$197.76
G0517 describes removal without replacement. G0518 applies when the clinician removes the existing implant and inserts a new one during the same procedure.
On this page
CMS RVU26D · Effective 2026-10-01
G0518 Implant replacement Medicare reimbursement rates in Minnesota
Reports removal of an existing subcutaneous drug-delivery implant and placement of a replacement implant during the same procedure. Compare G0518 office and facility rates across CMS payment localities in Minnesota.
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 G0518 in Minnesota?
Minnesota 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
$313.65
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$152.12
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 G0518: Drug implant removal and reinsertion
Reports removal of an existing subcutaneous drug-delivery implant and placement of a replacement implant during the same procedure.
G0518 covers a single procedure in which a clinician removes an existing non-biodegradable drug-delivery implant and inserts a replacement. A common setting is an office or outpatient procedure room, where a clinician accesses the subcutaneous implant site, removes the old implant, and places the new one. Subdermal contraceptive implants are a familiar example; the code describes the combined replacement service rather than removal or insertion alone.
Report G0518 when both removal and reinsertion occur in the same procedure. The record should support the existing implant’s removal, the new implant’s placement, and the treated site. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for G0518
- 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 RVU3.46 · 37%
- Practice expense (office) RVU5.68 · 60%
- Malpractice RVU0.29 · 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.
G0518 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$174.71
G0516 is for insertion without removal and specifies four or more rods. G0518 is the combined removal-and-reinsertion service.
$138.69
CPT 11983 also describes removal with reinsertion of a non-biodegradable drug-delivery implant. Confirm which code applies under the claim’s coding and payer rules rather than reporting both for the same service.
Compare G0518 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
Minnesota →
Office / nonfacility
$313.65
Facility
$152.12
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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 G0518 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
15,313
- Code
- G0518
- Physician work
- 3.46
- Practice expense
- 5.68
- Malpractice
- 0.29
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.46 | × 1.000 | 3.4600 |
| Practice expense | 5.68 | × 1.029 | 5.8447 |
| Malpractice | 0.29 | × 0.296 | 0.0858 |
| Total RVUs | 9.3906 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$313.65
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.46 | 1 |
| Practice expense | 5.68 | 1.029 |
| Malpractice | 0.29 | 0.296 |
(3.46 × 1 + 5.68 × 1.029 + 0.29 × 0.296) × $33.4009 = $313.65
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.46 | 1 |
| Practice expense | 0.98 | 1.029 |
| Malpractice | 0.29 | 0.296 |
(3.46 × 1 + 0.98 × 1.029 + 0.29 × 0.296) × $33.4009 = $152.12
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.
G0518 billing questions
When should G0518 be reported instead of a removal-only code?
G0518 represents the combined removal-and-reinsertion procedure. Do not unbundle its two steps as separate removal-only and insertion-only services for that same replacement.
What documentation supports G0518?
Document removal of the existing implant, placement of the replacement, and the treated site. The record should make clear that both parts occurred during the procedure.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate for G0518.
Can an assistant or co-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.
15,310G0514,,"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
15,316G0521,,New pt-cg dyad dem hig 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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002