$79.97
Use 20702 when the device is placed in a bone’s medullary canal. Use 20700 for deep placement, such as subfascial placement.
On this page
CMS RVU26D · Effective 2026-10-01
20702 Drug delivery Medicare reimbursement rates in Oklahoma
Report this add-on when a surgeon manually prepares and inserts a drug-delivery device into a bone’s medullary canal during a primary procedure. Compare 20702 office and facility rates across CMS payment localities in Oklahoma.
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 20702 in Oklahoma?
Oklahoma 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
$138.96
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$116.59
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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.
Orthopedic surgery
About 20702: Intramedullary drug-delivery device insertion
Report this add-on when a surgeon manually prepares and inserts a drug-delivery device into a bone’s medullary canal during a primary procedure.
This service covers manually preparing a drug-delivery device and placing it within the medullary canal of a bone. A typical example is an antibiotic-loaded cement rod or similar locally medicated device used during surgery for bone infection or an infected orthopedic implant. The orthopedic surgeon or another surgeon performing the primary operation documents the preparation and intramedullary placement; the code is not for a device placed in soft tissue or within a joint.
Report 20702 only with a primary procedure, not as a standalone service. The operative note should identify the bone or canal treated and describe the device preparation and insertion. Distinguish intramedullary placement from a deep, subfascial device or an intra-articular device. CMS classifies this as an add-on code paid within the primary procedure’s global period.
CMS billing rules for 20702
- 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 RVU2.44 · 55%
- Practice expense (office) RVU1.50 · 34%
- Malpractice RVU0.49 · 11%
819
Medicare services in 2024 · #3123 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.
20702 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$101.76
20702 covers manual preparation and insertion into the medullary canal; 20703 covers removal of an intramedullary drug-delivery device.
$146.10
Use 20704 for a manually prepared device placed inside a joint. Use 20702 for placement within a bone’s medullary canal.
Compare 20702 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
Oklahoma →
Office / nonfacility
$138.96
Facility
$116.59
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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 20702 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
1,792
- Code
- 20702
- Physician work
- 2.44
- Practice expense
- 1.50
- Malpractice
- 0.49
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.000 | 2.4400 |
| Practice expense | 1.50 | × 0.893 | 1.3395 |
| Malpractice | 0.49 | × 0.777 | 0.3807 |
| Total RVUs | 4.1602 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$138.96
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1 |
| Practice expense | 1.5 | 0.893 |
| Malpractice | 0.49 | 0.777 |
(2.44 × 1 + 1.5 × 0.893 + 0.49 × 0.777) × $33.4009 = $138.96
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1 |
| Practice expense | 0.75 | 0.893 |
| Malpractice | 0.49 | 0.777 |
(2.44 × 1 + 0.75 × 0.893 + 0.49 × 0.777) × $33.4009 = $116.59
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.
20702 billing questions
Can 20702 be reported by itself?
No. It is an add-on code and must be reported with a primary procedure.
How is 20702 different from 20700?
20702 describes insertion into a bone’s medullary canal. 20700 is for a deep, such as subfascial, drug-delivery device.
Does removal of an intramedullary device use 20702?
No. 20702 covers manual preparation and insertion. Removal of an intramedullary drug-delivery device is described by 20703.
What documentation supports 20702?
Document the device preparation, its insertion into the medullary canal, and the bone treated. The claim must also include the primary procedure.
Is a device placed inside a joint reported with 20702?
No. 20702 is for intramedullary placement; 20704 describes manual preparation and insertion of an intra-articular drug-delivery device.
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.
1,78920697,,App mltpln uni xtrnl fix xch,A,,0.00,57.17,,57.17,NA,0.03,57.20,57.20,3,000,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193