Medicare Reimbursement for CPT 21932

CPT 21932 is a procedure code defined by the American Medical Association; because CPT descriptors are proprietary, this page refers to it generically as 'this procedure code.' The page displays the Medicare Physician Fee Schedule (PFS) allowed amount for this code, shown nationally and adjusted by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$627.27	$627.27
ALASKA* (AK)	$768.46	$768.46
ALABAMA (AL)	$565.59	$565.59
ARKANSAS (AR)	$558.04	$558.04
ARIZONA (AZ)	$609.24	$609.24
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$709.74	$709.74
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$719.87	$719.87
OXNARD-THOUSAND OAKS-VENTURA (CA)	$650.20	$650.20
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$657.67	$657.67
NAPA (CA)	$684.36	$684.36
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$712.29	$712.29
VALLEJO (CA)	$680.67	$680.67
BAKERSFIELD (CA)	$626.27	$626.27
CHICO (CA)	$620.15	$620.15
FRESNO (CA)	$620.15	$620.15
HANFORD-CORCORAN (CA)	$620.15	$620.15
MADERA (CA)	$620.15	$620.15
MERCED (CA)	$620.15	$620.15
MODESTO (CA)	$620.15	$620.15
REDDING (CA)	$620.15	$620.15
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$644.29	$644.29
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$641.80	$641.80
SALINAS (CA)	$639.27	$639.27
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$730.31	$730.31
SANTA CRUZ-WATSONVILLE (CA)	$649.09	$649.09
SANTA ROSA-PETALUMA (CA)	$654.99	$654.99
STOCKTON (CA)	$620.15	$620.15
VISALIA (CA)	$620.15	$620.15
YUBA CITY (CA)	$620.15	$620.15
EL CENTRO (CA)	$620.53	$620.53
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$648.00	$648.00
SAN LUIS OBISPO-PASO ROBLES (CA)	$630.15	$630.15
SANTA MARIA-SANTA BARBARA (CA)	$639.94	$639.94
REST OF CALIFORNIA (CA)	$620.15	$620.15
COLORADO (CO)	$629.52	$629.52
CONNECTICUT (CT)	$667.34	$667.34
DC + MD/VA SUBURBS (DC)	$694.40	$694.40
DELAWARE (DE)	$618.49	$618.49
FORT LAUDERDALE (FL)	$691.01	$691.01
MIAMI (FL)	$751.71	$751.71
REST OF FLORIDA (FL)	$654.84	$654.84
ATLANTA (GA)	$647.05	$647.05
REST OF GEORGIA (GA)	$616.59	$616.59
HAWAII, GUAM (HI)	$627.48	$627.48
IOWA (IA)	$562.19	$562.19
IDAHO (ID)	$569.07	$569.07
EAST ST. LOUIS (IL)	$684.88	$684.88
SUBURBAN CHICAGO (IL)	$693.80	$693.80
CHICAGO (IL)	$727.99	$727.99
REST OF ILLINOIS (IL)	$649.35	$649.35
INDIANA (IN)	$571.67	$571.67
KANSAS (KS)	$567.68	$567.68
KENTUCKY (KY)	$595.08	$595.08
NEW ORLEANS (LA)	$623.77	$623.77
REST OF LOUISIANA (LA)	$597.38	$597.38
METROPOLITAN BOSTON (MA)	$677.21	$677.21
REST OF MASSACHUSETTS (MA)	$629.45	$629.45
BALTIMORE/SURR. CNTYS (MD)	$667.16	$667.16
REST OF MARYLAND (MD)	$627.09	$627.09
SOUTHERN MAINE (ME)	$597.45	$597.45
REST OF MAINE (ME)	$580.26	$580.26
DETROIT (MI)	$670.69	$670.69
REST OF MICHIGAN (MI)	$616.74	$616.74
MINNESOTA (MN)	$581.10	$581.10
METROPOLITAN ST. LOUIS (MO)	$616.26	$616.26
METROPOLITAN KANSAS CITY (MO)	$611.36	$611.36
REST OF MISSOURI (MO)	$593.23	$593.23
MISSISSIPPI (MS)	$575.34	$575.34
MONTANA** (MT)	$627.12	$627.12
NORTH CAROLINA (NC)	$584.56	$584.56
NORTH DAKOTA** (ND)	$582.63	$582.63
NEBRASKA (NE)	$562.62	$562.62
NEW HAMPSHIRE (NH)	$627.41	$627.41
NORTHERN NJ (NJ)	$689.71	$689.71
REST OF NEW JERSEY (NJ)	$668.73	$668.73
NEW MEXICO (NM)	$623.08	$623.08
NEVADA** (NV)	$614.95	$614.95
MANHATTAN (NY)	$729.43	$729.43
NYC SUBURBS/LONG ISLAND (NY)	$756.07	$756.07
POUGHKPSIE/N NYC SUBURBS (NY)	$679.52	$679.52
QUEENS (NY)	$723.25	$723.25
REST OF NEW YORK (NY)	$593.33	$593.33
OHIO (OH)	$607.65	$607.65
OKLAHOMA (OK)	$585.64	$585.64
PORTLAND (OR)	$638.95	$638.95
REST OF OREGON (OR)	$604.02	$604.02
METROPOLITAN PHILADELPHIA (PA)	$657.06	$657.06
REST OF PENNSYLVANIA (PA)	$604.07	$604.07
PUERTO RICO (PR)	$628.70	$628.70
RHODE ISLAND (RI)	$632.90	$632.90
SOUTH CAROLINA (SC)	$598.33	$598.33
SOUTH DAKOTA** (SD)	$577.37	$577.37
TENNESSEE (TN)	$571.32	$571.32
BRAZORIA (TX)	$611.20	$611.20
DALLAS (TX)	$618.54	$618.54
GALVESTON (TX)	$615.27	$615.27
HOUSTON (TX)	$656.46	$656.46
BEAUMONT (TX)	$601.01	$601.01
FORT WORTH (TX)	$617.20	$617.20
AUSTIN (TX)	$632.82	$632.82
REST OF TEXAS (TX)	$608.12	$608.12
UTAH (UT)	$605.66	$605.66
VIRGINIA (VA)	$601.22	$601.22
VIRGIN ISLANDS (VI)	$628.70	$628.70
VERMONT (VT)	$587.82	$587.82
SEATTLE (KING CNTY) (WA)	$682.27	$682.27
REST OF WASHINGTON (WA)	$625.78	$625.78
WISCONSIN (WI)	$565.50	$565.50
WEST VIRGINIA (WV)	$629.21	$629.21
WYOMING** (WY)	$607.73	$607.73

