example is removal and replacement of an etonogestrel contraceptive implant in the upper arm. A qualified clinician, such as a physician or other authorized practitioner, performs the procedure in an office or facility, typically using local anesthesia and a small incision to remove the existing device and insert the new one.
Report 11983 when both removal and replacement are performed; the record should identify the implant, document both steps, and support the need for the procedure. Do not separately report 11981 and 11982 for those same insertion and removal services. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 11983
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.86 · 43%
- Practice expense (office) RVU2.13 · 49%
- Malpractice RVU0.34 · 8%
1.1K
Medicare services in 2024 · #2921 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.
11983 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$119.98
11982 describes removal alone. Choose 11983 when a replacement drug implant is inserted during the same encounter.
11976
No office rateRemove contraceptive capsule
11976 addresses removal of a contraceptive capsule. Select the code that matches the device and procedure performed rather than treating it as interchangeable with drug-implant replacement.
Compare 11983 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$149.59
Facility
$86.17
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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 11983 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
1,395
- Code
- 11983
- Physician work
- 1.86
- Practice expense
- 2.13
- Malpractice
- 0.34
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.86 | × 1.000 | 1.8600 |
| Practice expense | 2.13 | × 1.137 | 2.4218 |
| Malpractice | 0.34 | × 0.579 | 0.1969 |
| Total RVUs | 4.4787 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$149.59
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1 |
| Practice expense | 2.13 | 1.137 |
| Malpractice | 0.34 | 0.579 |
(1.86 × 1 + 2.13 × 1.137 + 0.34 × 0.579) × $33.4009 = $149.59
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1 |
| Practice expense | 0.46 | 1.137 |
| Malpractice | 0.34 | 0.579 |
(1.86 × 1 + 0.46 × 1.137 + 0.34 × 0.579) × $33.4009 = $86.17
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.
11983 billing questions
When should 11983 be reported instead of 11981 or 11982?
Use 11983 when the clinician removes an existing nonbiodegradable drug implant and inserts a replacement during the same encounter. Report 11981 for insertion alone and 11982 for removal alone.
Can 11981 and 11982 also be reported for the same replacement?
Do not separately report those codes for the insertion and removal already represented by 11983.
What documentation supports 11983?
Document the implant removed, the removal and replacement performed, and the clinical reason for the procedure. Identify the new implant and its placement site in the procedure record.
Is modifier 50 appropriate for implants placed on both sides?
No. Modifier 50 is inappropriate for this service based on its descriptor and anatomy.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
When is assistant-at-surgery payment allowed?
Payment for an assistant at surgery 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 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.
1,39211980,,Implant hormone pellet(s),A,,1.07,1.67,,0.23,,0.15,2.89,1.45,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,39311981,,Insertion drug dlvr implant,A,,1.11,1.90,,0.32,,0.21,3.22,1.64,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,39411982,,Remove drug implant device,A,,1.31,1.89,,0.35,,0.23,3.43,1.89,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,39511983,,Remove/insert drug implant,A,,1.86,2.13,,0.46,,0.34,4.33,2.66,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,39612001,,Rpr s/n/ax/gen/trnk 2.5cm/<,A,,0.82,2.41,,0.32,,0.18,3.41,1.32,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,39712002,,Rpr s/n/ax/gen/trnk2.6-7.5cm,A,,1.11,2.82,,0.37,,0.24,4.17,1.72,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,39812004,,Rpr s/n/ax/gen/trk7.6-12.5cm,A,,1.40,3.12,,0.43,,0.33,4.85,2.16,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014