Medicare Reimbursement for CPT 14061

CPT 14061 is a procedure code billed under the Medicare Physician Fee Schedule (PFS); the official AMA descriptor is not reproduced here. This page shows the estimated Medicare PFS allowed amount at the national level and by locality, broken out for non-facility and facility settings. Amounts reflect the standard formula applied to this code's work, practice expense, and malpractice RVUs.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$998.02	$698.75
ALASKA* (AK)	$1202.64	$883.92
ALABAMA (AL)	$906.26	$644.40
ARKANSAS (AR)	$894.72	$637.64
ARIZONA (AZ)	$973.65	$683.65
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1245.72	$823.74
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1268.63	$837.08
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1097.27	$743.53
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1104.53	$750.49
NAPA (CA)	$1184.10	$789.66
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1247.23	$825.25
VALLEJO (CA)	$1181.92	$787.48
BAKERSFIELD (CA)	$1043.42	$715.41
CHICO (CA)	$1039.42	$711.42
FRESNO (CA)	$1039.42	$711.42
HANFORD-CORCORAN (CA)	$1039.42	$711.42
MADERA (CA)	$1039.42	$711.42
MERCED (CA)	$1039.42	$711.42
MODESTO (CA)	$1039.42	$711.42
REDDING (CA)	$1039.42	$711.42
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1053.88	$725.88
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1085.38	$737.32
SALINAS (CA)	$1081.19	$734.33
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1274.81	$843.26
SANTA CRUZ-WATSONVILLE (CA)	$1109.92	$746.31
SANTA ROSA-PETALUMA (CA)	$1120.82	$753.32
STOCKTON (CA)	$1039.42	$711.42
VISALIA (CA)	$1039.42	$711.42
YUBA CITY (CA)	$1039.42	$711.42
EL CENTRO (CA)	$1039.65	$711.64
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1102.53	$744.60
SAN LUIS OBISPO-PASO ROBLES (CA)	$1064.36	$723.49
SANTA MARIA-SANTA BARBARA (CA)	$1084.13	$735.17
REST OF CALIFORNIA (CA)	$1039.42	$711.42
COLORADO (CO)	$1029.89	$711.46
CONNECTICUT (CT)	$1059.47	$737.15
DC + MD/VA SUBURBS (DC)	$1126.43	$773.89
DELAWARE (DE)	$988.44	$692.76
FORT LAUDERDALE (FL)	$1041.45	$738.29
MIAMI (FL)	$1089.72	$778.17
REST OF FLORIDA (FL)	$994.85	$708.75
ATLANTA (GA)	$1017.35	$713.29
REST OF GEORGIA (GA)	$943.93	$676.97
HAWAII, GUAM (HI)	$1058.75	$718.48
IOWA (IA)	$921.95	$648.11
IDAHO (ID)	$928.22	$652.89
EAST ST. LOUIS (IL)	$996.68	$721.35
SUBURBAN CHICAGO (IL)	$1050.59	$743.23
CHICAGO (IL)	$1061.06	$760.29
REST OF ILLINOIS (IL)	$972.58	$699.35
INDIANA (IN)	$932.86	$655.43
KANSAS (KS)	$920.32	$649.78
KENTUCKY (KY)	$929.88	$663.83
NEW ORLEANS (LA)	$969.85	$688.23
REST OF LOUISIANA (LA)	$929.47	$664.62
METROPOLITAN BOSTON (MA)	$1120.95	$763.61
REST OF MASSACHUSETTS (MA)	$1025.71	$710.58
BALTIMORE/SURR. CNTYS (MD)	$1056.86	$735.74
REST OF MARYLAND (MD)	$1005.07	$702.21
SOUTHERN MAINE (ME)	$976.41	$679.83
REST OF MAINE (ME)	$934.84	$659.51
DETROIT (MI)	$1008.20	$719.40
REST OF MICHIGAN (MI)	$953.30	$680.07
MINNESOTA (MN)	$983.56	$675.61
METROPOLITAN ST. LOUIS (MO)	$970.28	$685.37
METROPOLITAN KANSAS CITY (MO)	$961.63	$680.61
REST OF MISSOURI (MO)	$916.85	$658.87
MISSISSIPPI (MS)	$905.83	$648.15
MONTANA** (MT)	$997.93	$698.66
NORTH CAROLINA (NC)	$943.13	$663.91
NORTH DAKOTA** (ND)	$971.63	$672.36
NEBRASKA (NE)	$925.74	$649.51
NEW HAMPSHIRE (NH)	$1016.24	$704.70
NORTHERN NJ (NJ)	$1117.36	$770.21
REST OF NEW JERSEY (NJ)	$1070.62	$743.82
NEW MEXICO (NM)	$958.82	$684.39
NEVADA** (NV)	$991.18	$691.61
MANHATTAN (NY)	$1141.91	$794.15
NYC SUBURBS/LONG ISLAND (NY)	$1169.60	$813.77
POUGHKPSIE/N NYC SUBURBS (NY)	$1079.25	$751.55
QUEENS (NY)	$1147.11	$793.37
REST OF NEW YORK (NY)	$955.83	$671.52
OHIO (OH)	$947.93	$674.69
OKLAHOMA (OK)	$926.07	$658.82
PORTLAND (OR)	$1056.99	$724.50
REST OF OREGON (OR)	$982.51	$684.43
METROPOLITAN PHILADELPHIA (PA)	$1037.09	$725.55
REST OF PENNSYLVANIA (PA)	$948.03	$673.30
PUERTO RICO (PR)	$1003.73	$701.17
RHODE ISLAND (RI)	$1019.46	$710.31
SOUTH CAROLINA (SC)	$947.29	$670.76
SOUTH DAKOTA** (SD)	$968.52	$669.25
TENNESSEE (TN)	$924.69	$652.65
BRAZORIA (TX)	$986.02	$689.44
DALLAS (TX)	$992.76	$694.68
GALVESTON (TX)	$989.31	$692.13
HOUSTON (TX)	$1013.65	$716.48
BEAUMONT (TX)	$942.68	$670.34
FORT WORTH (TX)	$987.53	$692.45
AUSTIN (TX)	$1027.33	$710.70
REST OF TEXAS (TX)	$964.14	$680.13
UTAH (UT)	$958.70	$677.38
VIRGINIA (VA)	$975.10	$680.92
VIRGIN ISLANDS (VI)	$1003.73	$701.17
VERMONT (VT)	$970.28	$674.00
SEATTLE (KING CNTY) (WA)	$1140.20	$772.99
REST OF WASHINGTON (WA)	$1022.99	$707.86
WISCONSIN (WI)	$942.92	$656.22
WEST VIRGINIA (WV)	$941.21	$681.14
WYOMING** (WY)	$986.47	$687.20

