# CPT 20680: Removal of implant, deep (e.g., buried wire, pin, rod)

Medicare CPT 20680 pays $631.95 in a non-facility setting and $394.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $558.02 in Arkansas to $739.24 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/20680-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $631.95 |
| National facility | $394.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $739.24 | $486.32 |
| District of Columbia | $718.07 | $438.31 |
| New York | $700.40 | $435.47 |
| California | $696.46 | $415.46 |
| New Jersey | $695.58 | $428.17 |
| Washington | $686.94 | $416.21 |
| Massachusetts | $681.64 | $414.84 |
| Connecticut | $674.25 | $418.49 |
| Hawaii | $672.18 | $402.16 |
| Florida | $666.80 | $428.53 |
| Maryland | $654.32 | $406.75 |
| Colorado | $652.28 | $399.60 |
| Illinois | $651.30 | $421.83 |
| Oregon | $645.24 | $395.06 |
| Rhode Island | $645.09 | $399.77 |
| New Hampshire | $644.02 | $396.80 |
| Puerto Rico | $635.84 | $395.75 |
| Virgin Islands | $635.84 | $395.75 |
| Montana | $631.87 | $394.39 |
| Pennsylvania | $627.88 | $395.28 |
| Nevada | $626.43 | $388.72 |
| Delaware | $624.51 | $389.88 |
| Texas | $624.26 | $390.46 |
| Wyoming | $622.74 | $385.26 |
| Michigan | $621.83 | $398.83 |
| Georgia | $620.67 | $394.12 |
| Minnesota | $618.69 | $374.32 |
| Virginia | $614.69 | $381.25 |
| Arizona | $614.37 | $384.25 |
| North Dakota | $610.91 | $373.43 |
| Vermont | $610.43 | $375.32 |
| South Dakota | $608.44 | $370.96 |
| New Mexico | $605.66 | $387.89 |
| Utah | $604.18 | $380.95 |
| Maine | $600.81 | $373.90 |
| Louisiana | $598.59 | $381.77 |
| Missouri | $598.25 | $380.33 |
| Ohio | $597.21 | $380.39 |
| South Carolina | $596.05 | $376.61 |
| West Virginia | $594.48 | $388.11 |
| North Carolina | $592.20 | $370.63 |
| Wisconsin | $590.54 | $363.03 |
| Indiana | $584.37 | $364.22 |
| Kentucky | $584.26 | $373.14 |
| Idaho | $581.09 | $362.61 |
| Oklahoma | $580.98 | $368.91 |
| Nebraska | $578.93 | $359.74 |
| Tennessee | $578.93 | $363.06 |
| Iowa | $576.38 | $359.09 |
| Kansas | $575.75 | $361.06 |
| Mississippi | $566.76 | $362.29 |
| Alabama | $566.27 | $358.47 |
| Arkansas | $558.02 | $354.03 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 20680 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules