Medicare Reimbursement for CPT 11732

CPT 11732 is a procedure code defined by the American Medical Association; its specific clinical descriptor is not reproduced here due to licensing restrictions. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code at the national level and by locality, broken out for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$32.40	$15.03
ALASKA* (AK)	$39.37	$20.87
ALABAMA (AL)	$29.58	$14.39
ARKANSAS (AR)	$29.23	$14.31
ARIZONA (AZ)	$31.66	$14.83
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$40.80	$16.31
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$41.57	$16.52
OXNARD-THOUSAND OAKS-VENTURA (CA)	$35.83	$15.30
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$36.05	$15.51
NAPA (CA)	$38.74	$15.85
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$40.84	$16.35
VALLEJO (CA)	$38.69	$15.80
BAKERSFIELD (CA)	$34.07	$15.03
CHICO (CA)	$33.97	$14.94
FRESNO (CA)	$33.97	$14.94
HANFORD-CORCORAN (CA)	$33.97	$14.94
MADERA (CA)	$33.97	$14.94
MERCED (CA)	$33.97	$14.94
MODESTO (CA)	$33.97	$14.94
REDDING (CA)	$33.97	$14.94
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$34.30	$15.27
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$35.48	$15.28
SALINAS (CA)	$35.34	$15.21
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$41.71	$16.66
SANTA CRUZ-WATSONVILLE (CA)	$36.29	$15.18
SANTA ROSA-PETALUMA (CA)	$36.65	$15.32
STOCKTON (CA)	$33.97	$14.94
VISALIA (CA)	$33.97	$14.94
YUBA CITY (CA)	$33.97	$14.94
EL CENTRO (CA)	$33.98	$14.94
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$36.04	$15.27
SAN LUIS OBISPO-PASO ROBLES (CA)	$34.79	$15.01
SANTA MARIA-SANTA BARBARA (CA)	$35.44	$15.19
REST OF CALIFORNIA (CA)	$33.97	$14.94
COLORADO (CO)	$33.55	$15.07
CONNECTICUT (CT)	$34.32	$15.62
DC + MD/VA SUBURBS (DC)	$36.57	$16.11
DELAWARE (DE)	$32.13	$14.97
FORT LAUDERDALE (FL)	$33.46	$15.86
MIAMI (FL)	$34.71	$16.63
REST OF FLORIDA (FL)	$32.07	$15.46
ATLANTA (GA)	$32.94	$15.30
REST OF GEORGIA (GA)	$30.54	$15.04
HAWAII, GUAM (HI)	$34.59	$14.84
IOWA (IA)	$30.18	$14.28
IDAHO (ID)	$30.35	$14.37
EAST ST. LOUIS (IL)	$31.89	$15.91
SUBURBAN CHICAGO (IL)	$33.77	$15.94
CHICAGO (IL)	$33.88	$16.42
REST OF ILLINOIS (IL)	$31.31	$15.45
INDIANA (IN)	$30.49	$14.39
KANSAS (KS)	$30.07	$14.37
KENTUCKY (KY)	$30.20	$14.76
NEW ORLEANS (LA)	$31.41	$15.07
REST OF LOUISIANA (LA)	$30.17	$14.80
METROPOLITAN BOSTON (MA)	$36.49	$15.75
REST OF MASSACHUSETTS (MA)	$33.40	$15.11
BALTIMORE/SURR. CNTYS (MD)	$34.22	$15.59
REST OF MARYLAND (MD)	$32.67	$15.09
SOUTHERN MAINE (ME)	$31.86	$14.65
REST OF MAINE (ME)	$30.50	$14.52
DETROIT (MI)	$32.42	$15.66
REST OF MICHIGAN (MI)	$30.87	$15.01
MINNESOTA (MN)	$32.25	$14.37
METROPOLITAN ST. LOUIS (MO)	$31.49	$14.95
METROPOLITAN KANSAS CITY (MO)	$31.21	$14.91
REST OF MISSOURI (MO)	$29.75	$14.77
MISSISSIPPI (MS)	$29.49	$14.54
MONTANA** (MT)	$32.40	$15.03
NORTH CAROLINA (NC)	$30.76	$14.56
NORTH DAKOTA** (ND)	$31.80	$14.44
NEBRASKA (NE)	$30.31	$14.28
NEW HAMPSHIRE (NH)	$33.05	$14.97
NORTHERN NJ (NJ)	$36.29	$16.14
REST OF NEW JERSEY (NJ)	$34.74	$15.78
NEW MEXICO (NM)	$31.02	$15.09
NEVADA** (NV)	$32.25	$14.86
MANHATTAN (NY)	$36.86	$16.68
NYC SUBURBS/LONG ISLAND (NY)	$37.65	$17.00
POUGHKPSIE/N NYC SUBURBS (NY)	$34.97	$15.96
QUEENS (NY)	$37.10	$16.57
REST OF NEW YORK (NY)	$31.15	$14.65
OHIO (OH)	$30.75	$14.89
OKLAHOMA (OK)	$30.14	$14.63
PORTLAND (OR)	$34.45	$15.16
REST OF OREGON (OR)	$32.03	$14.73
METROPOLITAN PHILADELPHIA (PA)	$33.60	$15.51
REST OF PENNSYLVANIA (PA)	$30.78	$14.84
PUERTO RICO (PR)	$32.59	$15.03
RHODE ISLAND (RI)	$33.15	$15.21
SOUTH CAROLINA (SC)	$30.80	$14.75
SOUTH DAKOTA** (SD)	$31.73	$14.37
TENNESSEE (TN)	$30.20	$14.41
BRAZORIA (TX)	$32.11	$14.89
DALLAS (TX)	$32.29	$14.99
GALVESTON (TX)	$32.19	$14.95
HOUSTON (TX)	$32.74	$15.49
BEAUMONT (TX)	$30.61	$14.81
FORT WORTH (TX)	$32.11	$14.99
AUSTIN (TX)	$33.41	$15.04
REST OF TEXAS (TX)	$31.33	$14.85
UTAH (UT)	$31.15	$14.83
VIRGINIA (VA)	$31.78	$14.71
VIRGIN ISLANDS (VI)	$32.59	$15.03
VERMONT (VT)	$31.71	$14.52
SEATTLE (KING CNTY) (WA)	$37.16	$15.84
REST OF WASHINGTON (WA)	$33.33	$15.04
WISCONSIN (WI)	$30.91	$14.27
WEST VIRGINIA (WV)	$30.34	$15.24
WYOMING** (WY)	$32.14	$14.77

