CPT 20670
Global 010 ActiveRemoval implant superficial
CPT 20670 Billing & Documentation Guide
CPT code 20670 (Removal implant superficial) is classified under Surgery (Musculoskeletal) with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.75, a non-facility practice expense RVU of 9.07, and a malpractice RVU of 0.27, a total non-facility RVU of 11.09 and facility RVU of 4.19. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $383.53, though rates vary from $323.33 to $506.56 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 20670, 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 20670 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
10-day global period (minor procedure: pre-op day + procedure + 10 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 20670 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 20670
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.75 | 1.75 |
| Practice Expense RVU | 9.07 | 2.17 |
| Malpractice RVU | 0.27 | 0.27 |
| Total RVU | 11.09 | 4.19 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 20670
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 | $423.91 | $151.2 | $396.31 - $506.56 | 29 |
| Florida | $379.96 | $148.73 | $361.62 - $396.63 | 3 |
| Georgia | $358.34 | $138.48 | $339.43 - $377.25 | 2 |
| Illinois | $368.61 | $145.92 | $349.14 - $385.97 | 4 |
| Michigan | $355.61 | $139.2 | $345.22 - $366 | 2 |
| North Carolina | $346.86 | $131.84 | $346.86 - $346.86 | 1 |
| New York | $411.45 | $154.34 | $352.59 - $439.14 | 5 |
| Ohio | $344.13 | $133.72 | $344.13 - $344.13 | 1 |
| Pennsylvania | $365.36 | $139.61 | $345.08 - $385.63 | 2 |
| Texas | $365.4 | $138.51 | $342.51 - $387.08 | 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 20670
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 20670 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 11000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 20670
What does CPT code 20670 mean? +
CPT code 20670 represents: Removal implant superficial. It's in the Surgery (Musculoskeletal) category with a global period of 010.
What is the Medicare reimbursement for CPT 20670? +
The 2026 Medicare national average non-facility payment for CPT 20670 is $383.53. Rates range from $323.33 to $506.56 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 20670? +
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 20670? +
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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