Medicare Reimbursement for CPT 23044
This page covers CPT code 23044, a procedure code recognized under the Medicare Physician Fee Schedule (PFS). It shows the estimated Medicare allowed amount at the national level and adjusted by locality, with separate figures for non-facility and facility settings since this code's practice-expense RVUs do not differ between the two settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $543.10 | $543.10 |
| ALASKA* (AK) | $657.76 | $657.76 |
| ALABAMA (AL) | $489.18 | $489.18 |
| ARKANSAS (AR) | $482.53 | $482.53 |
| ARIZONA (AZ) | $527.73 | $527.73 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $633.96 | $633.96 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $643.85 | $643.85 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $573.26 | $573.26 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $578.96 | $578.96 |
| NAPA (CA) | $608.41 | $608.41 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $635.82 | $635.82 |
| VALLEJO (CA) | $605.72 | $605.72 |
| BAKERSFIELD (CA) | $549.53 | $549.53 |
| CHICO (CA) | $545.03 | $545.03 |
| FRESNO (CA) | $545.03 | $545.03 |
| HANFORD-CORCORAN (CA) | $545.03 | $545.03 |
| MADERA (CA) | $545.03 | $545.03 |
| MERCED (CA) | $545.03 | $545.03 |
| MODESTO (CA) | $545.03 | $545.03 |
| REDDING (CA) | $545.03 | $545.03 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $562.65 | $562.65 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $565.89 | $565.89 |
| SALINAS (CA) | $563.69 | $563.69 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $651.46 | $651.46 |
| SANTA CRUZ-WATSONVILLE (CA) | $574.72 | $574.72 |
| SANTA ROSA-PETALUMA (CA) | $580.08 | $580.08 |
| STOCKTON (CA) | $545.03 | $545.03 |
| VISALIA (CA) | $545.03 | $545.03 |
| YUBA CITY (CA) | $545.03 | $545.03 |
| EL CENTRO (CA) | $545.31 | $545.31 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $572.69 | $572.69 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $555.40 | $555.40 |
| SANTA MARIA-SANTA BARBARA (CA) | $564.63 | $564.63 |
| REST OF CALIFORNIA (CA) | $545.03 | $545.03 |
| COLORADO (CO) | $549.50 | $549.50 |
| CONNECTICUT (CT) | $578.11 | $578.11 |
| DC + MD/VA SUBURBS (DC) | $605.56 | $605.56 |
| DELAWARE (DE) | $535.91 | $535.91 |
| FORT LAUDERDALE (FL) | $590.49 | $590.49 |
| MIAMI (FL) | $636.74 | $636.74 |
| REST OF FLORIDA (FL) | $560.04 | $560.04 |
| ATLANTA (GA) | $558.71 | $558.71 |
| REST OF GEORGIA (GA) | $527.57 | $527.57 |
| HAWAII, GUAM (HI) | $553.08 | $553.08 |
| IOWA (IA) | $489.57 | $489.57 |
| IDAHO (ID) | $494.94 | $494.94 |
| EAST ST. LOUIS (IL) | $579.35 | $579.35 |
| SUBURBAN CHICAGO (IL) | $593.63 | $593.63 |
| CHICAGO (IL) | $616.97 | $616.97 |
| REST OF ILLINOIS (IL) | $552.96 | $552.96 |
| INDIANA (IN) | $497.34 | $497.34 |
| KANSAS (KS) | $492.78 | $492.78 |
| KENTUCKY (KY) | $511.67 | $511.67 |
| NEW ORLEANS (LA) | $536.32 | $536.32 |
| REST OF LOUISIANA (LA) | $513.07 | $513.07 |
| METROPOLITAN BOSTON (MA) | $593.99 | $593.99 |
| REST OF MASSACHUSETTS (MA) | $548.71 | $548.71 |
| BALTIMORE/SURR. CNTYS (MD) | $577.64 | $577.64 |
| REST OF MARYLAND (MD) | $543.97 | $543.97 |
| SOUTHERN MAINE (ME) | $520.72 | $520.72 |
| REST OF MAINE (ME) | $503.10 | $503.10 |
| DETROIT (MI) | $572.24 | $572.24 |
| REST OF MICHIGAN (MI) | $529.18 | $529.18 |
| MINNESOTA (MN) | $511.53 | $511.53 |
| METROPOLITAN ST. LOUIS (MO) | $531.63 | $531.63 |
| METROPOLITAN KANSAS CITY (MO) | $527.13 | $527.13 |
| REST OF MISSOURI (MO) | $508.40 | $508.40 |
| MISSISSIPPI (MS) | $495.28 | $495.28 |
| MONTANA** (MT) | $542.99 | $542.99 |
| NORTH CAROLINA (NC) | $507.17 | $507.17 |
| NORTH DAKOTA** (ND) | $510.56 | $510.56 |
| NEBRASKA (NE) | $490.46 | $490.46 |
| NEW HAMPSHIRE (NH) | $546.14 | $546.14 |
