Medicare Reimbursement for CPT 17282

CPT 17282 is a procedure code defined by the American Medical Association; its specific descriptor is not reproduced here due to licensing restrictions. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code at the national level and by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$200.41	$113.90
ALASKA* (AK)	$239.64	$147.51
ALABAMA (AL)	$181.81	$106.11
ARKANSAS (AR)	$179.46	$105.15
ARIZONA (AZ)	$195.55	$111.72
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$254.53	$132.55
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$259.38	$134.64
OXNARD-THOUSAND OAKS-VENTURA (CA)	$222.65	$120.40
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$223.94	$121.60
NAPA (CA)	$241.35	$127.33
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$254.76	$132.78
VALLEJO (CA)	$241.02	$127.00
BAKERSFIELD (CA)	$211.14	$116.33
CHICO (CA)	$210.52	$115.71
FRESNO (CA)	$210.52	$115.71
HANFORD-CORCORAN (CA)	$210.52	$115.71
MADERA (CA)	$210.52	$115.71
MERCED (CA)	$210.52	$115.71
MODESTO (CA)	$210.52	$115.71
REDDING (CA)	$210.52	$115.71
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$212.71	$117.89
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$220.23	$119.62
SALINAS (CA)	$219.39	$119.12
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$260.31	$135.57
SANTA CRUZ-WATSONVILLE (CA)	$225.74	$120.63
SANTA ROSA-PETALUMA (CA)	$227.98	$121.75
STOCKTON (CA)	$210.52	$115.71
VISALIA (CA)	$210.52	$115.71
YUBA CITY (CA)	$210.52	$115.71
EL CENTRO (CA)	$210.55	$115.74
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$224.01	$120.54
SAN LUIS OBISPO-PASO ROBLES (CA)	$215.92	$117.39
SANTA MARIA-SANTA BARBARA (CA)	$220.06	$119.19
REST OF CALIFORNIA (CA)	$210.52	$115.71
COLORADO (CO)	$207.80	$115.75
CONNECTICUT (CT)	$212.84	$119.67
DC + MD/VA SUBURBS (DC)	$227.19	$125.29
DELAWARE (DE)	$198.56	$113.09
FORT LAUDERDALE (FL)	$207.44	$119.80
MIAMI (FL)	$215.77	$125.71
REST OF FLORIDA (FL)	$198.24	$115.54
ATLANTA (GA)	$203.96	$116.07
REST OF GEORGIA (GA)	$188.12	$110.96
HAWAII, GUAM (HI)	$214.80	$116.44
IOWA (IA)	$185.70	$106.55
IDAHO (ID)	$186.84	$107.25
EAST ST. LOUIS (IL)	$197.13	$117.54
SUBURBAN CHICAGO (IL)	$209.43	$120.59
CHICAGO (IL)	$210.16	$123.22
REST OF ILLINOIS (IL)	$193.24	$114.26
INDIANA (IN)	$187.80	$107.61
KANSAS (KS)	$185.04	$106.83
KENTUCKY (KY)	$185.90	$108.99
NEW ORLEANS (LA)	$193.90	$112.50
REST OF LOUISIANA (LA)	$185.68	$109.12
METROPOLITAN BOSTON (MA)	$226.83	$123.54
REST OF MASSACHUSETTS (MA)	$206.80	$115.70
BALTIMORE/SURR. CNTYS (MD)	$212.25	$119.42
REST OF MARYLAND (MD)	$202.05	$114.50
SOUTHERN MAINE (ME)	$196.81	$111.08
REST OF MAINE (ME)	$187.83	$108.25
DETROIT (MI)	$200.59	$117.11
REST OF MICHIGAN (MI)	$190.34	$111.36
MINNESOTA (MN)	$199.34	$110.33
METROPOLITAN ST. LOUIS (MO)	$194.39	$112.03
METROPOLITAN KANSAS CITY (MO)	$192.59	$111.36
REST OF MISSOURI (MO)	$182.90	$108.33
MISSISSIPPI (MS)	$181.21	$106.72
MONTANA** (MT)	$200.39	$113.88
NORTH CAROLINA (NC)	$189.58	$108.87
NORTH DAKOTA** (ND)	$196.44	$109.93
NEBRASKA (NE)	$186.58	$106.73
NEW HAMPSHIRE (NH)	$204.72	$114.66
NORTHERN NJ (NJ)	$225.25	$124.90
