Medicare Reimbursement for CPT Code 20600

CPT 20600 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) allowed amount for 2026, both at the national level and adjusted for locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$56.11	$31.40
ALASKA* (AK)	$67.69	$41.36
ALABAMA (AL)	$50.95	$29.32
ARKANSAS (AR)	$50.30	$29.06
ARIZONA (AZ)	$54.73	$30.78
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$69.75	$34.90
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$71.03	$35.38
OXNARD-THOUSAND OAKS-VENTURA (CA)	$61.54	$32.33
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$61.96	$32.72
NAPA (CA)	$66.34	$33.77
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$69.85	$34.99
VALLEJO (CA)	$66.21	$33.63
BAKERSFIELD (CA)	$58.55	$31.46
CHICO (CA)	$58.32	$31.23
FRESNO (CA)	$58.32	$31.23
HANFORD-CORCORAN (CA)	$58.32	$31.23
MADERA (CA)	$58.32	$31.23
MERCED (CA)	$58.32	$31.23
MODESTO (CA)	$58.32	$31.23
REDDING (CA)	$58.32	$31.23
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$59.18	$32.09
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$60.87	$32.12
SALINAS (CA)	$60.63	$31.99
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$71.40	$35.76
SANTA CRUZ-WATSONVILLE (CA)	$62.22	$32.19
SANTA ROSA-PETALUMA (CA)	$62.83	$32.47
STOCKTON (CA)	$58.32	$31.23
VISALIA (CA)	$58.32	$31.23
YUBA CITY (CA)	$58.32	$31.23
EL CENTRO (CA)	$58.33	$31.24
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$61.82	$32.25
SAN LUIS OBISPO-PASO ROBLES (CA)	$59.69	$31.54
SANTA MARIA-SANTA BARBARA (CA)	$60.79	$31.98
REST OF CALIFORNIA (CA)	$58.32	$31.23
COLORADO (CO)	$57.84	$31.54
CONNECTICUT (CT)	$59.57	$32.95
DC + MD/VA SUBURBS (DC)	$63.28	$34.16
DELAWARE (DE)	$55.57	$31.15
FORT LAUDERDALE (FL)	$58.69	$33.65
MIAMI (FL)	$61.51	$35.78
REST OF FLORIDA (FL)	$56.05	$32.42
ATLANTA (GA)	$57.23	$32.12
REST OF GEORGIA (GA)	$53.16	$31.12
HAWAII, GUAM (HI)	$59.38	$31.28
IOWA (IA)	$51.78	$29.16
IDAHO (ID)	$52.14	$29.40
EAST ST. LOUIS (IL)	$56.26	$33.52
SUBURBAN CHICAGO (IL)	$59.19	$33.81
CHICAGO (IL)	$59.88	$35.04
REST OF ILLINOIS (IL)	$54.83	$32.26
INDIANA (IN)	$52.40	$29.49
KANSAS (KS)	$51.71	$29.37
KENTUCKY (KY)	$52.33	$30.35
NEW ORLEANS (LA)	$54.59	$31.33
REST OF LOUISIANA (LA)	$52.31	$30.44
METROPOLITAN BOSTON (MA)	$62.92	$33.40
REST OF MASSACHUSETTS (MA)	$57.61	$31.59
BALTIMORE/SURR. CNTYS (MD)	$59.43	$32.91
REST OF MARYLAND (MD)	$56.49	$31.48
SOUTHERN MAINE (ME)	$54.84	$30.34
REST OF MAINE (ME)	$52.54	$29.80
DETROIT (MI)	$56.82	$32.97
REST OF MICHIGAN (MI)	$53.67	$31.10
MINNESOTA (MN)	$55.16	$29.73
METROPOLITAN ST. LOUIS (MO)	$54.58	$31.05
METROPOLITAN KANSAS CITY (MO)	$54.10	$30.89
REST OF MISSOURI (MO)	$51.62	$30.31
MISSISSIPPI (MS)	$50.96	$29.68
MONTANA** (MT)	$56.11	$31.39
NORTH CAROLINA (NC)	$53.00	$29.94
NORTH DAKOTA** (ND)	$54.53	$29.81
NEBRASKA (NE)	$51.98	$29.17
NEW HAMPSHIRE (NH)	$57.09	$31.36
NORTHERN NJ (NJ)	$62.77	$34.10
REST OF NEW JERSEY (NJ)	$60.18	$33.19
NEW MEXICO (NM)	$53.99	$31.32
NEVADA** (NV)	$55.70	$30.96
MANHATTAN (NY)	$64.24	$35.52
NYC SUBURBS/LONG ISLAND (NY)	$65.83	$36.44
POUGHKPSIE/N NYC SUBURBS (NY)	$60.68	$33.62
QUEENS (NY)	$64.50	$35.28
REST OF NEW YORK (NY)	$53.72	$30.24
OHIO (OH)	$53.35	$30.78
OKLAHOMA (OK)	$52.09	$30.01
PORTLAND (OR)	$59.33	$31.87
REST OF OREGON (OR)	$55.19	$30.57
METROPOLITAN PHILADELPHIA (PA)	$58.33	$32.60
REST OF PENNSYLVANIA (PA)	$53.34	$30.65
PUERTO RICO (PR)	$56.43	$31.44
RHODE ISLAND (RI)	$57.29	$31.76
SOUTH CAROLINA (SC)	$53.28	$30.44
SOUTH DAKOTA** (SD)	$54.34	$29.62
TENNESSEE (TN)	$51.96	$29.49
BRAZORIA (TX)	$55.41	$30.91
DALLAS (TX)	$55.80	$31.18
GALVESTON (TX)	$55.60	$31.06
HOUSTON (TX)	$57.06	$32.52
BEAUMONT (TX)	$53.04	$30.55
FORT WORTH (TX)	$55.51	$31.14
AUSTIN (TX)	$57.71	$31.56
REST OF TEXAS (TX)	$54.22	$30.76
UTAH (UT)	$53.92	$30.68
VIRGINIA (VA)	$54.78	$30.49
VIRGIN ISLANDS (VI)	$56.43	$31.44
VERMONT (VT)	$54.47	$30.00
SEATTLE (KING CNTY) (WA)	$63.97	$33.64
REST OF WASHINGTON (WA)	$57.45	$31.43
WISCONSIN (WI)	$52.92	$29.24
WEST VIRGINIA (WV)	$53.06	$31.59
WYOMING** (WY)	$55.42	$30.70

