Medicare Reimbursement for CPT 13132

CPT 13132 is a physician procedure code reported under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code nationally and adjusted for locality, broken out by non-facility (e.g., office) and facility (e.g., hospital) settings. The CPT descriptor itself is not shown here due to AMA licensing restrictions.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$462.27	$251.17
ALASKA* (AK)	$551.27	$326.45
ALABAMA (AL)	$418.68	$233.97
ARKANSAS (AR)	$413.18	$231.85
ARIZONA (AZ)	$450.84	$246.29
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$585.99	$288.35
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$597.11	$292.72
OXNARD-THOUSAND OAKS-VENTURA (CA)	$512.91	$263.40
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$515.92	$266.20
NAPA (CA)	$555.78	$277.56
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$586.57	$288.93
VALLEJO (CA)	$554.95	$276.73
BAKERSFIELD (CA)	$486.37	$255.01
CHICO (CA)	$484.81	$253.45
FRESNO (CA)	$484.81	$253.45
HANFORD-CORCORAN (CA)	$484.81	$253.45
MADERA (CA)	$484.81	$253.45
MERCED (CA)	$484.81	$253.45
MODESTO (CA)	$484.81	$253.45
REDDING (CA)	$484.81	$253.45
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$490.37	$259.01
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$507.17	$261.67
SALINAS (CA)	$505.23	$260.58
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$599.48	$295.09
SANTA CRUZ-WATSONVILLE (CA)	$519.89	$263.42
SANTA ROSA-PETALUMA (CA)	$525.06	$265.84
STOCKTON (CA)	$484.81	$253.45
VISALIA (CA)	$484.81	$253.45
YUBA CITY (CA)	$484.81	$253.45
EL CENTRO (CA)	$484.90	$253.54
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$515.89	$263.43
SAN LUIS OBISPO-PASO ROBLES (CA)	$497.26	$256.83
SANTA MARIA-SANTA BARBARA (CA)	$506.79	$260.66
REST OF CALIFORNIA (CA)	$484.81	$253.45
COLORADO (CO)	$478.94	$254.34
CONNECTICUT (CT)	$491.26	$263.91
DC + MD/VA SUBURBS (DC)	$524.14	$275.48
DELAWARE (DE)	$457.85	$249.29
FORT LAUDERDALE (FL)	$479.80	$265.96
MIAMI (FL)	$500.19	$280.44
REST OF FLORIDA (FL)	$458.10	$256.29
ATLANTA (GA)	$470.79	$256.32
REST OF GEORGIA (GA)	$434.26	$245.97
HAWAII, GUAM (HI)	$494.77	$254.76
IOWA (IA)	$427.38	$234.23
IDAHO (ID)	$430.12	$235.92
EAST ST. LOUIS (IL)	$456.37	$262.17
SUBURBAN CHICAGO (IL)	$484.33	$267.53
CHICAGO (IL)	$486.87	$274.72
REST OF ILLINOIS (IL)	$446.66	$253.94
INDIANA (IN)	$432.37	$236.69
KANSAS (KS)	$426.02	$235.19
KENTUCKY (KY)	$428.68	$241.01
NEW ORLEANS (LA)	$447.50	$248.86
REST OF LOUISIANA (LA)	$428.25	$241.43
METROPOLITAN BOSTON (MA)	$522.96	$270.91
REST OF MASSACHUSETTS (MA)	$476.65	$254.37
BALTIMORE/SURR. CNTYS (MD)	$489.94	$263.43
REST OF MARYLAND (MD)	$465.90	$252.28
SOUTHERN MAINE (ME)	$453.38	$244.18
REST OF MAINE (ME)	$432.66	$238.46
DETROIT (MI)	$463.82	$260.11
REST OF MICHIGAN (MI)	$439.27	$246.54
MINNESOTA (MN)	$458.67	$241.46
METROPOLITAN ST. LOUIS (MO)	$448.40	$247.44
METROPOLITAN KANSAS CITY (MO)	$444.21	$245.99
REST OF MISSOURI (MO)	$421.86	$239.90
MISSISSIPPI (MS)	$417.57	$235.82
MONTANA** (MT)	$462.23	$251.14
NORTH CAROLINA (NC)	$436.72	$239.77
NORTH DAKOTA** (ND)	$452.15	$241.06
NEBRASKA (NE)	$429.37	$234.54
NEW HAMPSHIRE (NH)	$472.01	$252.26
NORTHERN NJ (NJ)	$519.57	$274.70
REST OF NEW JERSEY (NJ)	$496.79	$266.27
NEW MEXICO (NM)	$441.66	$248.08
NEVADA** (NV)	$459.71	$248.41
MANHATTAN (NY)	$529.13	$283.83
NYC SUBURBS/LONG ISLAND (NY)	$541.56	$290.57
POUGHKPSIE/N NYC SUBURBS (NY)	$500.36	$269.21
QUEENS (NY)	$532.46	$282.95
REST OF NEW YORK (NY)	$442.73	$242.19
OHIO (OH)	$437.21	$244.48
OKLAHOMA (OK)	$427.48	$238.98
PORTLAND (OR)	$492.54	$258.02
REST OF OREGON (OR)	$456.05	$245.80
METROPOLITAN PHILADELPHIA (PA)	$480.23	$260.48
REST OF PENNSYLVANIA (PA)	$437.59	$243.80
PUERTO RICO (PR)	$465.20	$251.78
RHODE ISLAND (RI)	$472.94	$254.88
SOUTH CAROLINA (SC)	$437.70	$242.65
SOUTH DAKOTA** (SD)	$450.96	$239.86
TENNESSEE (TN)	$428.03	$236.15
BRAZORIA (TX)	$457.16	$247.97
DALLAS (TX)	$460.09	$249.84
GALVESTON (TX)	$458.56	$248.94
HOUSTON (TX)	$467.89	$258.28
BEAUMONT (TX)	$435.00	$242.90
FORT WORTH (TX)	$457.42	$249.28
AUSTIN (TX)	$477.43	$254.10
REST OF TEXAS (TX)	$445.85	$245.52
UTAH (UT)	$443.16	$244.73
VIRGINIA (VA)	$452.34	$244.83
VIRGIN ISLANDS (VI)	$465.20	$251.78
VERMONT (VT)	$450.96	$241.97
SEATTLE (KING CNTY) (WA)	$532.67	$273.66
REST OF WASHINGTON (WA)	$475.57	$253.29
WISCONSIN (WI)	$438.32	$236.09
WEST VIRGINIA (WV)	$431.67	$248.23
WYOMING** (WY)	$457.84	$246.75

