CPT 20680
Global 090 ActiveRemoval of implant deep
CPT 20680 Billing & Documentation Guide
CPT code 20680 (Removal of implant deep) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 5.81, a non-facility practice expense RVU of 12.05, and a malpractice RVU of 1.06, a total non-facility RVU of 18.92 and facility RVU of 11.81. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $648.37, though rates vary from $558.02 to $814.76 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 20680, 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 20680 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 20680 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 20680
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.81 | 5.81 |
| Practice Expense RVU | 12.05 | 4.94 |
| Malpractice RVU | 1.06 | 1.06 |
| Total RVU | 18.92 | 11.81 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 20680
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 | $696.46 | $415.46 | $657.45 - $814.76 | 29 |
| Florida | $666.8 | $428.53 | $632.04 - $702.58 | 3 |
| Georgia | $620.68 | $394.12 | $595.27 - $646.08 | 2 |
| Illinois | $651.3 | $421.83 | $616.86 - $681.17 | 4 |
| Michigan | $621.83 | $398.83 | $601.5 - $642.15 | 2 |
| North Carolina | $592.2 | $370.63 | $592.2 - $592.2 | 1 |
| New York | $700.4 | $435.47 | $601.31 - $750.78 | 5 |
| Ohio | $597.21 | $380.39 | $597.21 - $597.21 | 1 |
| Pennsylvania | $627.88 | $395.28 | $596.99 - $658.77 | 2 |
| Texas | $624.26 | $390.46 | $593.21 - $651.64 | 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 20680
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 20680 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 |
| 0490T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0510T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0511T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 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 |
| 0718T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 20680
What does CPT code 20680 mean? +
CPT code 20680 represents: Removal of implant deep. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 20680? +
The 2026 Medicare national average non-facility payment for CPT 20680 is $648.37. Rates range from $558.02 to $814.76 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 20680? +
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 20680? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team