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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | None AG - Primary physician UA |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11982 |
| Medicaid Fee Schedule | View Medicaid rates for 11982 |
National average reimbursement for CPT 11982 by major payers:

$151.41

$173.31

$175.04

$206.16
Choose a payer to see a sample of rates for CPT 11982.
Surgery Center At University Park LLC
Deaconess Hospital Inc
Town Center Orthopaedic Associates, P.C.
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 11982 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11982 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 11982 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 11976-CPT | Low | Removal Implantable Contracep, Removal Implantable Contraceptive Capsulesremoval Implantable Contraceptive Capsules |
| 11981-CPT | Low | Implant Drug Delivery Unit, Procedure To Implant (Insert Under The Skin) A Nonbiodegradable Device That Dispenses A Drug Automatically. |
| 11982-CPT | Low | Remove Drug Delivery Unit, Procedure To Remove A Nonbiodegradable Device For Dispensing A Drug That Had Been Inserted Under The Skin. |
| 11983-CPT | Moderate | Replace Drug Delivery Unit, Procedure To Remove An Old Drug Delivery Device And Replace It With A New One. The Device Is Nonbiodegradable And Dispenses Doses Automatically. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11982. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11982 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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