Medicare Reimbursement for CPT 23071

CPT 23071 is a procedure code used in Medicare billing; the exact service it describes is defined by the AMA's CPT code set and is not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both at the national level and adjusted for your local area, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$407.16	$407.16
ALASKA* (AK)	$493.79	$493.79
ALABAMA (AL)	$366.17	$366.17
ARKANSAS (AR)	$361.13	$361.13
ARIZONA (AZ)	$395.33	$395.33
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$468.42	$468.42
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$475.43	$475.43
OXNARD-THOUSAND OAKS-VENTURA (CA)	$426.05	$426.05
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$430.60	$430.60
NAPA (CA)	$450.51	$450.51
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$469.97	$469.97
VALLEJO (CA)	$448.27	$448.27
BAKERSFIELD (CA)	$409.15	$409.15
CHICO (CA)	$405.42	$405.42
FRESNO (CA)	$405.42	$405.42
HANFORD-CORCORAN (CA)	$405.42	$405.42
MADERA (CA)	$405.42	$405.42
MERCED (CA)	$405.42	$405.42
MODESTO (CA)	$405.42	$405.42
REDDING (CA)	$405.42	$405.42
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$420.12	$420.12
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$420.40	$420.40
SALINAS (CA)	$418.76	$418.76
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$481.79	$481.79
SANTA CRUZ-WATSONVILLE (CA)	$426.30	$426.30
SANTA ROSA-PETALUMA (CA)	$430.23	$430.23
STOCKTON (CA)	$405.42	$405.42
VISALIA (CA)	$405.42	$405.42
YUBA CITY (CA)	$405.42	$405.42
EL CENTRO (CA)	$405.65	$405.65
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$425.10	$425.10
SAN LUIS OBISPO-PASO ROBLES (CA)	$412.69	$412.69
SANTA MARIA-SANTA BARBARA (CA)	$419.37	$419.37
REST OF CALIFORNIA (CA)	$405.42	$405.42
COLORADO (CO)	$410.26	$410.26
CONNECTICUT (CT)	$433.63	$433.63
DC + MD/VA SUBURBS (DC)	$452.80	$452.80
DELAWARE (DE)	$401.47	$401.47
FORT LAUDERDALE (FL)	$446.33	$446.33
MIAMI (FL)	$484.05	$484.05
REST OF FLORIDA (FL)	$422.74	$422.74
ATLANTA (GA)	$419.64	$419.64
REST OF GEORGIA (GA)	$397.69	$397.69
HAWAII, GUAM (HI)	$411.05	$411.05
IOWA (IA)	$365.20	$365.20
IDAHO (ID)	$369.52	$369.52
EAST ST. LOUIS (IL)	$440.04	$440.04
SUBURBAN CHICAGO (IL)	$448.39	$448.39
CHICAGO (IL)	$468.61	$468.61
REST OF ILLINOIS (IL)	$418.22	$418.22
INDIANA (IN)	$371.30	$371.30
KANSAS (KS)	$368.24	$368.24
KENTUCKY (KY)	$384.51	$384.51
NEW ORLEANS (LA)	$403.41	$403.41
REST OF LOUISIANA (LA)	$385.80	$385.80
METROPOLITAN BOSTON (MA)	$442.80	$442.80
REST OF MASSACHUSETTS (MA)	$409.90	$409.90
BALTIMORE/SURR. CNTYS (MD)	$433.42	$433.42
REST OF MARYLAND (MD)	$407.36	$407.36
SOUTHERN MAINE (ME)	$388.75	$388.75
REST OF MAINE (ME)	$376.34	$376.34
DETROIT (MI)	$432.63	$432.63
REST OF MICHIGAN (MI)	$398.36	$398.36
MINNESOTA (MN)	$379.84	$379.84
METROPOLITAN ST. LOUIS (MO)	$399.14	$399.14
METROPOLITAN KANSAS CITY (MO)	$395.79	$395.79
REST OF MISSOURI (MO)	$382.64	$382.64
MISSISSIPPI (MS)	$371.72	$371.72
MONTANA** (MT)	$407.07	$407.07
NORTH CAROLINA (NC)	$379.31	$379.31
NORTH DAKOTA** (ND)	$379.98	$379.98
NEBRASKA (NE)	$365.68	$365.68
NEW HAMPSHIRE (NH)	$408.37	$408.37
NORTHERN NJ (NJ)	$449.43	$449.43
REST OF NEW JERSEY (NJ)	$434.84	$434.84
NEW MEXICO (NM)	$402.33	$402.33
NEVADA** (NV)	$399.68	$399.68
MANHATTAN (NY)	$473.66	$473.66
NYC SUBURBS/LONG ISLAND (NY)	$490.63	$490.63
POUGHKPSIE/N NYC SUBURBS (NY)	$441.48	$441.48
QUEENS (NY)	$470.46	$470.46
REST OF NEW YORK (NY)	$385.12	$385.12
OHIO (OH)	$392.82	$392.82
OKLAHOMA (OK)	$378.87	$378.87
PORTLAND (OR)	$417.28	$417.28
REST OF OREGON (OR)	$392.89	$392.89
METROPOLITAN PHILADELPHIA (PA)	$426.38	$426.38
REST OF PENNSYLVANIA (PA)	$390.78	$390.78
PUERTO RICO (PR)	$408.33	$408.33
RHODE ISLAND (RI)	$411.45	$411.45
SOUTH CAROLINA (SC)	$387.45	$387.45
SOUTH DAKOTA** (SD)	$376.77	$376.77
TENNESSEE (TN)	$370.59	$370.59
BRAZORIA (TX)	$397.11	$397.11
DALLAS (TX)	$401.71	$401.71
GALVESTON (TX)	$399.64	$399.64
HOUSTON (TX)	$424.72	$424.72
BEAUMONT (TX)	$388.70	$388.70
FORT WORTH (TX)	$400.62	$400.62
AUSTIN (TX)	$412.13	$412.13
REST OF TEXAS (TX)	$394.10	$394.10
UTAH (UT)	$392.35	$392.35
VIRGINIA (VA)	$390.83	$390.83
VIRGIN ISLANDS (VI)	$408.33	$408.33
VERMONT (VT)	$382.86	$382.86
SEATTLE (KING CNTY) (WA)	$446.77	$446.77
REST OF WASHINGTON (WA)	$407.68	$407.68
WISCONSIN (WI)	$368.39	$368.39
WEST VIRGINIA (WV)	$404.74	$404.74
WYOMING** (WY)	$395.26	$395.26