Look up another code or locality →

Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. 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 pricing for this code is built from three Relative Value Units (RVUs): physician work, practice expense, and malpractice. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific Medicare locality, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility rates differ mainly in the practice-expense RVU, since facility settings assume the hospital or ASC absorbs more of the overhead cost.

RVUs — work 4.66, practice expense 8.67 (non-facility) / 2.35 (facility), malpractice 0.51 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment or coverage.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the patient or secondary payer is responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why is the facility amount lower than the non-facility amount?

The facility rate uses a lower practice-expense RVU because the facility (e.g., hospital) — not the billing physician — incurs most of the overhead, equipment, and supply costs for the procedure.

Will my locality's payment match the national amount shown?

No. The national figure uses standard GPCI values; actual payment in your area depends on your locality-specific GPCIs, which can raise or lower the final allowed amount.

Does this amount include the patient's share?

No. The figure represents the Medicare-allowed amount before cost-sharing; Medicare generally pays 80% after the deductible, with the remaining 20% owed by the patient or secondary insurer.

Can modifiers change this amount?

Yes. Modifiers such as those for bilateral procedures, multiple procedures, or professional/technical component splits can increase or decrease the final payment relative to the base PFS amount.

More free billing tools: all Medicare fees · fee calculator · denial code decoder

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.