Medicare Reimbursement for CPT 20983

CPT 20983 is a procedure code reported for Medicare Part B billing purposes; the full descriptive text 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, broken out separately for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$4905.92	$302.61
ALASKA* (AK)	$5308.05	$405.52
ALABAMA (AL)	$4312.13	$284.23
ARKANSAS (AR)	$4236.25	$282.01
ARIZONA (AZ)	$4757.66	$297.05
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$6819.45	$328.78
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$6970.96	$332.99
OXNARD-THOUSAND OAKS-VENTURA (CA)	$5748.79	$307.68
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$5757.50	$311.78
NAPA (CA)	$6386.40	$319.24
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$6820.39	$329.72
VALLEJO (CA)	$6385.04	$317.88
BAKERSFIELD (CA)	$5346.13	$300.90
CHICO (CA)	$5343.66	$298.43
FRESNO (CA)	$5343.66	$298.43
HANFORD-CORCORAN (CA)	$5343.66	$298.43
MADERA (CA)	$5343.66	$298.43
MERCED (CA)	$5343.66	$298.43
MODESTO (CA)	$5343.66	$298.43
REDDING (CA)	$5343.66	$298.43
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$5352.67	$307.44
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$5659.74	$306.09
SALINAS (CA)	$5640.01	$304.77
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$6974.82	$336.84
SANTA CRUZ-WATSONVILLE (CA)	$5898.39	$305.37
SANTA ROSA-PETALUMA (CA)	$5960.91	$308.05
STOCKTON (CA)	$5343.66	$298.43
VISALIA (CA)	$5343.66	$298.43
YUBA CITY (CA)	$5343.66	$298.43
EL CENTRO (CA)	$5343.80	$298.57
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$5812.15	$306.59
SAN LUIS OBISPO-PASO ROBLES (CA)	$5543.79	$300.62
SANTA MARIA-SANTA BARBARA (CA)	$5671.91	$304.45
REST OF CALIFORNIA (CA)	$5343.66	$298.43
COLORADO (CO)	$5200.40	$302.48
CONNECTICUT (CT)	$5274.59	$316.83
DC + MD/VA SUBURBS (DC)	$5749.59	$326.88
DELAWARE (DE)	$4848.40	$300.32
FORT LAUDERDALE (FL)	$4988.83	$325.67
MIAMI (FL)	$5139.13	$347.08
REST OF FLORIDA (FL)	$4715.09	$314.32
ATLANTA (GA)	$4986.63	$309.67
REST OF GEORGIA (GA)	$4408.61	$302.45
HAWAII, GUAM (HI)	$5531.86	$297.90
IOWA (IA)	$4493.61	$281.58
IDAHO (ID)	$4518.99	$283.94
EAST ST. LOUIS (IL)	$4561.71	$326.66
SUBURBAN CHICAGO (IL)	$5054.56	$326.95
CHICAGO (IL)	$4966.66	$340.34
REST OF ILLINOIS (IL)	$4516.63	$313.80
INDIANA (IN)	$4551.93	$284.66
KANSAS (KS)	$4445.38	$283.99
KENTUCKY (KY)	$4386.96	$294.62
NEW ORLEANS (LA)	$4635.10	$303.39
REST OF LOUISIANA (LA)	$4369.54	$295.61
METROPOLITAN BOSTON (MA)	$5814.96	$318.60
REST OF MASSACHUSETTS (MA)	$5150.55	$303.26
BALTIMORE/SURR. CNTYS (MD)	$5255.83	$316.47
REST OF MARYLAND (MD)	$4961.74	$303.19
SOUTHERN MAINE (ME)	$4853.81	$291.93
REST OF MAINE (ME)	$4523.12	$288.07
DETROIT (MI)	$4762.05	$319.85
REST OF MICHIGAN (MI)	$4504.60	$301.77
MINNESOTA (MN)	$5021.38	$284.57
METROPOLITAN ST. LOUIS (MO)	$4682.58	$300.23
METROPOLITAN KANSAS CITY (MO)	$4621.39	$298.88
REST OF MISSOURI (MO)	$4262.94	$294.89
MISSISSIPPI (MS)	$4251.77	$288.32
MONTANA** (MT)	$4905.87	$302.56
NORTH CAROLINA (NC)	$4584.09	$289.20
NORTH DAKOTA** (ND)	$4889.46	$286.14
NEBRASKA (NE)	$4530.32	$281.46
NEW HAMPSHIRE (NH)	$5093.28	$301.23
NORTHERN NJ (NJ)	$5666.58	$326.74
REST OF NEW JERSEY (NJ)	$5345.75	$318.94
NEW MEXICO (NM)	$4525.21	$303.97
NEVADA** (NV)	$4905.95	$298.03
MANHATTAN (NY)	$5690.47	$341.43
NYC SUBURBS/LONG ISLAND (NY)	$5823.65	$350.31
POUGHKPSIE/N NYC SUBURBS (NY)	$5363.97	$323.34
QUEENS (NY)	$5779.56	$338.45
REST OF NEW YORK (NY)	$4664.99	$291.84
OHIO (OH)	$4501.24	$298.42
OKLAHOMA (OK)	$4401.76	$291.00
PORTLAND (OR)	$5419.02	$304.74
REST OF OREGON (OR)	$4879.07	$294.18
METROPOLITAN PHILADELPHIA (PA)	$5106.13	$314.08
REST OF PENNSYLVANIA (PA)	$4522.76	$296.92
PUERTO RICO (PR)	$4956.70	$302.75
RHODE ISLAND (RI)	$5060.77	$305.55
SOUTH CAROLINA (SC)	$4548.06	$294.60
SOUTH DAKOTA** (SD)	$4887.52	$284.20
TENNESSEE (TN)	$4469.57	$285.16
BRAZORIA (TX)	$4859.73	$297.85
DALLAS (TX)	$4885.39	$300.49
GALVESTON (TX)	$4870.37	$299.28
HOUSTON (TX)	$4885.56	$314.47
BEAUMONT (TX)	$4485.09	$296.07
FORT WORTH (TX)	$4839.21	$300.34
AUSTIN (TX)	$5173.15	$302.84
REST OF TEXAS (TX)	$4665.88	$297.33
UTAH (UT)	$4623.85	$296.74
VIRGINIA (VA)	$4818.65	$293.60
VIRGIN ISLANDS (VI)	$4956.70	$302.75
VERMONT (VT)	$4845.69	$288.41
SEATTLE (KING CNTY) (WA)	$5968.53	$320.27
REST OF WASHINGTON (WA)	$5148.88	$301.59
WISCONSIN (WI)	$4691.27	$281.30
WEST VIRGINIA (WV)	$4308.19	$307.91
WYOMING** (WY)	$4898.72	$295.40

