Medicare Reimbursement for CPT 14020

CPT 14020 is a procedure code billed under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code at the national level and by locality, broken out for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$717.45	$504.69
ALASKA* (AK)	$849.20	$622.61
ALABAMA (AL)	$646.84	$460.67
ARKANSAS (AR)	$637.96	$455.19
ARIZONA (AZ)	$698.73	$492.56
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$904.64	$604.64
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$921.59	$614.79
OXNARD-THOUSAND OAKS-VENTURA (CA)	$793.14	$541.66
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$798.02	$546.32
NAPA (CA)	$858.58	$578.16
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$905.77	$605.78
VALLEJO (CA)	$856.95	$576.53
BAKERSFIELD (CA)	$751.95	$518.77
CHICO (CA)	$749.05	$515.86
FRESNO (CA)	$749.05	$515.86
HANFORD-CORCORAN (CA)	$749.05	$515.86
MADERA (CA)	$749.05	$515.86
MERCED (CA)	$749.05	$515.86
MODESTO (CA)	$749.05	$515.86
REDDING (CA)	$749.05	$515.86
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$759.87	$526.68
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$783.59	$536.15
SALINAS (CA)	$780.62	$534.03
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$926.24	$619.43
SANTA CRUZ-WATSONVILLE (CA)	$803.41	$544.90
SANTA ROSA-PETALUMA (CA)	$811.36	$550.08
STOCKTON (CA)	$749.05	$515.86
VISALIA (CA)	$749.05	$515.86
YUBA CITY (CA)	$749.05	$515.86
EL CENTRO (CA)	$749.21	$516.02
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$797.19	$542.73
SAN LUIS OBISPO-PASO ROBLES (CA)	$768.35	$526.01
SANTA MARIA-SANTA BARBARA (CA)	$783.06	$534.97
REST OF CALIFORNIA (CA)	$749.05	$515.86
COLORADO (CO)	$741.69	$515.31
CONNECTICUT (CT)	$763.73	$534.59
DC + MD/VA SUBURBS (DC)	$813.83	$563.19
DELAWARE (DE)	$709.87	$499.66
FORT LAUDERDALE (FL)	$750.28	$534.75
MIAMI (FL)	$786.93	$565.44
REST OF FLORIDA (FL)	$714.50	$511.10
ATLANTA (GA)	$732.05	$515.88
REST OF GEORGIA (GA)	$675.38	$485.60
HAWAII, GUAM (HI)	$764.89	$522.98
IOWA (IA)	$659.15	$464.47
IDAHO (ID)	$663.94	$468.19
EAST ST. LOUIS (IL)	$715.41	$519.66
SUBURBAN CHICAGO (IL)	$757.00	$538.49
CHICAGO (IL)	$764.60	$550.77
REST OF ILLINOIS (IL)	$697.20	$502.95
INDIANA (IN)	$667.51	$470.28
KANSAS (KS)	$657.79	$465.45
KENTUCKY (KY)	$664.78	$475.64
NEW ORLEANS (LA)	$695.51	$495.30
REST OF LOUISIANA (LA)	$664.42	$476.13
METROPOLITAN BOSTON (MA)	$810.51	$556.47
REST OF MASSACHUSETTS (MA)	$738.23	$514.19
BALTIMORE/SURR. CNTYS (MD)	$761.90	$533.60
REST OF MARYLAND (MD)	$722.45	$507.13
SOUTHERN MAINE (ME)	$701.09	$490.24
REST OF MAINE (ME)	$668.91	$473.17
DETROIT (MI)	$724.65	$519.34
REST OF MICHIGAN (MI)	$682.71	$488.45
MINNESOTA (MN)	$706.96	$488.02
METROPOLITAN ST. LOUIS (MO)	$695.97	$493.42
METROPOLITAN KANSAS CITY (MO)	$689.30	$489.51
REST OF MISSOURI (MO)	$654.63	$471.23
MISSISSIPPI (MS)	$646.34	$463.15
MONTANA** (MT)	$717.38	$504.62
NORTH CAROLINA (NC)	$675.32	$476.81
NORTH DAKOTA** (ND)	$697.61	$484.85
NEBRASKA (NE)	$662.11	$465.73
NEW HAMPSHIRE (NH)	$731.68	$510.19
NORTHERN NJ (NJ)	$806.36	$559.56
REST OF NEW JERSEY (NJ)	$771.40	$539.06
NEW MEXICO (NM)	$686.91	$491.80
NEVADA** (NV)	$712.32	$499.35
MANHATTAN (NY)	$824.80	$577.57
NYC SUBURBS/LONG ISLAND (NY)	$845.97	$592.99
POUGHKPSIE/N NYC SUBURBS (NY)	$777.69	$544.72
QUEENS (NY)	$828.96	$577.48
REST OF NEW YORK (NY)	$685.09	$482.96
OHIO (OH)	$678.66	$484.41
OKLAHOMA (OK)	$661.97	$471.97
PORTLAND (OR)	$762.49	$526.11
REST OF OREGON (OR)	$705.74	$493.82
METROPOLITAN PHILADELPHIA (PA)	$746.54	$525.05
REST OF PENNSYLVANIA (PA)	$678.80	$483.49
PUERTO RICO (PR)	$721.89	$506.78
RHODE ISLAND (RI)	$733.13	$513.34
SOUTH CAROLINA (SC)	$678.32	$481.73
SOUTH DAKOTA** (SD)	$695.27	$482.51
TENNESSEE (TN)	$661.14	$467.73
BRAZORIA (TX)	$707.94	$497.10
DALLAS (TX)	$713.03	$501.12
GALVESTON (TX)	$710.45	$499.17
HOUSTON (TX)	$728.75	$517.47
BEAUMONT (TX)	$674.68	$481.06
FORT WORTH (TX)	$708.97	$499.19
AUSTIN (TX)	$740.15	$515.05
REST OF TEXAS (TX)	$691.32	$489.40
UTAH (UT)	$687.11	$487.11
VIRGINIA (VA)	$700.00	$490.85
VIRGIN ISLANDS (VI)	$721.89	$506.78
VERMONT (VT)	$696.46	$485.83
SEATTLE (KING CNTY) (WA)	$825.00	$563.94
REST OF WASHINGTON (WA)	$736.32	$512.28
WISCONSIN (WI)	$675.48	$471.66
WEST VIRGINIA (WV)	$673.04	$488.15
WYOMING** (WY)	$708.77	$496.00