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 4 units per patient per day — Date of Service Edit: Clinical. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare's PFS amount is built from three Relative Value Units (RVUs) — work, practice expense, and malpractice — assigned to each procedure code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is furnished, then the adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Non-facility settings (like an independent office) typically use a higher practice-expense RVU than facility settings (like a hospital), since overhead costs are handled differently, which is why the same code can have two different allowed amounts depending on place of service.

RVUs — work 0.37, practice expense 0.57 (non-facility) / 0.05 (facility), malpractice 0.03 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This amount is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the beneficiary or secondary insurance is responsible for the remainder.
Actual payment can vary based on modifiers, the specific locality, sequestration adjustments, and annual budget-neutrality changes to RVUs or the conversion factor.
Always confirm final payment amounts and coverage rules with your Medicare Administrative Contractor (MAC).

Frequently asked

Why does the facility amount differ from the non-facility amount for the same code?

The practice-expense RVU is lower in the facility setting because the facility itself bears certain overhead and resource costs separately, while in a non-facility setting the billing provider absorbs those costs directly.

Does this fee schedule amount reflect what Medicare will actually pay?

It reflects the allowed amount before cost-sharing. Medicare generally pays 80% of that allowed amount after the deductible, with the remainder owed by the patient or a secondary payer.

Why might my locality's amount differ from the national figure shown?

GPCIs adjust the RVUs based on local cost differences such as wages, rents, and malpractice premiums, so the same code can be reimbursed differently across geographic areas.

Can modifiers change this amount?

Yes. Certain modifiers can increase, decrease, or otherwise adjust the payable amount, and those adjustments are not reflected in this base fee schedule figure.

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Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.