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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) assigned to a code: physician work, practice expense, and malpractice. Each RVU component is adjusted by a Geographic Practice Cost Index (GPCI) specific to the locality where the service is billed, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar allowed amount. Non-facility and facility amounts differ because the practice-expense RVU is typically lower in facility settings, reflecting that the facility (not the billing physician) incurs certain overhead costs.

RVUs — work 9.57, practice expense 6.96 (non-facility) / 6.96 (facility), malpractice 2.25 — × 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 patient 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 allowed amount varies by where the service is furnished.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why does the amount differ between non-facility and facility settings?

The practice-expense RVU component is adjusted because overhead costs (equipment, staff, supplies) are borne differently depending on whether the service is performed in a physician office (non-facility) or a facility like a hospital, where the facility bills separately for overhead.

Does this amount reflect what the practice will actually collect?

No. The figure shown is the Medicare allowed amount before beneficiary cost-sharing, deductible status, modifiers, or any applicable payment reductions are applied.

Why might the amount change year to year?

The conversion factor, RVUs, and GPCIs are updated annually by CMS, and budget-neutrality adjustments required by law can shift allowed amounts even if the code's RVUs stay the same.

Is this the same for every state or region?

No. The national amount is adjusted by locality-specific GPCIs, so the actual allowed amount can vary depending on where the service is billed.

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.