Medicare Reimbursement for CPT 17271

CPT 17271 is a procedure code defined by the American Medical Association; because CPT descriptors are proprietary, this page refers to it generically rather than reproducing the official description. It shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code at the national level and by locality, broken out for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$162.33	$89.18
ALASKA* (AK)	$192.10	$114.20
ALABAMA (AL)	$146.75	$82.75
ARKANSAS (AR)	$144.78	$81.95
ARIZONA (AZ)	$158.28	$87.40
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$208.17	$105.03
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$212.21	$106.73
OXNARD-THOUSAND OAKS-VENTURA (CA)	$181.36	$94.89
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$182.32	$95.79
NAPA (CA)	$197.11	$100.71
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$208.34	$105.20
VALLEJO (CA)	$196.87	$100.46
BAKERSFIELD (CA)	$171.61	$91.44
CHICO (CA)	$171.15	$90.98
FRESNO (CA)	$171.15	$90.98
HANFORD-CORCORAN (CA)	$171.15	$90.98
MADERA (CA)	$171.15	$90.98
MERCED (CA)	$171.15	$90.98
MODESTO (CA)	$171.15	$90.98
REDDING (CA)	$171.15	$90.98
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$172.79	$92.62
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$179.28	$94.21
SALINAS (CA)	$178.60	$93.83
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$212.90	$107.43
SANTA CRUZ-WATSONVILLE (CA)	$184.11	$95.23
SANTA ROSA-PETALUMA (CA)	$185.95	$96.13
STOCKTON (CA)	$171.15	$90.98
VISALIA (CA)	$171.15	$90.98
YUBA CITY (CA)	$171.15	$90.98
EL CENTRO (CA)	$171.17	$91.00
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$182.55	$95.07
SAN LUIS OBISPO-PASO ROBLES (CA)	$175.76	$92.44
SANTA MARIA-SANTA BARBARA (CA)	$179.20	$93.91
REST OF CALIFORNIA (CA)	$171.15	$90.98
COLORADO (CO)	$168.69	$90.86
CONNECTICUT (CT)	$172.64	$93.86
DC + MD/VA SUBURBS (DC)	$184.68	$98.52
DELAWARE (DE)	$160.79	$88.52
FORT LAUDERDALE (FL)	$167.77	$93.67
MIAMI (FL)	$174.38	$98.24
REST OF FLORIDA (FL)	$160.13	$90.20
ATLANTA (GA)	$165.20	$90.88
REST OF GEORGIA (GA)	$151.71	$86.46
HAWAII, GUAM (HI)	$174.91	$91.74
IOWA (IA)	$150.19	$83.26
IDAHO (ID)	$151.11	$83.81
EAST ST. LOUIS (IL)	$158.83	$91.54
SUBURBAN CHICAGO (IL)	$169.44	$94.32
CHICAGO (IL)	$169.70	$96.19
REST OF ILLINOIS (IL)	$155.82	$89.04
INDIANA (IN)	$151.93	$84.12
KANSAS (KS)	$149.55	$83.42
KENTUCKY (KY)	$150.00	$84.97
NEW ORLEANS (LA)	$156.68	$87.85
REST OF LOUISIANA (LA)	$149.79	$85.05
METROPOLITAN BOSTON (MA)	$184.63	$97.29
REST OF MASSACHUSETTS (MA)	$167.80	$90.77
BALTIMORE/SURR. CNTYS (MD)	$172.14	$93.66
REST OF MARYLAND (MD)	$163.71	$89.68
SOUTHERN MAINE (ME)	$159.51	$87.03
REST OF MAINE (ME)	$151.86	$84.56
DETROIT (MI)	$162.01	$91.42
REST OF MICHIGAN (MI)	$153.65	$86.86
MINNESOTA (MN)	$161.91	$86.64
METROPOLITAN ST. LOUIS (MO)	$157.19	$87.56
METROPOLITAN KANSAS CITY (MO)	$155.67	$86.99
REST OF MISSOURI (MO)	$147.40	$84.35
MISSISSIPPI (MS)	$146.12	$83.14
MONTANA** (MT)	$162.32	$89.17
NORTH CAROLINA (NC)	$153.34	$85.09
NORTH DAKOTA** (ND)	$159.35	$86.20
NEBRASKA (NE)	$150.96	$83.44
NEW HAMPSHIRE (NH)	$166.10	$89.95
NORTHERN NJ (NJ)	$182.98	$98.13
REST OF NEW JERSEY (NJ)	$174.68	$94.80
NEW MEXICO (NM)	$154.44	$87.36
NEVADA** (NV)	$161.60	$88.38
MANHATTAN (NY)	$185.84	$100.84
NYC SUBURBS/LONG ISLAND (NY)	$190.09	$103.12
POUGHKPSIE/N NYC SUBURBS (NY)	$175.82	$95.72
QUEENS (NY)	$187.26	$100.80
REST OF NEW YORK (NY)	$155.48	$85.99
OHIO (OH)	$153.04	$86.26
OKLAHOMA (OK)	$149.74	$84.42
PORTLAND (OR)	$173.75	$92.48
REST OF OREGON (OR)	$160.41	$87.56
METROPOLITAN PHILADELPHIA (PA)	$168.59	$92.45
REST OF PENNSYLVANIA (PA)	$153.26	$86.11
PUERTO RICO (PR)	$163.43	$89.48
RHODE ISLAND (RI)	$166.28	$90.72
SOUTH CAROLINA (SC)	$153.43	$85.84
SOUTH DAKOTA** (SD)	$159.00	$85.85
TENNESSEE (TN)	$150.25	$83.76
BRAZORIA (TX)	$160.66	$88.17
DALLAS (TX)	$161.64	$88.78
GALVESTON (TX)	$161.12	$88.48
HOUSTON (TX)	$163.86	$91.23
BEAUMONT (TX)	$152.32	$85.76
FORT WORTH (TX)	$160.63	$88.51
AUSTIN (TX)	$168.08	$90.69
REST OF TEXAS (TX)	$156.37	$86.96
UTAH (UT)	$155.38	$86.63
VIRGINIA (VA)	$159.03	$87.13
VIRGIN ISLANDS (VI)	$163.43	$89.48
VERMONT (VT)	$158.78	$86.36
SEATTLE (KING CNTY) (WA)	$188.25	$98.50
REST OF WASHINGTON (WA)	$167.46	$90.44
WISCONSIN (WI)	$154.36	$84.28
WEST VIRGINIA (WV)	$150.44	$86.88
WYOMING** (WY)	$161.03	$87.88