| NORTHERN NJ (NJ) | $600.98 | $600.98 |
| REST OF NEW JERSEY (NJ) | $580.48 | $580.48 |
| NEW MEXICO (NM) | $534.09 | $534.09 |
| NEVADA** (NV) | $534.19 | $534.19 |
| MANHATTAN (NY) | $630.08 | $630.08 |
| NYC SUBURBS/LONG ISLAND (NY) | $651.44 | $651.44 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $588.63 | $588.63 |
| QUEENS (NY) | $627.02 | $627.02 |
| REST OF NEW YORK (NY) | $514.77 | $514.77 |
| OHIO (OH) | $522.56 | $522.56 |
| OKLAHOMA (OK) | $505.08 | $505.08 |
| PORTLAND (OR) | $559.80 | $559.80 |
| REST OF OREGON (OR) | $525.87 | $525.87 |
| METROPOLITAN PHILADELPHIA (PA) | $568.01 | $568.01 |
| REST OF PENNSYLVANIA (PA) | $520.31 | $520.31 |
| PUERTO RICO (PR) | $544.93 | $544.93 |
| RHODE ISLAND (RI) | $549.84 | $549.84 |
| SOUTH CAROLINA (SC) | $516.55 | $516.55 |
| SOUTH DAKOTA** (SD) | $506.73 | $506.73 |
| TENNESSEE (TN) | $495.79 | $495.79 |
| BRAZORIA (TX) | $530.85 | $530.85 |
| DALLAS (TX) | $536.58 | $536.58 |
| GALVESTON (TX) | $533.97 | $533.97 |
| HOUSTON (TX) | $563.98 | $563.98 |
| BEAUMONT (TX) | $517.51 | $517.51 |
| FORT WORTH (TX) | $534.88 | $534.88 |
| AUSTIN (TX) | $551.34 | $551.34 |
| REST OF TEXAS (TX) | $525.49 | $525.49 |
| UTAH (UT) | $523.04 | $523.04 |
| VIRGINIA (VA) | $522.89 | $522.89 |
| VIRGIN ISLANDS (VI) | $544.93 | $544.93 |
| VERMONT (VT) | $513.63 | $513.63 |
| SEATTLE (KING CNTY) (WA) | $600.17 | $600.17 |
| REST OF WASHINGTON (WA) | $546.00 | $546.00 |
| WISCONSIN (WI) | $495.06 | $495.06 |
| WEST VIRGINIA (WV) | $535.12 | $535.12 |
| WYOMING** (WY) | $528.86 | $528.86 |
Look up another code or locality →
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's allowed amount 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 to reflect regional cost differences. The adjusted RVUs are summed and multiplied by the annual national Conversion Factor to produce the dollar allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings can have different practice-expense RVUs, though for some codes, including this one, those values are the same across settings.
RVUs — work 7.4, practice expense 7.22 (non-facility) / 7.22 (facility), malpractice 1.64 — × 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 their deductible; the patient or secondary payer is generally responsible for the remainder.
- Actual payment can vary by locality, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments to the fee schedule.
- Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.
Frequently asked
Why does the allowed amount change by locality?
Medicare applies Geographic Practice Cost Indices (GPCIs) to adjust the work, practice expense, and malpractice RVUs for regional differences in cost of living and practice costs, which changes the final allowed amount by area.
Why are the non-facility and facility amounts the same for this code?
The allowed amount differs between settings only when the practice-expense RVU differs. For this code, the practice-expense RVU is identical in both non-facility and facility settings, so the calculated amounts match.
Does this amount reflect what the provider will actually collect?
No. It reflects the Medicare-allowed amount before the standard 80/20 split, deductible, modifiers, sequestration, or other adjustments are applied.
Where can I find the official CPT descriptor for this code?
CPT descriptors are copyrighted by the American Medical Association (AMA) and are not reproduced here; consult your CPT codebook or a licensed CPT reference for the official description.
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.
Bill accurately, get paid faster
Join providers across the country delivering modern virtual care with CareNiva. Free to start, ready in minutes.
100% Satisfaction Guaranteed — try it risk-free