Medicare Reimbursement for CPT Code 14350
CPT 14350 is a procedure code used in Medicare billing; the exact clinical description is maintained by the AMA and not reproduced here. 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 non-facility and facility figures.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $614.91 | $614.91 |
| ALASKA* (AK) | $792.30 | $792.30 |
| ALABAMA (AL) | $571.56 | $571.56 |
| ARKANSAS (AR) | $566.18 | $566.18 |
| ARIZONA (AZ) | $602.81 | $602.81 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $717.19 | $717.19 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $728.53 | $728.53 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $650.70 | $650.70 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $657.12 | $657.12 |
| NAPA (CA) | $688.69 | $688.69 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $718.45 | $718.45 |
| VALLEJO (CA) | $686.87 | $686.87 |
| BAKERSFIELD (CA) | $628.19 | $628.19 |
| CHICO (CA) | $624.76 | $624.76 |
| FRESNO (CA) | $624.76 | $624.76 |
| HANFORD-CORCORAN (CA) | $624.76 | $624.76 |
| MADERA (CA) | $624.76 | $624.76 |
| MERCED (CA) | $624.76 | $624.76 |
| MODESTO (CA) | $624.76 | $624.76 |
| REDDING (CA) | $624.76 | $624.76 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $636.87 | $636.87 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $646.21 | $646.21 |
| SALINAS (CA) | $643.54 | $643.54 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $733.68 | $733.68 |
| SANTA CRUZ-WATSONVILLE (CA) | $652.16 | $652.16 |
| SANTA ROSA-PETALUMA (CA) | $658.23 | $658.23 |
| STOCKTON (CA) | $624.76 | $624.76 |
| VISALIA (CA) | $624.76 | $624.76 |
| YUBA CITY (CA) | $624.76 | $624.76 |
| EL CENTRO (CA) | $624.95 | $624.95 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $651.47 | $651.47 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $634.14 | $634.14 |
| SANTA MARIA-SANTA BARBARA (CA) | $643.99 | $643.99 |
| REST OF CALIFORNIA (CA) | $624.76 | $624.76 |
| COLORADO (CO) | $625.07 | $625.07 |
| CONNECTICUT (CT) | $646.69 | $646.69 |
| DC + MD/VA SUBURBS (DC) | $677.35 | $677.35 |
| DELAWARE (DE) | $610.35 | $610.35 |
| FORT LAUDERDALE (FL) | $647.70 | $647.70 |
| MIAMI (FL) | $680.54 | $680.54 |
| REST OF FLORIDA (FL) | $623.96 | $623.96 |
| ATLANTA (GA) | $626.93 | $626.93 |
| REST OF GEORGIA (GA) | $598.47 | $598.47 |
| HAWAII, GUAM (HI) | $629.18 | $629.18 |
| IOWA (IA) | $574.02 | $574.02 |
| IDAHO (ID) | $577.92 | $577.92 |
| EAST ST. LOUIS (IL) | $635.06 | $635.06 |
| SUBURBAN CHICAGO (IL) | $651.94 | $651.94 |
| CHICAGO (IL) | $666.53 | $666.53 |
| REST OF ILLINOIS (IL) | $616.81 | $616.81 |
| INDIANA (IN) | $579.93 | $579.93 |
| KANSAS (KS) | $575.58 | $575.58 |
| KENTUCKY (KY) | $587.55 | $587.55 |
| NEW ORLEANS (LA) | $607.08 | $607.08 |
| REST OF LOUISIANA (LA) | $588.27 | $588.27 |
| METROPOLITAN BOSTON (MA) | $667.89 | $667.89 |
| REST OF MASSACHUSETTS (MA) | $624.70 | $624.70 |
| BALTIMORE/SURR. CNTYS (MD) | $645.37 | $645.37 |
| REST OF MARYLAND (MD) | $618.08 | $618.08 |
| SOUTHERN MAINE (ME) | $599.27 | $599.27 |
| REST OF MAINE (ME) | $583.45 | $583.45 |
| DETROIT (MI) | $632.71 | $632.71 |
| REST OF MICHIGAN (MI) | $600.72 | $600.72 |
| MINNESOTA (MN) | $595.13 | $595.13 |
| METROPOLITAN ST. LOUIS (MO) | $604.52 | $604.52 |
| METROPOLITAN KANSAS CITY (MO) | $600.75 | $600.75 |
| REST OF MISSOURI (MO) | $583.85 | $583.85 |
| MISSISSIPPI (MS) | $574.92 | $574.92 |
| MONTANA** (MT) | $614.84 | $614.84 |
| NORTH CAROLINA (NC) | $586.91 | $586.91 |
| NORTH DAKOTA** (ND) | $592.89 | $592.89 |
| NEBRASKA (NE) | $575.06 | $575.06 |
| NEW HAMPSHIRE (NH) | $619.22 | $619.22 |
| NORTHERN NJ (NJ) | $674.99 | $674.99 |
| REST OF NEW JERSEY (NJ) | $652.96 | $652.96 |