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 4 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 a code: physician work, practice expense, and malpractice risk. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings use different practice-expense RVUs, which is why the same code can have two different allowed amounts depending on place of service.

RVUs — work 1.5, practice expense 3.21 (non-facility) / 1.02 (facility), malpractice 0.15 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, based on the national conversion factor and standard RVUs; actual payment depends on the specific locality's GPCIs.
Medicare typically pays 80% of the allowed amount after the patient's Part B deductible is met; the beneficiary or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Always confirm actual allowed and paid amounts with your Medicare Administrative Contractor (MAC) or official fee schedule lookup tool before billing or appealing a claim.

Frequently asked

Why does CPT 17271 show two different amounts for non-facility and facility?

The practice-expense RVU differs by setting because overhead costs (staff, supplies, equipment) are typically higher when the physician's office bears them directly, compared to a facility setting where the facility absorbs some of those costs.

Why can't you show the official CPT description for 17271?

CPT code descriptors are copyrighted by the American Medical Association and cannot be reproduced without a license, so this page refers to the code generically.

Does this amount reflect what Medicare actually pays?

No — the figure shown is the allowed amount under the fee schedule. Medicare generally pays 80% of that amount after the deductible, with adjustments for modifiers, sequestration, and locality-specific factors.

Will this amount be the same next year?

No. The conversion factor and RVUs are updated annually by CMS, often changing the allowed amount even if the code itself doesn't change.

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.