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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 — one each for physician work, practice expense, and malpractice risk. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local 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 differ because the practice-expense RVU is typically higher in non-facility settings (e.g., a physician's own office) to account for overhead that a facility would otherwise absorb.

RVUs — work 5.76, practice expense 5.06 (non-facility) / 5.06 (facility), malpractice 1.37 — × 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 patient's deductible is met; the patient or secondary payer is responsible for the rest.
Modifiers, place-of-service codes, multiple-procedure reductions, and sequestration can change the final paid amount.
Annual budget-neutrality adjustments and conversion factor updates mean amounts can change each calendar year.
Always confirm actual payment policy and rates with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

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

The practice-expense RVU component is generally higher in non-facility settings because the billing provider bears the overhead costs (supplies, staff, equipment) that a hospital or ASC would otherwise cover in a facility setting.

Why might my locality's rate differ from the national amount?

Local wage, rent, and malpractice cost differences are captured in the Geographic Practice Cost Indices (GPCIs), which adjust each RVU component before the conversion factor is applied.

Does this amount reflect what Medicare will actually pay?

No — it reflects the PFS allowed amount before deductible and coinsurance. Medicare generally pays 80% of this amount, with the remainder owed by the patient or a secondary payer, subject to modifiers and other adjustments.

Can this amount change during the year?

It can change if CMS issues corrections, if a different conversion factor applies, or if sequestration or other federal budget rules are in effect for the claim date.

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.