$99.91
11981 describes placing a drug-delivery implant. Choose 11982 when removing the implant without inserting a replacement during that service.
On this page
CMS RVU26D · Effective 2026-10-01
11982 Implant removal Medicare reimbursement rates in Kentucky
Removal of a non-biodegradable drug-delivery implant, commonly a contraceptive rod, when the implant is discontinued or replaced later. Compare 11982 office and facility rates across CMS payment localities in Kentucky.
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 11982 in Kentucky?
Kentucky 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
$106.90
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$61.18
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 11982: Drug delivery implant removal
Removal of a non-biodegradable drug-delivery implant, commonly a contraceptive rod, when the implant is discontinued or replaced later.
CPT 11982 covers removal of a non-biodegradable implant that releases medication over time. A common example is removal of an etonogestrel contraceptive rod from the upper arm when its use ends, the patient requests removal, or treatment changes. The procedure is commonly performed in an office by a gynecologist, family-planning clinician, or other clinician trained in implant removal. The service may also occur in a facility when the clinical circumstances require it.
Report this code for removal alone; use the code for removal with reinsertion when a new drug-delivery implant is placed during the same service. Document the implant and removal site, the reason for removal, the steps taken, and whether the implant was removed completely. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 11982
- 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 RVU1.31 · 38%
- Practice expense (office) RVU1.89 · 55%
- Malpractice RVU0.23 · 7%
1.8K
Medicare services in 2024 · #2563 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.
11982 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$135.76
11983 covers removal followed by reinsertion during the same service. Report 11982 when the service removes the implant only.
11976
No office rateRemove contraceptive capsule
11976 is for removal of an implantable contraceptive capsule. Choose between it and 11982 based on the implanted device and the service performed.
Compare 11982 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
Kentucky →
Office / nonfacility
$106.90
Facility
$61.18
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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 11982 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
1,394
- Code
- 11982
- Physician work
- 1.31
- Practice expense
- 1.89
- Malpractice
- 0.23
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.31 | × 1.000 | 1.3100 |
| Practice expense | 1.89 | × 0.889 | 1.6802 |
| Malpractice | 0.23 | × 0.915 | 0.2105 |
| Total RVUs | 3.2007 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$106.90
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.31 | 1 |
| Practice expense | 1.89 | 0.889 |
| Malpractice | 0.23 | 0.915 |
(1.31 × 1 + 1.89 × 0.889 + 0.23 × 0.915) × $33.4009 = $106.90
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.31 | 1 |
| Practice expense | 0.35 | 0.889 |
| Malpractice | 0.23 | 0.915 |
(1.31 × 1 + 0.35 × 0.889 + 0.23 × 0.915) × $33.4009 = $61.18
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.
11982 billing questions
When should 11982 be used instead of 11983?
Use 11982 when the drug-delivery implant is removed without placing a replacement during that service. Use 11983 when removal and reinsertion occur together.
Is removal of a contraceptive implant reported with 11982?
It can be when the device is a non-biodegradable drug-delivery implant, such as an etonogestrel rod. Select the code based on the implant and service performed, not contraceptive intent alone.
Can modifier 50 be appended for implants in both arms?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor or anatomy does not support modifier 50.
What documentation supports 11982?
Record the implant type and site, the reason for removal, the removal procedure, and whether the implant was completely removed. If a replacement is inserted during the service, consider 11983 instead.
How does CMS handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction, with payment at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery is paid only with documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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.
1,39111976,,Remove contraceptive capsule,R,,1.74,2.35,,0.36,,0.30,4.39,2.40,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,39211980,,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
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631