Medicare Reimbursement for CPT 14041
CPT 14041 is a procedure code defined by the American Medical Association; this page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for 2026, both nationally and adjustable by locality, with separate figures for non-facility and facility settings. These figures reflect what Medicare's standard formula calculates before any claim-specific adjustments are applied.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $926.21 | $652.65 |
| ALASKA* (AK) | $1117.87 | $826.53 |
| ALABAMA (AL) | $841.31 | $601.95 |
| ARKANSAS (AR) | $830.64 | $595.65 |
| ARIZONA (AZ) | $903.60 | $638.52 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $1152.74 | $767.02 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $1173.81 | $779.35 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $1016.56 | $693.22 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $1023.43 | $699.81 |
| NAPA (CA) | $1096.17 | $735.63 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $1154.19 | $768.48 |
| VALLEJO (CA) | $1094.07 | $733.53 |
| BAKERSFIELD (CA) | $967.14 | $667.33 |
| CHICO (CA) | $963.32 | $663.50 |
| FRESNO (CA) | $963.32 | $663.50 |
| HANFORD-CORCORAN (CA) | $963.32 | $663.50 |
| MADERA (CA) | $963.32 | $663.50 |
| MERCED (CA) | $963.32 | $663.50 |
| MODESTO (CA) | $963.32 | $663.50 |
| REDDING (CA) | $963.32 | $663.50 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $977.22 | $677.41 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $1005.58 | $687.44 |
| SALINAS (CA) | $1001.69 | $684.64 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $1179.76 | $785.29 |
| SANTA CRUZ-WATSONVILLE (CA) | $1027.89 | $695.52 |
| SANTA ROSA-PETALUMA (CA) | $1037.96 | $702.04 |
| STOCKTON (CA) | $963.32 | $663.50 |
| VISALIA (CA) | $963.32 | $663.50 |
| YUBA CITY (CA) | $963.32 | $663.50 |
| EL CENTRO (CA) | $963.53 | $663.72 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $1021.23 | $694.06 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $986.14 | $674.56 |
| SANTA MARIA-SANTA BARBARA (CA) | $1004.35 | $685.39 |
| REST OF CALIFORNIA (CA) | $963.32 | $663.50 |
| COLORADO (CO) | $955.04 | $663.98 |
| CONNECTICUT (CT) | $983.11 | $688.49 |
| DC + MD/VA SUBURBS (DC) | $1044.56 | $722.31 |
| DELAWARE (DE) | $917.28 | $647.01 |
| FORT LAUDERDALE (FL) | $967.65 | $690.54 |
| MIAMI (FL) | $1013.34 | $728.57 |
| REST OF FLORIDA (FL) | $924.36 | $662.84 |
| ATLANTA (GA) | $944.35 | $666.42 |
| REST OF GEORGIA (GA) | $877.10 | $633.09 |
| HAWAII, GUAM (HI) | $980.92 | $669.89 |
| IOWA (IA) | $855.31 | $605.01 |
| IDAHO (ID) | $861.22 | $609.55 |
| EAST ST. LOUIS (IL) | $927.10 | $675.43 |
| SUBURBAN CHICAGO (IL) | $976.01 | $695.07 |
| CHICAGO (IL) | $986.69 | $711.77 |
| REST OF ILLINOIS (IL) | $904.10 | $654.35 |
| INDIANA (IN) | $865.49 | $611.90 |
| KANSAS (KS) | $854.05 | $606.76 |
| KENTUCKY (KY) | $863.66 | $620.47 |
| NEW ORLEANS (LA) | $900.71 | $643.29 |
| REST OF LOUISIANA (LA) | $863.38 | $621.28 |
| METROPOLITAN BOSTON (MA) | $1038.93 | $712.31 |
| REST OF MASSACHUSETTS (MA) | $951.30 | $663.25 |
| BALTIMORE/SURR. CNTYS (MD) | $980.73 | $687.20 |
| REST OF MARYLAND (MD) | $932.60 | $655.76 |
| SOUTHERN MAINE (ME) | $905.65 | $634.56 |
| REST OF MAINE (ME) | $867.59 | $615.92 |
| DETROIT (MI) | $936.96 | $672.98 |
| REST OF MICHIGAN (MI) | $885.55 | $635.79 |
| MINNESOTA (MN) | $911.50 | $630.01 |
| METROPOLITAN ST. LOUIS (MO) | $900.82 | $640.39 |
| METROPOLITAN KANSAS CITY (MO) | $892.85 | $635.98 |
| REST OF MISSOURI (MO) | $851.85 | $616.05 |
| MISSISSIPPI (MS) | $841.28 | $605.75 |
| MONTANA** (MT) | $926.12 | $652.57 |
| NORTH CAROLINA (NC) | $875.21 | $619.99 |
| NORTH DAKOTA** (ND) | $900.81 | $627.26 |
| NEBRASKA (NE) | $858.75 | $606.26 |
| NEW HAMPSHIRE (NH) | $942.62 | $657.85 |
| NORTHERN NJ (NJ) | $1036.25 | $718.93 |
