Medicare Reimbursement for CPT 17283

CPT 17283 is a procedure code reported under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code nationally and by locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital, ASC) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$237.48	$140.95
ALASKA* (AK)	$286.69	$183.89
ALABAMA (AL)	$216.15	$131.69
ARKANSAS (AR)	$213.46	$130.54
ARIZONA (AZ)	$231.89	$138.35
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$299.06	$162.95
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$304.67	$165.47
OXNARD-THOUSAND OAKS-VENTURA (CA)	$262.56	$148.46
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$264.18	$149.99
NAPA (CA)	$283.92	$156.70
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$299.34	$163.24
VALLEJO (CA)	$283.51	$156.29
BAKERSFIELD (CA)	$249.47	$143.68
CHICO (CA)	$248.69	$142.89
FRESNO (CA)	$248.69	$142.89
HANFORD-CORCORAN (CA)	$248.69	$142.89
MADERA (CA)	$248.69	$142.89
MERCED (CA)	$248.69	$142.89
MODESTO (CA)	$248.69	$142.89
REDDING (CA)	$248.69	$142.89
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$251.42	$145.63
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$259.84	$147.58
SALINAS (CA)	$258.84	$146.96
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$305.83	$166.63
SANTA CRUZ-WATSONVILLE (CA)	$265.89	$148.61
SANTA ROSA-PETALUMA (CA)	$268.52	$149.98
STOCKTON (CA)	$248.69	$142.89
VISALIA (CA)	$248.69	$142.89
YUBA CITY (CA)	$248.69	$142.89
EL CENTRO (CA)	$248.73	$142.94
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$264.04	$148.59
SAN LUIS OBISPO-PASO ROBLES (CA)	$254.78	$144.83
SANTA MARIA-SANTA BARBARA (CA)	$259.57	$147.01
REST OF CALIFORNIA (CA)	$248.69	$142.89
COLORADO (CO)	$245.77	$143.06
CONNECTICUT (CT)	$251.89	$147.93
DC + MD/VA SUBURBS (DC)	$268.36	$154.65
DELAWARE (DE)	$235.38	$140.00
FORT LAUDERDALE (FL)	$246.07	$148.28
MIAMI (FL)	$256.05	$155.57
REST OF FLORIDA (FL)	$235.45	$143.17
ATLANTA (GA)	$241.69	$143.61
REST OF GEORGIA (GA)	$223.79	$137.69
HAWAII, GUAM (HI)	$253.37	$143.61
IOWA (IA)	$220.41	$132.08
IDAHO (ID)	$221.75	$132.94
EAST ST. LOUIS (IL)	$234.62	$145.81
SUBURBAN CHICAGO (IL)	$248.36	$149.23
CHICAGO (IL)	$249.61	$152.60
REST OF ILLINOIS (IL)	$229.86	$141.73
INDIANA (IN)	$222.85	$133.37
KANSAS (KS)	$219.74	$132.48
KENTUCKY (KY)	$221.05	$135.24
NEW ORLEANS (LA)	$230.26	$139.43
REST OF LOUISIANA (LA)	$220.84	$135.42
METROPOLITAN BOSTON (MA)	$267.62	$152.37
REST OF MASSACHUSETTS (MA)	$244.69	$143.05
BALTIMORE/SURR. CNTYS (MD)	$251.20	$147.62
REST OF MARYLAND (MD)	$239.37	$141.68
SOUTHERN MAINE (ME)	$233.12	$137.46
REST OF MAINE (ME)	$222.99	$134.19
DETROIT (MI)	$238.25	$145.10
REST OF MICHIGAN (MI)	$226.24	$138.11
MINNESOTA (MN)	$235.71	$136.38
METROPOLITAN ST. LOUIS (MO)	$230.70	$138.80
METROPOLITAN KANSAS CITY (MO)	$228.65	$138.01
REST OF MISSOURI (MO)	$217.72	$134.51
MISSISSIPPI (MS)	$215.62	$132.50
MONTANA** (MT)	$237.46	$140.94
NORTH CAROLINA (NC)	$224.98	$134.92
NORTH DAKOTA** (ND)	$232.52	$135.99
NEBRASKA (NE)	$221.38	$132.29
NEW HAMPSHIRE (NH)	$242.24	$141.76
NORTHERN NJ (NJ)	$266.22	$154.25
REST OF NEW JERSEY (NJ)	$254.82	$149.41
NEW MEXICO (NM)	$227.40	$138.89
NEVADA** (NV)	$236.23	$139.60
MANHATTAN (NY)	$270.92	$158.75
NYC SUBURBS/LONG ISLAND (NY)	$277.00	$162.23
POUGHKPSIE/N NYC SUBURBS (NY)	$256.63	$150.93
QUEENS (NY)	$272.55	$158.45
REST OF NEW YORK (NY)	$227.92	$136.22
OHIO (OH)	$225.23	$137.10
OKLAHOMA (OK)	$220.46	$134.26
PORTLAND (OR)	$252.46	$145.22
REST OF OREGON (OR)	$234.43	$138.29
METROPOLITAN PHILADELPHIA (PA)	$246.47	$145.99
REST OF PENNSYLVANIA (PA)	$225.41	$136.80
PUERTO RICO (PR)	$238.91	$141.32
RHODE ISLAND (RI)	$242.91	$143.20
SOUTH CAROLINA (SC)	$225.46	$136.27
SOUTH DAKOTA** (SD)	$231.94	$135.41
TENNESSEE (TN)	$220.73	$132.98
BRAZORIA (TX)	$235.07	$139.41
DALLAS (TX)	$236.52	$140.37
GALVESTON (TX)	$235.75	$139.90
HOUSTON (TX)	$240.33	$144.48
BEAUMONT (TX)	$224.14	$136.30
FORT WORTH (TX)	$235.21	$140.03
AUSTIN (TX)	$244.92	$142.79
REST OF TEXAS (TX)	$229.45	$137.84
UTAH (UT)	$228.13	$137.39
VIRGINIA (VA)	$232.62	$137.73
VIRGIN ISLANDS (VI)	$238.91	$141.32
VERMONT (VT)	$231.94	$136.38
SEATTLE (KING CNTY) (WA)	$272.48	$154.03
REST OF WASHINGTON (WA)	$244.13	$142.48
WISCONSIN (WI)	$225.75	$133.28
WEST VIRGINIA (WV)	$222.53	$138.64
WYOMING** (WY)	$235.31	$138.78

