Medicare Reimbursement for CPT 21344

CPT 21344 is a physician procedure code reported to Medicare for payment purposes; the full clinical descriptor is proprietary to the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, nationally and adjustable by locality, broken out by non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1215.46	$1215.46
ALASKA* (AK)	$1547.65	$1547.65
ALABAMA (AL)	$1119.85	$1119.85
ARKANSAS (AR)	$1108.08	$1108.08
ARIZONA (AZ)	$1188.04	$1188.04
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1392.19	$1392.19
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1413.03	$1413.03
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1271.55	$1271.55
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1285.27	$1285.27
NAPA (CA)	$1340.34	$1340.34
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1395.65	$1395.65
VALLEJO (CA)	$1335.35	$1335.35
BAKERSFIELD (CA)	$1228.44	$1228.44
CHICO (CA)	$1219.60	$1219.60
FRESNO (CA)	$1219.60	$1219.60
HANFORD-CORCORAN (CA)	$1219.60	$1219.60
MADERA (CA)	$1219.60	$1219.60
MERCED (CA)	$1219.60	$1219.60
MODESTO (CA)	$1219.60	$1219.60
REDDING (CA)	$1219.60	$1219.60
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1252.60	$1252.60
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1260.50	$1260.50
SALINAS (CA)	$1255.34	$1255.34
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1427.19	$1427.19
SANTA CRUZ-WATSONVILLE (CA)	$1271.34	$1271.34
SANTA ROSA-PETALUMA (CA)	$1283.01	$1283.01
STOCKTON (CA)	$1219.60	$1219.60
VISALIA (CA)	$1219.60	$1219.60
YUBA CITY (CA)	$1219.60	$1219.60
EL CENTRO (CA)	$1220.11	$1220.11
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1270.46	$1270.46
SAN LUIS OBISPO-PASO ROBLES (CA)	$1237.28	$1237.28
SANTA MARIA-SANTA BARBARA (CA)	$1256.11	$1256.11
REST OF CALIFORNIA (CA)	$1219.60	$1219.60
COLORADO (CO)	$1227.89	$1227.89
CONNECTICUT (CT)	$1282.56	$1282.56
DC + MD/VA SUBURBS (DC)	$1338.09	$1338.09
DELAWARE (DE)	$1203.75	$1203.75
FORT LAUDERDALE (FL)	$1303.12	$1303.12
MIAMI (FL)	$1388.08	$1388.08
REST OF FLORIDA (FL)	$1248.61	$1248.61
ATLANTA (GA)	$1244.62	$1244.62
REST OF GEORGIA (GA)	$1190.61	$1190.61
HAWAII, GUAM (HI)	$1228.90	$1228.90
IOWA (IA)	$1119.08	$1119.08
IDAHO (ID)	$1128.88	$1128.88
EAST ST. LOUIS (IL)	$1285.86	$1285.86
SUBURBAN CHICAGO (IL)	$1310.12	$1310.12
CHICAGO (IL)	$1354.36	$1354.36
REST OF ILLINOIS (IL)	$1237.04	$1237.04
INDIANA (IN)	$1133.08	$1133.08
KANSAS (KS)	$1125.46	$1125.46
KENTUCKY (KY)	$1161.16	$1161.16
NEW ORLEANS (LA)	$1205.05	$1205.05
REST OF LOUISIANA (LA)	$1163.90	$1163.90
METROPOLITAN BOSTON (MA)	$1312.82	$1312.82
REST OF MASSACHUSETTS (MA)	$1227.81	$1227.81
BALTIMORE/SURR. CNTYS (MD)	$1280.86	$1280.86
REST OF MARYLAND (MD)	$1219.06	$1219.06
SOUTHERN MAINE (ME)	$1174.17	$1174.17
REST OF MAINE (ME)	$1144.06	$1144.06
DETROIT (MI)	$1270.95	$1270.95
REST OF MICHIGAN (MI)	$1192.83	$1192.83
MINNESOTA (MN)	$1155.66	$1155.66
METROPOLITAN ST. LOUIS (MO)	$1195.93	$1195.93
METROPOLITAN KANSAS CITY (MO)	$1188.03	$1188.03
REST OF MISSOURI (MO)	$1156.07	$1156.07
MISSISSIPPI (MS)	$1131.72	$1131.72
MONTANA** (MT)	$1215.26	$1215.26
NORTH CAROLINA (NC)	$1151.13	$1151.13
NORTH DAKOTA** (ND)	$1154.95	$1154.95
NEBRASKA (NE)	$1120.43	$1120.43
NEW HAMPSHIRE (NH)	$1219.58	$1219.58
NORTHERN NJ (NJ)	$1332.43	$1332.43
REST OF NEW JERSEY (NJ)	$1291.26	$1291.26
NEW MEXICO (NM)	$1201.81	$1201.81
NEVADA** (NV)	$1198.86	$1198.86
MANHATTAN (NY)	$1386.72	$1386.72
NYC SUBURBS/LONG ISLAND (NY)	$1425.43	$1425.43
POUGHKPSIE/N NYC SUBURBS (NY)	$1307.52	$1307.52
QUEENS (NY)	$1380.27	$1380.27
REST OF NEW YORK (NY)	$1164.64	$1164.64
OHIO (OH)	$1180.50	$1180.50
OKLAHOMA (OK)	$1148.75	$1148.75
PORTLAND (OR)	$1246.26	$1246.26
REST OF OREGON (OR)	$1183.56	$1183.56
METROPOLITAN PHILADELPHIA (PA)	$1264.62	$1264.62
REST OF PENNSYLVANIA (PA)	$1176.14	$1176.14
PUERTO RICO (PR)	$1218.45	$1218.45
RHODE ISLAND (RI)	$1231.37	$1231.37
SOUTH CAROLINA (SC)	$1168.93	$1168.93
SOUTH DAKOTA** (SD)	$1147.82	$1147.82
TENNESSEE (TN)	$1130.88	$1130.88
BRAZORIA (TX)	$1194.97	$1194.97
DALLAS (TX)	$1205.67	$1205.67
GALVESTON (TX)	$1200.68	$1200.68
HOUSTON (TX)	$1256.50	$1256.50
BEAUMONT (TX)	$1171.22	$1171.22
FORT WORTH (TX)	$1202.88	$1202.88
AUSTIN (TX)	$1229.10	$1229.10
REST OF TEXAS (TX)	$1184.61	$1184.61
UTAH (UT)	$1180.40	$1180.40
VIRGINIA (VA)	$1178.52	$1178.52
VIRGIN ISLANDS (VI)	$1218.45	$1218.45
VERMONT (VT)	$1161.02	$1161.02
SEATTLE (KING CNTY) (WA)	$1325.27	$1325.27
REST OF WASHINGTON (WA)	$1222.03	$1222.03
WISCONSIN (WI)	$1127.69	$1127.69
WEST VIRGINIA (WV)	$1205.50	$1205.50
WYOMING** (WY)	$1188.97	$1188.97

