$6,212.47–$7,440.31
0446T describes implanting a subcutaneous glucose sensor. Choose 0447T when the service is removal rather than insertion.
On this page
CMS RVU26D · Effective 2026-10-01
0447T Sensor removal Medicare reimbursement rates in Virginia
Report removal of an implanted subcutaneous glucose sensor, such as an implantable continuous glucose monitor, when the sensor is extracted without replacement. Compare 0447T office and facility rates across CMS payment localities in Virginia.
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 0447T in Virginia?
Virginia 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
$99.16–$113.23
2 of 2 localities have a supported rate.
Facility setting
$55.49–$60.90
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.
Glucose monitoring procedure
About 0447T: Implantable glucose sensor removal
Report removal of an implanted subcutaneous glucose sensor, such as an implantable continuous glucose monitor, when the sensor is extracted without replacement.
This service covers a procedure to remove an implantable glucose sensor from subcutaneous tissue, commonly from the upper arm. A clinician trained in implantable continuous glucose monitoring procedures, often in an endocrinology practice, makes an incision, locates the sensor, and extracts it; surrounding tissue may be removed as needed. It is distinct from taking off an external CGM sensor, which is worn on the skin.
Report 0447T when the encounter is for sensor removal alone. If the clinician removes the sensor and inserts a replacement during the same procedure, use 0448T instead. Document the implanted device, removal site, and that the sensor was actually extracted. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure payment reduction. Modifier 50 is not appropriate for this single-sensor removal. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 0447T
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.31 · 43%
- Practice expense (office) RVU1.63 · 54%
- Malpractice RVU0.08 · 3%
76
Medicare services in 2024 · #5092 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.
0447T compared with similar codes
Office rates for Virginia, from the same CMS release.
$6,113.33–$7,318.59
0448T is for removing an implantable sensor and inserting a replacement in the same procedure. Use 0447T when the sensor is removed without replacement.
$149.58–$179.70
95250 concerns professional CGM services involving an external sensor. 0447T is for removing a sensor implanted under the skin.
Compare 0447T 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
Dc + Md/Va Suburbs →
Office / nonfacility
$113.23
Facility
$60.90
Virginia →
Office / nonfacility
$99.16
Facility
$55.49
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0447T billing questions
Should 0447T or 0448T be reported when the sensor is replaced?
Use 0447T for removal alone. When the clinician removes the old implantable sensor and inserts a replacement in the same procedure, report 0448T.
Can 0447T be reported for removal of an external CGM sensor?
No. This code is for removing an implanted subcutaneous sensor, not detaching an external sensor worn on the skin.
What documentation supports reporting 0447T?
Document the implantable sensor, its removal site, and the procedure establishing that the sensor was extracted. If a replacement was inserted during the same procedure, consider 0448T instead.
Can modifier 50 be used for bilateral sensor removal?
CMS identifies bilateral adjustment as inappropriate for this code. Report the removal of the individual implanted sensor without modifier 50.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. CMS assigns a 0-day global period.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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.
4010444T,,1st plmt drug elut oc ins,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4020445T,,Sbsqt plmt drug elut oc ins,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4030446T,,Insj impltbl glucose sensor,A,,1.11,188.02,,0.26,,0.09,189.22,1.46,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4040447T,,Rmvl impltbl glucose sensor,A,,1.31,1.63,,0.30,,0.08,3.02,1.69,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4050448T,,Remvl insj impltbl gluc sens,A,,1.86,184.18,,0.43,,0.17,186.21,2.46,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4060449T,,Insj aqueous drain dev 1st,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,YYY,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4070450T,,Insj aqueous drain dev each,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,YYY,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00