CPT 11983
Global 000 ActiveRemove/insert drug implant
CPT 11983 Billing & Documentation Guide
CPT code 11983 (Remove/insert drug implant) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.86, a non-facility practice expense RVU of 2.13, and a malpractice RVU of 0.34, a total non-facility RVU of 4.33 and facility RVU of 2.66. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $147.36, though rates vary from $129.09 to $177.64 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11983, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 11983 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 11983 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 11983
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.86 | 1.86 |
| Practice Expense RVU | 2.13 | 0.46 |
| Malpractice RVU | 0.34 | 0.34 |
| Total RVU | 4.33 | 2.66 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11983
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $154.69 | $88.69 | $147.24 - $177.64 | 29 |
| Florida | $155.62 | $99.65 | $147.21 - $164.91 | 3 |
| Georgia | $143.68 | $90.47 | $139.12 - $148.23 | 2 |
| Illinois | $152.79 | $98.89 | $144.83 - $160.12 | 4 |
| Michigan | $144.92 | $92.54 | $139.9 - $149.93 | 2 |
| North Carolina | $135.76 | $83.72 | $135.76 - $135.76 | 1 |
| New York | $159.88 | $97.65 | $137.7 - $171.78 | 5 |
| Ohio | $138.53 | $87.6 | $138.53 - $138.53 | 1 |
| Pennsylvania | $144.51 | $89.88 | $138.17 - $150.85 | 2 |
| Texas | $143.06 | $88.14 | $137.42 - $148.89 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 11983
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11983 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11042 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11043 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 11983
What does CPT code 11983 mean? +
CPT code 11983 represents: Remove/insert drug implant. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 11983? +
The 2026 Medicare national average non-facility payment for CPT 11983 is $147.36. Rates range from $129.09 to $177.64 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11983? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 11983? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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