G0516 Insert drug del implant, >=4
Also known as: implant insertion, subdermal drug implant, medication implant placement
Insertion of drug delivery implant or device (subdermal, intradermal, or intramuscular) containing 4 or more implants.
In Plain Language
Insertion of medication capsule under skin; Subcutaneous medication implant; Long-acting drug implant
Clinical Context
Surgical placement of medication-containing implants for sustained drug delivery, including contraceptive implants, hormone therapy, or pain management.
RVU Breakdown
| Work RVU | 1.77 |
| Total RVU | 1.77 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day.Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
With a work RVU of 1.77, this code ranks in the 72nd percentile among G Codes codes — 1.8x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0516?
CPT G0516 (Insert drug del implant, >=4) is a G Codes code. Insertion of drug delivery implant or device (subdermal, intradermal, or intramuscular) containing 4 or more implants.
Who uses CPT code G0516?
CPT G0516 is used by Surgery, OB/GYN, Pain Management. Surgical placement of medication-containing implants for sustained drug delivery, including contraceptive implants, hormone therapy, or pain management.
When is CPT G0516 used?
Surgical placement of medication-containing implants for sustained drug delivery, including contraceptive implants, hormone therapy, or pain management.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.