| REST OF NEW JERSEY (NJ) | $993.29 | $694.57 |
| NEW MEXICO (NM) | $890.75 | $639.90 |
| NEVADA** (NV) | $919.60 | $645.77 |
| MANHATTAN (NY) | $1059.81 | $741.94 |
| NYC SUBURBS/LONG ISLAND (NY) | $1085.73 | $760.48 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $1001.48 | $701.94 |
| QUEENS (NY) | $1064.27 | $740.93 |
| REST OF NEW YORK (NY) | $886.97 | $627.10 |
| OHIO (OH) | $880.37 | $630.62 |
| OKLAHOMA (OK) | $859.88 | $615.60 |
| PORTLAND (OR) | $979.82 | $675.90 |
| REST OF OREGON (OR) | $911.39 | $638.93 |
| METROPOLITAN PHILADELPHIA (PA) | $962.57 | $677.80 |
| REST OF PENNSYLVANIA (PA) | $880.33 | $629.21 |
| PUERTO RICO (PR) | $931.40 | $654.84 |
| RHODE ISLAND (RI) | $945.81 | $663.22 |
| SOUTH CAROLINA (SC) | $879.46 | $626.69 |
| SOUTH DAKOTA** (SD) | $897.82 | $624.27 |
| TENNESSEE (TN) | $858.11 | $609.45 |
| BRAZORIA (TX) | $914.85 | $643.75 |
| DALLAS (TX) | $921.19 | $648.73 |
| GALVESTON (TX) | $917.96 | $646.32 |
| HOUSTON (TX) | $941.39 | $669.75 |
| BEAUMONT (TX) | $875.40 | $626.47 |
| FORT WORTH (TX) | $916.44 | $646.71 |
| AUSTIN (TX) | $952.82 | $663.40 |
| REST OF TEXAS (TX) | $894.99 | $635.39 |
| UTAH (UT) | $890.00 | $632.86 |
| VIRGINIA (VA) | $904.61 | $635.71 |
| VIRGIN ISLANDS (VI) | $931.40 | $654.84 |
| VERMONT (VT) | $899.78 | $628.96 |
| SEATTLE (KING CNTY) (WA) | $1056.50 | $720.85 |
| REST OF WASHINGTON (WA) | $948.70 | $660.65 |
| WISCONSIN (WI) | $874.33 | $612.27 |
| WEST VIRGINIA (WV) | $875.11 | $637.39 |
| WYOMING** (WY) | $915.09 | $641.54 |
Look up another code or locality →
Maximum units per day (MUE)
Medicare’s Medically Unlikely Edit caps this code at 3 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 fee for this procedure code is built from three Relative Value Units (RVUs): work, practice expense (PE), and malpractice (MP). Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the provider's locality to account for regional cost differences, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Practice expense RVUs differ between non-facility (e.g., office) and facility (e.g., hospital) settings, which is why the two allowed amounts differ — non-facility rates are typically higher since the provider bears more overhead. The conversion factor and RVU values are updated annually by CMS, so amounts shown reflect the 2026 fee schedule.
RVUs — work 10.56, practice expense 15.89 (non-facility) / 7.7 (facility), malpractice 1.28 — × 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, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments.
- Always verify the final allowed amount with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.
Frequently asked
Why does the facility amount differ from the non-facility amount for CPT 14041?
The practice expense RVU is lower in the facility setting because the facility (e.g., hospital) absorbs certain overhead and resource costs, whereas in a non-facility setting the billing provider bears those costs directly.
Does this amount reflect what my practice will actually be paid?
No. It reflects the standard national Medicare Physician Fee Schedule calculation before locality-specific GPCI adjustments, deductible status, modifiers, and other claim-specific factors are applied.
Why might my MAC's fee schedule show a different amount for CPT 14041?
Local GPCI values, carrier-specific pricing files, sequestration, and timing of annual CMS budget-neutrality updates can all cause variation from the national estimate shown here.
Can I use this estimate to predict patient responsibility?
It can provide a rough reference, but exact patient cost-sharing depends on deductible status, secondary coverage, and the specific contractor's processed allowed 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.
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