Medicare Reimbursement for CPT 21032

CPT 21032 is a procedure code reported to Medicare and other payers; the full code descriptor is licensed by the AMA and not reproduced here. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code, both nationally and adjusted for locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$383.78	$244.16
ALASKA* (AK)	$448.71	$300.01
ALABAMA (AL)	$344.98	$222.81
ARKANSAS (AR)	$340.08	$220.15
ARIZONA (AZ)	$373.63	$238.34
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$492.68	$295.82
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$502.25	$300.92
OXNARD-THOUSAND OAKS-VENTURA (CA)	$428.83	$263.80
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$431.09	$265.93
NAPA (CA)	$466.42	$282.40
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$493.17	$296.31
VALLEJO (CA)	$465.71	$281.70
BAKERSFIELD (CA)	$405.24	$252.22
CHICO (CA)	$403.97	$250.95
FRESNO (CA)	$403.97	$250.95
HANFORD-CORCORAN (CA)	$403.97	$250.95
MADERA (CA)	$403.97	$250.95
MERCED (CA)	$403.97	$250.95
MODESTO (CA)	$403.97	$250.95
REDDING (CA)	$403.97	$250.95
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$408.64	$255.62
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$423.50	$261.12
SALINAS (CA)	$421.91	$260.10
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$504.24	$302.92
SANTA CRUZ-WATSONVILLE (CA)	$435.41	$265.78
SANTA ROSA-PETALUMA (CA)	$439.78	$268.33
STOCKTON (CA)	$403.97	$250.95
VISALIA (CA)	$403.97	$250.95
YUBA CITY (CA)	$403.97	$250.95
EL CENTRO (CA)	$404.05	$251.03
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$431.53	$264.55
SAN LUIS OBISPO-PASO ROBLES (CA)	$415.18	$256.15
SANTA MARIA-SANTA BARBARA (CA)	$423.41	$260.62
REST OF CALIFORNIA (CA)	$403.97	$250.95
COLORADO (CO)	$398.61	$250.06
CONNECTICUT (CT)	$409.03	$258.66
DC + MD/VA SUBURBS (DC)	$437.65	$273.19
DELAWARE (DE)	$379.74	$241.80
FORT LAUDERDALE (FL)	$398.77	$257.34
MIAMI (FL)	$416.42	$271.08
REST OF FLORIDA (FL)	$379.54	$246.06
ATLANTA (GA)	$391.16	$249.31
REST OF GEORGIA (GA)	$358.40	$233.86
HAWAII, GUAM (HI)	$413.42	$254.68
IOWA (IA)	$352.97	$225.22
IDAHO (ID)	$355.37	$226.92
EAST ST. LOUIS (IL)	$377.50	$249.05
SUBURBAN CHICAGO (IL)	$402.66	$259.28
CHICAGO (IL)	$404.44	$264.13
REST OF ILLINOIS (IL)	$369.20	$241.73
INDIANA (IN)	$357.38	$227.95
KANSAS (KS)	$351.64	$225.43
KENTUCKY (KY)	$353.64	$229.52
NEW ORLEANS (LA)	$370.36	$238.98
REST OF LOUISIANA (LA)	$353.21	$229.65
METROPOLITAN BOSTON (MA)	$437.20	$270.50
REST OF MASSACHUSETTS (MA)	$396.41	$249.40
BALTIMORE/SURR. CNTYS (MD)	$407.94	$258.13
REST OF MARYLAND (MD)	$386.81	$245.52
SOUTHERN MAINE (ME)	$376.13	$237.77
REST OF MAINE (ME)	$357.51	$229.06
DETROIT (MI)	$384.51	$249.78
REST OF MICHIGAN (MI)	$362.96	$235.49
MINNESOTA (MN)	$381.22	$237.56
METROPOLITAN ST. LOUIS (MO)	$371.30	$238.39
METROPOLITAN KANSAS CITY (MO)	$367.55	$236.45
REST OF MISSOURI (MO)	$347.45	$227.10
MISSISSIPPI (MS)	$343.81	$223.61
MONTANA** (MT)	$383.75	$244.13
NORTH CAROLINA (NC)	$361.14	$230.87
NORTH DAKOTA** (ND)	$375.25	$235.63
NEBRASKA (NE)	$354.78	$225.92
NEW HAMPSHIRE (NH)	$392.66	$247.32
NORTHERN NJ (NJ)	$433.30	$271.34
REST OF NEW JERSEY (NJ)	$413.49	$261.03
NEW MEXICO (NM)	$365.04	$237.01
NEVADA** (NV)	$381.64	$241.88
MANHATTAN (NY)	$441.37	$279.13
NYC SUBURBS/LONG ISLAND (NY)	$452.29	$286.29
POUGHKPSIE/N NYC SUBURBS (NY)	$416.44	$263.56
QUEENS (NY)	$444.51	$279.48
REST OF NEW YORK (NY)	$366.48	$233.85
OHIO (OH)	$361.23	$233.76
OKLAHOMA (OK)	$352.70	$228.02
PORTLAND (OR)	$410.76	$255.65
REST OF OREGON (OR)	$378.47	$239.41
METROPOLITAN PHILADELPHIA (PA)	$399.19	$253.85
REST OF PENNSYLVANIA (PA)	$361.62	$233.46
PUERTO RICO (PR)	$386.43	$245.28
RHODE ISLAND (RI)	$392.89	$248.67
SOUTH CAROLINA (SC)	$361.82	$232.82
SOUTH DAKOTA** (SD)	$374.24	$234.62
TENNESSEE (TN)	$353.42	$226.51
BRAZORIA (TX)	$379.14	$240.78
DALLAS (TX)	$381.67	$242.62
GALVESTON (TX)	$380.35	$241.71
HOUSTON (TX)	$388.22	$249.59
BEAUMONT (TX)	$359.31	$232.26
FORT WORTH (TX)	$379.26	$241.60
AUSTIN (TX)	$397.47	$249.75
REST OF TEXAS (TX)	$369.10	$236.60
UTAH (UT)	$366.68	$235.44
VIRGINIA (VA)	$375.12	$237.88
VIRGIN ISLANDS (VI)	$386.43	$245.28
VERMONT (VT)	$374.08	$235.86
SEATTLE (KING CNTY) (WA)	$445.73	$274.42
REST OF WASHINGTON (WA)	$395.57	$248.55
WISCONSIN (WI)	$362.90	$229.14
WEST VIRGINIA (WV)	$355.84	$234.51
WYOMING** (WY)	$380.04	$240.43

