Medicare Reimbursement for CPT 19084

CPT 19084 is a physician procedure code reported under Medicare Part B. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both at the national level and adjusted for a specific locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$357.39	$65.13
ALASKA* (AK)	$399.81	$88.56
ALABAMA (AL)	$317.37	$61.64
ARKANSAS (AR)	$312.27	$61.22
ARIZONA (AZ)	$347.27	$64.07
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$482.77	$70.68
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$493.03	$71.59
OXNARD-THOUSAND OAKS-VENTURA (CA)	$411.68	$66.23
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$412.86	$67.12
NAPA (CA)	$453.85	$68.65
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$482.95	$70.87
VALLEJO (CA)	$453.59	$68.39
BAKERSFIELD (CA)	$385.21	$64.90
CHICO (CA)	$384.72	$64.41
FRESNO (CA)	$384.72	$64.41
HANFORD-CORCORAN (CA)	$384.72	$64.41
MADERA (CA)	$384.72	$64.41
MERCED (CA)	$384.72	$64.41
MODESTO (CA)	$384.72	$64.41
REDDING (CA)	$384.72	$64.41
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$386.47	$66.15
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$405.89	$65.99
SALINAS (CA)	$404.43	$65.70
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$493.77	$72.33
SANTA CRUZ-WATSONVILLE (CA)	$420.82	$65.72
SANTA ROSA-PETALUMA (CA)	$425.19	$66.30
STOCKTON (CA)	$384.72	$64.41
VISALIA (CA)	$384.72	$64.41
YUBA CITY (CA)	$384.72	$64.41
EL CENTRO (CA)	$384.75	$64.43
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$415.57	$66.03
SAN LUIS OBISPO-PASO ROBLES (CA)	$397.69	$64.81
SANTA MARIA-SANTA BARBARA (CA)	$406.39	$65.62
REST OF CALIFORNIA (CA)	$384.72	$64.41
COLORADO (CO)	$376.13	$65.17
CONNECTICUT (CT)	$382.74	$67.98
DC + MD/VA SUBURBS (DC)	$414.40	$70.12
DELAWARE (DE)	$353.48	$64.73
FORT LAUDERDALE (FL)	$365.63	$69.57
MIAMI (FL)	$377.93	$73.69
REST OF FLORIDA (FL)	$346.81	$67.41
ATLANTA (GA)	$363.44	$66.51
REST OF GEORGIA (GA)	$325.84	$65.15
HAWAII, GUAM (HI)	$396.46	$64.16
IOWA (IA)	$328.53	$61.11
IDAHO (ID)	$330.44	$61.57
EAST ST. LOUIS (IL)	$338.68	$69.80
SUBURBAN CHICAGO (IL)	$370.01	$69.86
CHICAGO (IL)	$366.17	$72.45
REST OF ILLINOIS (IL)	$334.16	$67.33
INDIANA (IN)	$332.63	$61.70
KANSAS (KS)	$325.78	$61.58
KENTUCKY (KY)	$323.46	$63.64
NEW ORLEANS (LA)	$340.32	$65.31
REST OF LOUISIANA (LA)	$322.48	$63.83
METROPOLITAN BOSTON (MA)	$417.38	$68.43
REST OF MASSACHUSETTS (MA)	$373.10	$65.35
BALTIMORE/SURR. CNTYS (MD)	$381.48	$67.89
REST OF MARYLAND (MD)	$361.08	$65.31
SOUTHERN MAINE (ME)	$352.70	$63.08
REST OF MAINE (ME)	$331.24	$62.36
DETROIT (MI)	$350.50	$68.47
REST OF MICHIGAN (MI)	$331.84	$65.01
MINNESOTA (MN)	$362.37	$61.64
METROPOLITAN ST. LOUIS (MO)	$342.92	$64.69
METROPOLITAN KANSAS CITY (MO)	$338.87	$64.44
REST OF MISSOURI (MO)	$315.63	$63.70
MISSISSIPPI (MS)	$314.07	$62.44
MONTANA** (MT)	$357.38	$65.12
NORTH CAROLINA (NC)	$335.25	$62.58
NORTH DAKOTA** (ND)	$354.22	$61.96
NEBRASKA (NE)	$330.84	$61.09
NEW HAMPSHIRE (NH)	$369.09	$64.85
NORTHERN NJ (NJ)	$409.19	$70.17
REST OF NEW JERSEY (NJ)	$387.67	$68.53
NEW MEXICO (NM)	$333.43	$65.43
NEVADA** (NV)	$356.80	$64.25
MANHATTAN (NY)	$412.61	$73.01
NYC SUBURBS/LONG ISLAND (NY)	$422.20	$74.71
POUGHKPSIE/N NYC SUBURBS (NY)	$389.43	$69.41
QUEENS (NY)	$417.87	$72.42
REST OF NEW YORK (NY)	$340.72	$63.08
OHIO (OH)	$331.19	$64.36
OKLAHOMA (OK)	$323.93	$62.94
PORTLAND (OR)	$390.31	$65.61
REST OF OREGON (OR)	$354.60	$63.51
METROPOLITAN PHILADELPHIA (PA)	$371.69	$67.45
REST OF PENNSYLVANIA (PA)	$332.36	$64.07
PUERTO RICO (PR)	$360.63	$65.15
RHODE ISLAND (RI)	$367.72	$65.82
SOUTH CAROLINA (SC)	$333.67	$63.62
SOUTH DAKOTA** (SD)	$353.84	$61.58
TENNESSEE (TN)	$327.47	$61.81
BRAZORIA (TX)	$353.90	$64.28
DALLAS (TX)	$355.88	$64.79
GALVESTON (TX)	$354.76	$64.55
HOUSTON (TX)	$357.69	$67.48
BEAUMONT (TX)	$329.87	$63.91
FORT WORTH (TX)	$352.93	$64.77
AUSTIN (TX)	$374.37	$65.17
REST OF TEXAS (TX)	$341.49	$64.14
UTAH (UT)	$338.75	$64.03
VIRGINIA (VA)	$350.69	$63.40
VIRGIN ISLANDS (VI)	$360.63	$65.15
VERMONT (VT)	$351.73	$62.40
SEATTLE (KING CNTY) (WA)	$427.40	$68.80
REST OF WASHINGTON (WA)	$372.75	$65.01
WISCONSIN (WI)	$341.02	$61.04
WEST VIRGINIA (WV)	$320.18	$66.21
WYOMING** (WY)	$356.00	$63.74