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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 payment is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to the code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor (a dollar-per-RVU rate set by CMS) to produce the allowed amount. Non-facility and facility rates can differ because the practice-expense RVU is typically lower in facility settings (e.g., hospital outpatient) where the facility bears some overhead costs, though for this code the two figures may coincide.

RVUs — work 21.03, practice expense 12.31 (non-facility) / 12.31 (facility), malpractice 3.05 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This amount is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the patient meets the annual Part B deductible; the patient or secondary insurer is responsible for the remainder.
Modifiers (e.g., bilateral, multiple procedure, assistant-at-surgery), site-of-service differentials, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Locality-specific GPCIs mean the actual rate in your area may differ from the national figure shown.
Always confirm current rates and coverage policy with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the facility rate sometimes differ from the non-facility rate?

The practice-expense RVU component is usually lower when the service is performed in a facility (like a hospital), because the facility itself incurs overhead costs that are billed separately. For this code, that component is shown explicitly so you can compare the two settings.

Why is the amount on this page different from what we actually received?

Actual payment depends on your specific locality's GPCI values, any modifiers applied, secondary payer adjustments, sequestration, and current-year budget-neutrality tweaks — none of which are reflected in a single national estimate.

Can I use this figure to predict patient responsibility?

You can estimate that Medicare pays 80% of the allowed amount after the deductible is met, but exact patient cost-sharing depends on their specific plan, deductible status, and any secondary coverage.

Where can I find the official CPT descriptor for this code?

Because CPT codes are copyrighted by the American Medical Association, the official descriptor must be obtained from the AMA's CPT codebook or a licensed coding reference, not reproduced on this page.

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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.