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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: 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 — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed. These geographically adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice expense RVUs differ between non-facility settings (e.g., physician office) and facility settings (e.g., hospital, ASC), which is why two amounts are shown. Work and malpractice RVUs generally stay the same across settings, while the facility practice-expense RVU is typically lower because some overhead costs are covered by the facility itself.

RVUs — work 3.26, practice expense 7.8 (non-facility) / 3.62 (facility), malpractice 0.43 — × 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.
Modifiers, place of service, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Locality-specific GPCIs mean the final amount can differ from the national figure shown here.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).

Frequently asked

Why are there two different amounts for this code?

One reflects the non-facility (e.g., office) setting and the other the facility (e.g., hospital) setting, because practice expense RVUs — and therefore the total allowed amount — differ based on where the service is performed.

Does this amount reflect what the practice will actually be paid?

No. It's an estimate based on national RVUs and the conversion factor; the actual Medicare payment depends on locality GPCIs, applicable modifiers, and other adjustments like sequestration.

Why isn't the CPT code description shown here?

CPT code descriptors are copyrighted and licensed by the American Medical Association, so they cannot be reproduced on this page.

How often do these amounts change?

Medicare updates the conversion factor and RVUs annually, and GPCIs can also be revised, so allowed amounts may change each calendar year.

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.