Remove drug implant device
CPT code 11982 covers the surgical removal of a drug delivery implant device that has been placed under the skin, such as contraceptive implants or hormone pellets. This is a minor surgical procedure typically performed in an office or outpatient setting.
This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.
RVU breakdown
Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High
NCCI bundling edits
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Billing tips
Always verify the implant location and document laterality before the procedure
Impact: Prevents denials requiring laterality modifiers; reduces claim rework by 15-20%
Bill in non-facility setting when possible to capture the $36.55 higher reimbursement ($107.07 vs $70.52)
Impact: Direct revenue impact of 52% increase per procedure when performed in office versus hospital outpatient
Document any complications during removal (fragmentation, deep migration, difficulty locating) to support potential use of unlisted codes or additional time
Impact: Justifies additional reimbursement if procedure exceeds typical complexity; may support modifier 22 for increased procedural services
Do not bill 11982 with insertion code 11981 on same date unless removing old device and inserting new one at different site
Impact: Bundling edits will deny 11982 as included; must use modifier 59 with clear documentation to receive approximately $140 additional payment for insertion
Verify patient's contraceptive implant coverage separately from removal coverage, as some plans require prior authorization
Impact: Prior authorization denial rate for implant procedures averages 8-12%; verification prevents write-offs
For difficult removals requiring ultrasound guidance, consider billing 76942 separately with modifier 59
Impact: Can add $50-75 to total reimbursement when imaging guidance is medically necessary and documented
Common denials
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