Medicare Reimbursement for CPT 17360

CPT 17360 is a procedure code used in Medicare billing; the specific clinical descriptor is licensed by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount 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)	$120.91	$77.49
ALASKA* (AK)	$147.00	$100.76
ALABAMA (AL)	$110.28	$72.29
ARKANSAS (AR)	$108.94	$71.64
ARIZONA (AZ)	$118.10	$76.03
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$150.94	$89.71
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$153.72	$91.11
OXNARD-THOUSAND OAKS-VENTURA (CA)	$133.00	$81.68
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$133.88	$82.51
NAPA (CA)	$143.48	$86.25
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$151.10	$89.87
VALLEJO (CA)	$143.25	$86.02
BAKERSFIELD (CA)	$126.59	$79.00
CHICO (CA)	$126.15	$78.56
FRESNO (CA)	$126.15	$78.56
HANFORD-CORCORAN (CA)	$126.15	$78.56
MADERA (CA)	$126.15	$78.56
MERCED (CA)	$126.15	$78.56
MODESTO (CA)	$126.15	$78.56
REDDING (CA)	$126.15	$78.56
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$127.68	$80.09
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$131.66	$81.17
SALINAS (CA)	$131.15	$80.83
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$154.37	$91.76
SANTA CRUZ-WATSONVILLE (CA)	$134.53	$81.77
SANTA ROSA-PETALUMA (CA)	$135.85	$82.53
STOCKTON (CA)	$126.15	$78.56
VISALIA (CA)	$126.15	$78.56
YUBA CITY (CA)	$126.15	$78.56
EL CENTRO (CA)	$126.18	$78.59
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$133.68	$81.75
SAN LUIS OBISPO-PASO ROBLES (CA)	$129.11	$79.66
SANTA MARIA-SANTA BARBARA (CA)	$131.49	$80.86
REST OF CALIFORNIA (CA)	$126.15	$78.56
COLORADO (CO)	$124.86	$78.66
CONNECTICUT (CT)	$128.14	$81.38
DC + MD/VA SUBURBS (DC)	$136.25	$85.10
DELAWARE (DE)	$119.85	$76.95
FORT LAUDERDALE (FL)	$125.58	$81.60
MIAMI (FL)	$130.88	$85.68
REST OF FLORIDA (FL)	$120.24	$78.73
ATLANTA (GA)	$123.09	$78.98
REST OF GEORGIA (GA)	$114.38	$75.65
HAWAII, GUAM (HI)	$128.37	$79.00
IOWA (IA)	$112.24	$72.51
IDAHO (ID)	$112.94	$72.99
EAST ST. LOUIS (IL)	$120.15	$80.20
SUBURBAN CHICAGO (IL)	$126.71	$82.12
CHICAGO (IL)	$127.64	$84.00
REST OF ILLINOIS (IL)	$117.56	$77.91
INDIANA (IN)	$113.48	$73.23
KANSAS (KS)	$111.99	$72.73
KENTUCKY (KY)	$112.88	$74.27
NEW ORLEANS (LA)	$117.49	$76.63
REST OF LOUISIANA (LA)	$112.80	$74.37
METROPOLITAN BOSTON (MA)	$135.69	$83.84
REST OF MASSACHUSETTS (MA)	$124.37	$78.65
BALTIMORE/SURR. CNTYS (MD)	$127.80	$81.21
REST OF MARYLAND (MD)	$121.83	$77.89
SOUTHERN MAINE (ME)	$118.57	$75.54
REST OF MAINE (ME)	$113.64	$73.69
DETROIT (MI)	$121.71	$79.81
REST OF MICHIGAN (MI)	$115.53	$75.88
MINNESOTA (MN)	$119.61	$74.93
METROPOLITAN ST. LOUIS (MO)	$117.62	$76.28
METROPOLITAN KANSAS CITY (MO)	$116.61	$75.83
REST OF MISSOURI (MO)	$111.29	$73.87
MISSISSIPPI (MS)	$110.13	$72.74
MONTANA** (MT)	$120.90	$77.48
NORTH CAROLINA (NC)	$114.61	$74.10
NORTH DAKOTA** (ND)	$118.13	$74.71
NEBRASKA (NE)	$112.70	$72.63
NEW HAMPSHIRE (NH)	$123.15	$77.95
NORTHERN NJ (NJ)	$135.23	$84.86
REST OF NEW JERSEY (NJ)	$129.59	$82.18
NEW MEXICO (NM)	$116.14	$76.32
NEVADA** (NV)	$120.20	$76.73
MANHATTAN (NY)	$137.83	$87.38
NYC SUBURBS/LONG ISLAND (NY)	$140.96	$89.33
POUGHKPSIE/N NYC SUBURBS (NY)	$130.56	$83.02
QUEENS (NY)	$138.54	$87.21
REST OF NEW YORK (NY)	$116.08	$74.83
OHIO (OH)	$114.96	$75.32
OKLAHOMA (OK)	$112.51	$73.73
PORTLAND (OR)	$128.11	$79.87
REST OF OREGON (OR)	$119.25	$76.00
METROPOLITAN PHILADELPHIA (PA)	$125.49	$80.29
REST OF PENNSYLVANIA (PA)	$115.01	$75.15
PUERTO RICO (PR)	$121.60	$77.70
RHODE ISLAND (RI)	$123.58	$78.72
SOUTH CAROLINA (SC)	$114.98	$74.86
SOUTH DAKOTA** (SD)	$117.81	$74.39
TENNESSEE (TN)	$112.48	$73.02
BRAZORIA (TX)	$119.64	$76.61
DALLAS (TX)	$120.40	$77.15
GALVESTON (TX)	$120.00	$76.89
HOUSTON (TX)	$122.57	$79.45
BEAUMONT (TX)	$114.39	$74.87
FORT WORTH (TX)	$119.77	$76.96
AUSTIN (TX)	$124.46	$78.52
REST OF TEXAS (TX)	$116.95	$75.74
UTAH (UT)	$116.31	$75.49
VIRGINIA (VA)	$118.37	$75.68
VIRGIN ISLANDS (VI)	$121.60	$77.70
VERMONT (VT)	$117.91	$74.93
SEATTLE (KING CNTY) (WA)	$138.05	$84.77
REST OF WASHINGTON (WA)	$124.06	$78.33
WISCONSIN (WI)	$114.79	$73.19
WEST VIRGINIA (WV)	$113.91	$76.18
WYOMING** (WY)	$119.70	$76.27

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. 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 this code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality to reflect regional cost differences, then the adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings use different practice-expense RVUs because overhead costs differ, which is why two separate totals are shown. These calculations are updated annually and can shift due to rule changes or budget-neutrality adjustments.

RVUs — work 1.42, practice expense 2.06 (non-facility) / 0.76 (facility), malpractice 0.14 — × 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 beneficiary or secondary payer is responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, place of service, sequestration, and annual budget-neutrality adjustments.
Always verify current rates and coverage rules 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 the facility (e.g., hospital) is separately reimbursed for overhead and supplies, so the physician/practice payment reflects only part of the total cost.

Why does the Medicare amount differ by locality?

Each locality has its own Geographic Practice Cost Index (GPCI) values for work, practice expense, and malpractice, which adjust the RVUs to reflect local cost-of-living and practice cost differences.

Can I use this figure to predict my exact payment?

No. This is a calculated estimate based on published RVUs and conversion factors; actual payment can differ due to modifiers, secondary payer rules, deductible status, and annual adjustments.

Where can I find the official CPT code description?

CPT descriptors are copyrighted by the American Medical Association (AMA). Refer to your CPT codebook or AMA-licensed source for the official language.

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.