Medicare Reimbursement for CPT 14021

CPT 14021 is a procedure code defined by the American Medical Association; the specific clinical descriptor is not reproduced here due to licensing restrictions. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code, both at the national level and adjusted for locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$882.79	$620.25
ALASKA* (AK)	$1055.42	$775.82
ALABAMA (AL)	$798.50	$568.78
ARKANSAS (AR)	$787.91	$562.39
ARIZONA (AZ)	$860.29	$605.90
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1101.89	$731.72
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1122.13	$743.56
OXNARD-THOUSAND OAKS-VENTURA (CA)	$970.23	$659.92
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$976.66	$666.09
NAPA (CA)	$1047.33	$701.31
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1103.38	$733.21
VALLEJO (CA)	$1045.18	$699.17
BAKERSFIELD (CA)	$921.84	$634.11
CHICO (CA)	$918.02	$630.28
FRESNO (CA)	$918.02	$630.28
HANFORD-CORCORAN (CA)	$918.02	$630.28
MADERA (CA)	$918.02	$630.28
MERCED (CA)	$918.02	$630.28
MODESTO (CA)	$918.02	$630.28
REDDING (CA)	$918.02	$630.28
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$932.20	$644.47
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$959.03	$653.71
SALINAS (CA)	$955.36	$651.09
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1128.21	$749.64
SANTA CRUZ-WATSONVILLE (CA)	$981.45	$662.47
SANTA ROSA-PETALUMA (CA)	$991.09	$668.70
STOCKTON (CA)	$918.02	$630.28
VISALIA (CA)	$918.02	$630.28
YUBA CITY (CA)	$918.02	$630.28
EL CENTRO (CA)	$918.23	$630.50
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$974.63	$660.65
SAN LUIS OBISPO-PASO ROBLES (CA)	$940.48	$641.46
SANTA MARIA-SANTA BARBARA (CA)	$958.07	$651.95
REST OF CALIFORNIA (CA)	$918.02	$630.28
COLORADO (CO)	$910.44	$631.10
CONNECTICUT (CT)	$938.53	$655.79
DC + MD/VA SUBURBS (DC)	$997.81	$688.55
DELAWARE (DE)	$873.68	$614.30
FORT LAUDERDALE (FL)	$924.93	$658.99
MIAMI (FL)	$971.11	$697.81
REST OF FLORIDA (FL)	$881.81	$630.83
ATLANTA (GA)	$900.89	$634.16
REST OF GEORGIA (GA)	$834.77	$600.59
HAWAII, GUAM (HI)	$935.93	$637.43
IOWA (IA)	$812.00	$571.78
IDAHO (ID)	$817.94	$576.41
EAST ST. LOUIS (IL)	$885.36	$643.83
SUBURBAN CHICAGO (IL)	$932.89	$663.27
CHICAGO (IL)	$944.28	$680.43
REST OF ILLINOIS (IL)	$861.97	$622.28
INDIANA (IN)	$822.16	$578.79
KANSAS (KS)	$810.93	$573.61
KENTUCKY (KY)	$821.08	$587.69
NEW ORLEANS (LA)	$857.92	$610.87
REST OF LOUISIANA (LA)	$820.87	$588.53
METROPOLITAN BOSTON (MA)	$992.30	$678.84
REST OF MASSACHUSETTS (MA)	$906.66	$630.21
BALTIMORE/SURR. CNTYS (MD)	$936.36	$654.66
REST OF MARYLAND (MD)	$888.63	$622.95
SOUTHERN MAINE (ME)	$861.94	$601.77
REST OF MAINE (ME)	$824.46	$582.93
DETROIT (MI)	$894.52	$641.18
REST OF MICHIGAN (MI)	$842.98	$603.29
MINNESOTA (MN)	$867.13	$596.99
METROPOLITAN ST. LOUIS (MO)	$857.80	$607.87
METROPOLITAN KANSAS CITY (MO)	$849.91	$603.40
REST OF MISSOURI (MO)	$809.56	$583.26
MISSISSIPPI (MS)	$798.75	$572.71
MONTANA** (MT)	$882.70	$620.17
NORTH CAROLINA (NC)	$831.99	$587.05
NORTH DAKOTA** (ND)	$856.80	$594.26
NEBRASKA (NE)	$815.35	$573.03
NEW HAMPSHIRE (NH)	$898.73	$625.44
NORTHERN NJ (NJ)	$989.29	$684.76
