$62.58–$64.76
Choose 20703 for an intramedullary device; 20701 is for removal from a deep site not classified as intramedullary.
On this page
CMS RVU26D · Effective 2026-10-01
20703 Device removal Medicare reimbursement rates in Missouri
Report removal of a previously placed drug-delivery device from the medullary canal, alongside the primary procedure performed during that operative encounter. Compare 20703 office and facility rates across CMS payment localities in Missouri.
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 20703 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$103.11–$106.80
3 of 3 localities have a supported rate.
Facility setting
$87.27–$89.31
3 of 3 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.
Where 20703 pays more and less in Missouri
3 payment localities
$103.11 to $106.80
Orthopedic surgery
About 20703: Intramedullary drug-delivery device removal
Report removal of a previously placed drug-delivery device from the medullary canal, alongside the primary procedure performed during that operative encounter.
This code describes surgical removal of a drug-delivery device positioned within the medullary canal, such as an intramedullary antibiotic implant used in treating bone infection. An orthopedic surgeon typically performs the removal in an operating room, often during a subsequent procedure after the device has served its treatment purpose. The code is specific to intramedullary placement; removal from another deep site or from a joint has a different code in this family.
Report 20703 only with an eligible primary procedure for the operative encounter. CMS treats it as an add-on code paid within the primary procedure’s global period, so it is not reported as a stand-alone service. The operative note should identify the intramedullary location, the device removed, and the removal performed. It should also support the primary procedure billed with the add-on. The code describes removal, not preparation or insertion of a replacement device.
CMS billing rules for 20703
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.76 · 54%
- Practice expense (office) RVU1.11 · 34%
- Malpractice RVU0.38 · 12%
42
Medicare services in 2024 · #5459 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.
20703 compared with similar codes
Office rates for Missouri, from the same CMS release.
$121.85–$126.19
20705 applies to removal of an intra-articular device. 20703 applies to removal from the medullary canal.
$140.63–$145.59
20702 describes preparation and insertion of an intramedullary drug-delivery device. 20703 describes removal of one already in place.
Compare 20703 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$106.00
Facility
$88.75
Metropolitan St. Louis →
Office / nonfacility
$106.80
Facility
$89.31
Rest Of Missouri →
Office / nonfacility
$103.11
Facility
$87.27
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20703 billing questions
How does 20703 differ from 20701?
20703 is for removal from the medullary canal. 20701 describes removal of a drug-delivery device from a deep site outside that specific intramedullary category.
When would 20705 be used instead?
Use 20705 for removal of a drug-delivery device placed intra-articularly. Use 20703 when the device being removed was positioned within the medullary canal.
Can 20703 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure and is paid within that procedure’s global period.
Does 20703 include inserting a replacement device?
No. It describes removal. If a new intramedullary drug-delivery device is prepared and inserted during the encounter, document that work separately for consideration of the applicable insertion code.
What should the operative note establish?
Document that the device was located in the medullary canal and was removed, identify the device, and describe the primary procedure performed with the add-on.
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.
1,79020700,,Mnl prep&insj dp rx dlvr dev,A,,1.46,0.82,,0.40,,0.26,2.54,2.12,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79120701,,Rmvl deep rx delivery device,A,,1.10,0.66,,0.33,,0.21,1.97,1.64,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79220702,,Mnl prep&insj imed rx dev,A,,2.44,1.50,,0.75,,0.49,4.43,3.68,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79320703,,Rmvl imed rx delivery device,A,,1.76,1.11,,0.56,,0.38,3.25,2.70,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79420704,,Mnl prep&insj i-artic rx dev,A,,2.54,1.61,,0.80,,0.51,4.66,3.85,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79520705,,Rmvl i-artic rx delivery dev,A,,2.10,1.31,,0.65,,0.43,3.84,3.18,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,79620802,,Replantation arm complete,A,,41.55,23.01,NA,23.01,,8.86,73.42,73.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00