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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 PFS amounts are derived from three Relative Value Units (RVUs) assigned to a code: physician work, practice expense (PE), and malpractice (MP). Each RVU component is adjusted by locality-specific Geographic Practice Cost Indices (GPCIs) to reflect regional cost differences, 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 primarily because the practice-expense RVU is higher in non-facility settings (where the billing provider supplies the overhead and equipment) and lower in facility settings (where the facility bears those costs). These calculations are updated each year as RVUs, GPCIs, and the conversion factor are revised.

RVUs — work 6.71, practice expense 139.34 (non-facility) / 1.52 (facility), malpractice 0.83 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This figure is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the beneficiary's annual Part B deductible is met; the patient or secondary insurer is generally responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, multiple-procedure or bilateral adjustments, 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 for this code?

In the facility setting, the facility (e.g., hospital) bears the overhead and equipment costs, so the practice-expense RVU used in the facility calculation is lower than the practice-expense RVU used when the service is performed in a non-facility setting like a physician's office.

Does this amount reflect what my local Medicare Administrative Contractor will actually pay?

Not exactly. The amount shown applies locality-specific GPCIs to produce an estimate, but your MAC's published locality rate, applicable modifiers, and claim-specific adjustments determine the final paid amount.

Why might the allowed amount change year to year?

CMS updates RVUs, GPCIs, and the conversion factor annually, and these updates — along with budget-neutrality adjustments — can raise or lower the PFS amount even if the code itself hasn't changed.

Is this the amount the patient will owe?

No. This is the Medicare-allowed amount before cost-sharing. Medicare generally pays 80% after the deductible, with the patient or secondary payer responsible for the remaining coinsurance.

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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.