$164.26–$172.17
G0516 reports insertion of a drug-delivery implant involving four or more implants. G0517 is for removal, not placement.
On this page
CMS RVU26D · Effective 2026-10-01
G0517 Implant removal Medicare reimbursement rates in Maine
Removal of an implanted medication-delivery device, reported when a clinician extracts the implant rather than inserting or replacing it. Compare G0517 office and facility rates across CMS payment localities in Maine.
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 G0517 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$186.22–$195.07
2 of 2 localities have a supported rate.
Facility setting
$93.11–$94.77
2 of 2 localities have a supported rate.
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 G0517: Drug-delivery implant removal
Removal of an implanted medication-delivery device, reported when a clinician extracts the implant rather than inserting or replacing it.
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.
CMS billing rules for G0517
- 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 RVU2.05 · 35%
- Practice expense (office) RVU3.71 · 62%
- Malpractice RVU0.18 · 3%
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 compared with similar codes
Office rates for Maine, from the same CMS release.
$296.13–$309.69
Choose G0518 when removal and insertion occur together; choose G0517 when the service removes the implant without replacement.
$106.61–$111.16
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.
Compare G0517 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$186.22
Facility
$93.11
Southern Maine →
Office / nonfacility
$195.07
Facility
$94.77
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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 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.
15,309G0513,,"Prolong prev svcs, first 30m",A,,1.17,0.70,,0.28,,0.07,1.94,1.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,310G0514,,"Prolong prev svcs, addl 30m",A,,1.17,0.70,,0.28,,0.07,1.94,1.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,311G0516,,"Insert drug del implant, >=4",A,,1.77,3.32,,0.62,,0.15,5.24,2.54,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,312G0517,,Remove drug implant,A,,2.05,3.71,,0.68,,0.18,5.94,2.91,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,313G0518,,Remove w insert drug implant,A,,3.46,5.68,,0.98,,0.29,9.43,4.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,314G0519,,New pt-cg dyad dem low cmplx,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,315G0520,,New pt-cg dyad dem mod cmplx,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00