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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

Each CPT/HCPCS code is assigned Relative Value Units (RVUs) for physician work, practice expense (PE), and malpractice (MP). These RVUs are each adjusted by the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is performed, then summed and multiplied by the annual Medicare Conversion Factor to produce a dollar amount. Practice expense RVUs differ depending on whether the service is reported in a non-facility setting (e.g., physician office) or a facility setting (e.g., hospital outpatient), which is why two different allowed amounts are shown. The conversion factor and GPCIs are updated annually and can shift payment amounts even if RVUs stay constant.

RVUs — work 11.19, practice expense 17.36 (non-facility) / 8.4 (facility), malpractice 1.33 — × 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 patient meets the annual Part B deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, bilateral adjustments, and site-of-service differences can change the actual paid amount.
Annual budget-neutrality adjustments and sequestration may further reduce the amount actually disbursed.
Always verify current, locality-specific rates 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 this code?

The practice expense RVU component is lower in the facility setting because Medicare assumes the facility (not the physician's office) is bearing certain overhead costs, such as equipment and supplies.

Does this amount reflect what Medicare will actually pay?

No. It reflects the calculated PFS allowed amount before the 80/20 coinsurance split, deductible status, and any claim-specific adjustments like modifiers or sequestration are applied.

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

Medicare adjusts RVUs using locality-specific GPCIs to account for regional differences in wages, rent, and malpractice costs, so the same code can pay differently across geographic areas.

Where can I find the official descriptor for CPT 14061?

CPT descriptors are copyrighted by the American Medical Association. Check your AMA CPT codebook, encoder software, or MAC fee schedule lookup tool for the official language.

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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.