REST OF NEW JERSEY (NJ)	$215.33	$120.87
NEW MEXICO (NM)	$191.32	$112.00
NEVADA** (NV)	$199.42	$112.82
MANHATTAN (NY)	$229.03	$128.50
NYC SUBURBS/LONG ISLAND (NY)	$234.23	$131.37
POUGHKPSIE/N NYC SUBURBS (NY)	$216.81	$122.08
QUEENS (NY)	$230.58	$128.32
REST OF NEW YORK (NY)	$192.14	$109.96
OHIO (OH)	$189.53	$110.55
OKLAHOMA (OK)	$185.48	$108.23
PORTLAND (OR)	$213.73	$117.61
REST OF OREGON (OR)	$197.92	$111.76
METROPOLITAN PHILADELPHIA (PA)	$208.07	$118.02
REST OF PENNSYLVANIA (PA)	$189.74	$110.33
PUERTO RICO (PR)	$201.69	$114.23
RHODE ISLAND (RI)	$205.12	$115.76
SOUTH CAROLINA (SC)	$189.86	$109.93
SOUTH DAKOTA** (SD)	$195.97	$109.46
TENNESSEE (TN)	$185.88	$107.25
BRAZORIA (TX)	$198.35	$112.62
DALLAS (TX)	$199.57	$113.41
GALVESTON (TX)	$198.92	$113.02
HOUSTON (TX)	$202.58	$116.68
BEAUMONT (TX)	$188.63	$109.91
FORT WORTH (TX)	$198.40	$113.10
AUSTIN (TX)	$207.06	$115.54
REST OF TEXAS (TX)	$193.35	$111.26
UTAH (UT)	$192.19	$110.87
VIRGINIA (VA)	$196.31	$111.27
VIRGIN ISLANDS (VI)	$201.69	$114.23
VERMONT (VT)	$195.85	$110.21
SEATTLE (KING CNTY) (WA)	$231.10	$124.95
REST OF WASHINGTON (WA)	$206.35	$115.26
WISCONSIN (WI)	$190.51	$107.63
WEST VIRGINIA (WV)	$186.83	$111.66
WYOMING** (WY)	$198.67	$112.16

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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 allowed amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to the code. 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 Medicare 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 two separate amounts are shown.

RVUs — work 2.04, practice expense 3.76 (non-facility) / 1.17 (facility), malpractice 0.2 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only; actual payment can differ based on claim-specific factors.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the beneficiary or secondary insurer is responsible for the remainder.
Modifiers, place-of-service codes, and payment policy adjustments can change the final reimbursement.
Sequestration and annual budget-neutrality adjustments can alter the effective payment amount year to year.
Always verify current rates and local adjustments with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why is the facility amount lower than the non-facility amount?

Facility rates use lower practice-expense RVUs because Medicare assumes the facility (e.g., hospital) is covering overhead costs like equipment and staff, whereas non-facility rates assume the billing practice bears those costs.

Does this amount reflect what Medicare will actually pay?

No. It reflects the allowed amount before the standard 80/20 split, deductible, and any modifier or locality-specific adjustments are applied.

Why does the amount vary by locality?

Medicare adjusts RVUs using Geographic Practice Cost Indices (GPCIs) to account for regional differences in labor, rent, and malpractice insurance costs.

Can this code's payment change mid-year?

Rates are typically set annually, but mid-year corrections, sequestration changes, or policy updates can occasionally affect the final paid 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.