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 6 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 the code: work, practice expense (PE), and malpractice (MP). Each RVU component is adjusted by a Geographic Practice Cost Index (GPCI) specific to the provider's locality to account for regional cost differences, 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 (e.g., physician office) versus a facility setting (e.g., hospital), which is why two different allowed amounts are shown. The conversion factor itself is updated annually and applies uniformly across all codes before locality adjustment.

RVUs — work 0.64, practice expense 0.96 (non-facility) / 0.22 (facility), malpractice 0.08 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

All amounts are estimates based on the national PFS formula and may not reflect your exact 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.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Locality-adjusted figures depend on the GPCI values for the specific geographic area and may differ from the national average shown here.
Always confirm current rates and site-of-service rules with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why are there two different amounts for this code?

Medicare pays differently depending on where the service is performed. The non-facility amount applies when the service is done in a physician's office or similar setting, while the facility amount applies when it's done in a hospital or other facility, reflecting different practice-expense cost assumptions.

Why don't you show the CPT descriptor text?

CPT codes and their descriptions are copyrighted and licensed by the American Medical Association. We reference the code generically and recommend consulting your CPT codebook or EHR system for the official descriptor.

Will my locality's Medicare payment match the national amount shown?

Not necessarily. The national amount is calculated using a GPCI value of 1.0 for all components, while actual payments are adjusted using the specific GPCI values for your locality, which can raise or lower the final amount.

What should I do if a claim for this code was denied or paid differently than expected?

Review the remittance advice for the applied modifiers, place-of-service code, and any multiple-procedure or bundling edits, and contact your MAC for clarification if the payment doesn't match the expected PFS calculation.

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.