REST OF NEW JERSEY (NJ)	$947.76	$661.07
NEW MEXICO (NM)	$848.22	$607.48
NEVADA** (NV)	$876.00	$613.21
MANHATTAN (NY)	$1013.32	$708.26
NYC SUBURBS/LONG ISLAND (NY)	$1039.28	$727.13
POUGHKPSIE/N NYC SUBURBS (NY)	$955.85	$668.38
QUEENS (NY)	$1017.47	$707.15
REST OF NEW YORK (NY)	$843.67	$594.27
OHIO (OH)	$837.69	$598.00
OKLAHOMA (OK)	$817.13	$582.69
PORTLAND (OR)	$934.64	$642.96
REST OF OREGON (OR)	$867.70	$606.22
METROPOLITAN PHILADELPHIA (PA)	$918.35	$645.05
REST OF PENNSYLVANIA (PA)	$837.54	$596.54
PUERTO RICO (PR)	$887.88	$622.46
RHODE ISLAND (RI)	$901.32	$630.12
SOUTH CAROLINA (SC)	$836.52	$593.94
SOUTH DAKOTA** (SD)	$853.73	$591.20
TENNESSEE (TN)	$814.99	$576.35
BRAZORIA (TX)	$870.99	$610.82
DALLAS (TX)	$877.33	$615.85
GALVESTON (TX)	$874.14	$613.44
HOUSTON (TX)	$898.11	$637.42
BEAUMONT (TX)	$832.66	$593.76
FORT WORTH (TX)	$872.68	$613.82
AUSTIN (TX)	$908.73	$630.97
REST OF TEXAS (TX)	$851.90	$602.76
UTAH (UT)	$846.98	$600.20
VIRGINIA (VA)	$861.04	$602.97
VIRGIN ISLANDS (VI)	$887.88	$622.46
VERMONT (VT)	$855.95	$596.04
SEATTLE (KING CNTY) (WA)	$1009.19	$687.07
REST OF WASHINGTON (WA)	$904.13	$627.69
WISCONSIN (WI)	$830.57	$579.06
WEST VIRGINIA (WV)	$833.21	$605.07
WYOMING** (WY)	$871.41	$608.88

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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 amount is built from three Relative Value Units (RVUs) assigned to the code: physician work, practice expense, and malpractice. Each RVU component is adjusted using the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is performed, 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 primarily in the practice-expense RVU, since facility settings (like hospitals) typically have lower overhead attributed to the professional fee because the facility bills separately for its costs.

RVUs — work 9.48, practice expense 15.64 (non-facility) / 7.78 (facility), malpractice 1.31 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This 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 by locality, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

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 itself (e.g., a hospital) bills separately for overhead, equipment, and supplies, whereas the non-facility rate assumes the billing provider absorbs those costs.

Why might the amount I see differ from what my MAC pays?

Local GPCIs, applied modifiers, site-of-service differences, sequestration, and year-to-year budget-neutrality adjustments can all change the final paid amount from the national benchmark shown here.

Does this figure represent what Medicare actually pays?

No. It represents the Medicare-allowed amount. Medicare generally reimburses 80% of that amount after the patient's deductible has been met, with the remaining 20% being patient or secondary-payer responsibility.

Where can I find the official CPT descriptor for this code?

The full CPT code descriptor is maintained by the American Medical Association and is not reproduced here due to licensing restrictions; consult your CPT codebook or AMA resources.

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.