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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 PFS amounts are built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, then the adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Non-facility and facility rates differ mainly in the practice-expense RVU, reflecting lower overhead when a service is performed in a facility setting that bills separately. The resulting allowed amount is what Medicare recognizes as payable before any cost-sharing is applied.

RVUs — work 2.62, practice expense 4.24 (non-facility) / 1.35 (facility), malpractice 0.25 — × 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 Part B deductible; the patient or secondary payer is generally responsible for the remainder.
Actual payment can vary by locality GPCI values, applicable modifiers, claim-level adjustments, sequestration, and annual budget-neutrality changes to the conversion factor.
Always confirm current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why is the facility amount lower than the non-facility amount for this code?

The facility rate uses a lower practice-expense RVU because Medicare assumes the facility (hospital, ASC, etc.) is separately billing for overhead costs like equipment, supplies, and staff time, whereas the non-facility rate assumes the physician's practice bears those costs.

Does this amount apply to every state or region?

No. The national figures use an average GPCI; actual payment depends on the specific locality where the service was rendered, since GPCIs vary by geographic area.

Will Medicare pay this full amount?

No. Medicare generally reimburses 80% of the allowed amount after the Part B deductible is met; the remaining 20% is typically billed to the patient or a secondary payer.

Why might the conversion factor change next year?

The conversion factor is updated annually by CMS based on statutory formulas and budget-neutrality adjustments, so the dollar amount for this code can shift even if the RVUs stay the same.

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.