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 2 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 payment is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each procedure code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual Conversion Factor (CF) set by CMS to produce the allowed amount. Non-facility and facility rates differ mainly in the practice-expense RVU, since facility settings assume the facility (not the physician's office) bears certain overhead costs.

RVUs — work 7.04, practice expense 13.44 (non-facility) / 7.07 (facility), malpractice 1 — × 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 patient or secondary insurer is responsible for the remainder.
Actual payment can vary based on locality-specific GPCIs, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
Always confirm final payment amounts and coverage policy with your Medicare Administrative Contractor (MAC).

Frequently asked

Why does the facility amount differ from the non-facility amount?

The facility rate uses a lower practice-expense RVU because overhead costs like equipment and staff are assumed to be borne by the facility rather than the billing physician's practice.

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

CMS applies Geographic Practice Cost Indices (GPCIs) to adjust work, practice expense, and malpractice RVUs for regional cost-of-living and labor differences before applying the conversion factor.

Does this reflect what my practice will actually be paid?

No. This is an estimated allowed amount based on the standard PFS formula; actual reimbursement may be affected by modifiers, secondary payers, sequestration, and contract terms.

How often do these amounts change?

CMS updates RVUs, GPCIs, and the conversion factor annually, and may apply mid-year or budget-neutrality adjustments, so amounts shown are specific to the stated year.

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.