| NEW MEXICO (NM) | $604.26 | $604.26 |
| NEVADA** (NV) | $608.94 | $608.94 |
| MANHATTAN (NY) | $694.99 | $694.99 |
| NYC SUBURBS/LONG ISLAND (NY) | $710.93 | $710.93 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $659.60 | $659.60 |
| QUEENS (NY) | $694.02 | $694.02 |
| REST OF NEW YORK (NY) | $592.99 | $592.99 |
| OHIO (OH) | $596.23 | $596.23 |
| OKLAHOMA (OK) | $583.31 | $583.31 |
| PORTLAND (OR) | $635.38 | $635.38 |
| REST OF OREGON (OR) | $603.03 | $603.03 |
| METROPOLITAN PHILADELPHIA (PA) | $637.48 | $637.48 |
| REST OF PENNSYLVANIA (PA) | $594.99 | $594.99 |
| PUERTO RICO (PR) | $616.75 | $616.75 |
| RHODE ISLAND (RI) | $624.94 | $624.94 |
| SOUTH CAROLINA (SC) | $592.77 | $592.77 |
| SOUTH DAKOTA** (SD) | $590.29 | $590.29 |
| TENNESSEE (TN) | $577.90 | $577.90 |
| BRAZORIA (TX) | $607.67 | $607.67 |
| DALLAS (TX) | $612.01 | $612.01 |
| GALVESTON (TX) | $609.88 | $609.88 |
| HOUSTON (TX) | $630.20 | $630.20 |
| BEAUMONT (TX) | $592.65 | $592.65 |
| FORT WORTH (TX) | $610.31 | $610.31 |
| AUSTIN (TX) | $624.05 | $624.05 |
| REST OF TEXAS (TX) | $600.19 | $600.19 |
| UTAH (UT) | $598.04 | $598.04 |
| VIRGINIA (VA) | $600.30 | $600.30 |
| VIRGIN ISLANDS (VI) | $616.75 | $616.75 |
| VERMONT (VT) | $594.41 | $594.41 |
| SEATTLE (KING CNTY) (WA) | $675.62 | $675.62 |
| REST OF WASHINGTON (WA) | $622.29 | $622.29 |
| WISCONSIN (WI) | $580.09 | $580.09 |
| WEST VIRGINIA (WV) | $602.32 | $602.32 |
| WYOMING** (WY) | $605.27 | $605.27 |
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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) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is multiplied by a corresponding Geographic Practice Cost Index (GPCI) to reflect local cost differences, then summed and multiplied by the annual national conversion factor to produce a dollar amount. Practice-expense RVUs differ depending on whether the service is reported in a non-facility (e.g., office) or facility (e.g., hospital) setting, which is why the two allowed amounts can differ. For this code, the non-facility and facility practice-expense RVUs are the same, so the national amounts shown are equal, though locality adjustments can still cause variation.
RVUs — work 10.77, practice expense 6.53 (non-facility) / 6.53 (facility), malpractice 1.11 — × 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 rest.
- Actual payment can vary by locality GPCIs, applicable modifiers, claim-specific adjustments, sequestration, and annual budget-neutrality changes to the conversion factor.
- Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC).
Frequently asked
Why do non-facility and facility amounts sometimes differ?
They can differ because practice-expense RVUs account for overhead costs, which are generally higher when a service is performed in a non-facility setting like a physician's office versus a hospital or facility setting.
Does this amount reflect what my practice will actually be paid?
No. This is a national or locality-adjusted estimate based on standard PFS inputs. Actual reimbursement depends on your specific locality, the patient's plan, modifiers applied, and any claim-level adjustments.
Where can I find the official CPT descriptor for this code?
CPT code descriptions are copyrighted by the American Medical Association (AMA). You can access official descriptors through AMA CPT resources or your practice management/EHR system under an appropriate license.
Why does the fee amount change each year?
The conversion factor and RVUs are updated annually by CMS, often due to legislative adjustments, budget-neutrality requirements, and periodic RVU revaluation.
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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