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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 the code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is furnished, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Practice-expense RVUs differ depending on whether the service is performed in a non-facility setting (like a physician's office, where the practice bears more overhead) versus a facility setting (like a hospital, where the facility bills separately for overhead), which is why non-facility and facility amounts differ. These RVU values and the conversion factor are updated annually by CMS.

RVUs — work 1.51, practice expense 9.03 (non-facility) / 0.28 (facility), malpractice 0.16 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment — actual reimbursement may differ.
Medicare typically pays 80% of the allowed amount after the patient meets their Part B deductible; the patient or secondary insurer is responsible for the remainder.
Modifiers, place-of-service codes, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can all change the final payment.
Local Medicare Administrative Contractor (MAC) policies and coverage determinations may affect whether and how this code is paid.
Always verify current rates and coverage rules directly with your MAC before billing or appealing a denial.

Frequently asked

Why does the facility amount differ from the non-facility amount for the same code?

The practice-expense RVU component is lower in the facility setting because the facility (such as a hospital) bills separately for overhead costs like equipment, supplies, and clinical staff time, whereas in a non-facility setting the physician practice absorbs those costs.

Does this amount reflect what Medicare will actually pay?

No. It reflects the Medicare Physician Fee Schedule allowed amount before patient cost-sharing, deductible status, modifiers, sequestration, and locality-specific adjustments are applied, so actual payment can vary.

Why do amounts vary by locality?

CMS applies Geographic Practice Cost Indices (GPCIs) to adjust for differences in the cost of labor, rent, and malpractice insurance across different geographic areas, which changes the final allowed amount even though the RVUs for the code stay the same.

Will this figure change next year?

Yes — RVUs, GPCIs, and the conversion factor are all subject to annual CMS updates, so the allowed amount for this code can change from year to year.

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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.