Medicare Reimbursement for CPT 23077

CPT 23077 is a surgical procedure code identified by its numeric code only, as the official descriptor is licensed by the AMA and 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 locality, with separate non-facility and facility figures where they differ.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1051.46	$1051.46
ALASKA* (AK)	$1302.53	$1302.53
ALABAMA (AL)	$951.36	$951.36
ARKANSAS (AR)	$939.15	$939.15
ARIZONA (AZ)	$1021.86	$1021.86
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1172.09	$1172.09
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1188.08	$1188.08
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1080.87	$1080.87
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1094.08	$1094.08
NAPA (CA)	$1132.83	$1132.83
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1176.55	$1176.55
VALLEJO (CA)	$1126.40	$1126.40
BAKERSFIELD (CA)	$1044.19	$1044.19
CHICO (CA)	$1033.45	$1033.45
FRESNO (CA)	$1033.45	$1033.45
HANFORD-CORCORAN (CA)	$1033.45	$1033.45
MADERA (CA)	$1033.45	$1033.45
MERCED (CA)	$1033.45	$1033.45
MODESTO (CA)	$1033.45	$1033.45
REDDING (CA)	$1033.45	$1033.45
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1075.64	$1075.64
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1067.50	$1067.50
SALINAS (CA)	$1063.24	$1063.24
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1206.32	$1206.32
SANTA CRUZ-WATSONVILLE (CA)	$1076.81	$1076.81
SANTA ROSA-PETALUMA (CA)	$1086.48	$1086.48
STOCKTON (CA)	$1033.45	$1033.45
VISALIA (CA)	$1033.45	$1033.45
YUBA CITY (CA)	$1033.45	$1033.45
EL CENTRO (CA)	$1034.11	$1034.11
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1076.22	$1076.22
SAN LUIS OBISPO-PASO ROBLES (CA)	$1048.29	$1048.29
SANTA MARIA-SANTA BARBARA (CA)	$1063.93	$1063.93
REST OF CALIFORNIA (CA)	$1033.45	$1033.45
COLORADO (CO)	$1051.70	$1051.70
CONNECTICUT (CT)	$1117.10	$1117.10
DC + MD/VA SUBURBS (DC)	$1158.77	$1158.77
DELAWARE (DE)	$1036.94	$1036.94
FORT LAUDERDALE (FL)	$1162.01	$1162.01
MIAMI (FL)	$1266.31	$1266.31
REST OF FLORIDA (FL)	$1102.31	$1102.31
ATLANTA (GA)	$1085.09	$1085.09
REST OF GEORGIA (GA)	$1039.40	$1039.40
HAWAII, GUAM (HI)	$1043.47	$1043.47
IOWA (IA)	$942.98	$942.98
IDAHO (ID)	$954.68	$954.68
EAST ST. LOUIS (IL)	$1156.96	$1156.96
SUBURBAN CHICAGO (IL)	$1166.14	$1166.14
CHICAGO (IL)	$1227.20	$1227.20
REST OF ILLINOIS (IL)	$1095.35	$1095.35
INDIANA (IN)	$958.80	$958.80
KANSAS (KS)	$953.23	$953.23
KENTUCKY (KY)	$1002.00	$1002.00
NEW ORLEANS (LA)	$1048.96	$1048.96
REST OF LOUISIANA (LA)	$1006.27	$1006.27
METROPOLITAN BOSTON (MA)	$1127.54	$1127.54
REST OF MASSACHUSETTS (MA)	$1052.30	$1052.30
BALTIMORE/SURR. CNTYS (MD)	$1116.96	$1116.96
REST OF MARYLAND (MD)	$1050.59	$1050.59
SOUTHERN MAINE (ME)	$999.92	$999.92
REST OF MAINE (ME)	$974.24	$974.24
DETROIT (MI)	$1129.43	$1129.43
REST OF MICHIGAN (MI)	$1038.38	$1038.38
MINNESOTA (MN)	$969.06	$969.06
METROPOLITAN ST. LOUIS (MO)	$1035.16	$1035.16
METROPOLITAN KANSAS CITY (MO)	$1027.39	$1027.39
REST OF MISSOURI (MO)	$1000.43	$1000.43
MISSISSIPPI (MS)	$969.24	$969.24
MONTANA** (MT)	$1051.20	$1051.20
NORTH CAROLINA (NC)	$980.96	$980.96
NORTH DAKOTA** (ND)	$973.49	$973.49
NEBRASKA (NE)	$943.25	$943.25
NEW HAMPSHIRE (NH)	$1049.20	$1049.20
NORTHERN NJ (NJ)	$1151.83	$1151.83
REST OF NEW JERSEY (NJ)	$1118.94	$1118.94
NEW MEXICO (NM)	$1049.21	$1049.21
NEVADA** (NV)	$1029.88	$1029.88
MANHATTAN (NY)	$1221.09	$1221.09
NYC SUBURBS/LONG ISLAND (NY)	$1265.98	$1265.98
POUGHKPSIE/N NYC SUBURBS (NY)	$1137.69	$1137.69
QUEENS (NY)	$1209.09	$1209.09
REST OF NEW YORK (NY)	$995.22	$995.22
OHIO (OH)	$1022.49	$1022.49
OKLAHOMA (OK)	$985.27	$985.27
PORTLAND (OR)	$1065.36	$1065.36
REST OF OREGON (OR)	$1011.09	$1011.09
METROPOLITAN PHILADELPHIA (PA)	$1101.29	$1101.29
REST OF PENNSYLVANIA (PA)	$1015.95	$1015.95
PUERTO RICO (PR)	$1053.29	$1053.29
RHODE ISLAND (RI)	$1059.60	$1059.60
SOUTH CAROLINA (SC)	$1005.55	$1005.55
SOUTH DAKOTA** (SD)	$964.30	$964.30
TENNESSEE (TN)	$959.29	$959.29
BRAZORIA (TX)	$1024.08	$1024.08
DALLAS (TX)	$1036.62	$1036.62
GALVESTON (TX)	$1031.07	$1031.07
HOUSTON (TX)	$1103.00	$1103.00
BEAUMONT (TX)	$1011.09	$1011.09
FORT WORTH (TX)	$1034.87	$1034.87
AUSTIN (TX)	$1057.66	$1057.66
REST OF TEXAS (TX)	$1021.13	$1021.13
UTAH (UT)	$1017.37	$1017.37
VIRGINIA (VA)	$1007.00	$1007.00
VIRGIN ISLANDS (VI)	$1053.29	$1053.29
VERMONT (VT)	$983.16	$983.16
SEATTLE (KING CNTY) (WA)	$1134.52	$1134.52
REST OF WASHINGTON (WA)	$1045.85	$1045.85
WISCONSIN (WI)	$946.13	$946.13
WEST VIRGINIA (WV)	$1062.84	$1062.84
WYOMING** (WY)	$1017.33	$1017.33

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 PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to a locality. These locality-adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar amount. Practice expense RVUs typically differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ; for this code, the practice expense RVU is the same in both settings, so the non-facility and facility amounts shown are identical. The resulting figure represents the total allowed amount before any patient cost-sharing is applied.

RVUs — work 17.22, practice expense 10.33 (non-facility) / 10.33 (facility), malpractice 3.93 — × 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 meets their Part B deductible; the patient or secondary insurer is responsible for the remainder.
Actual payment can vary by modifiers, sequestration, place of service, and annual budget-neutrality adjustments.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).

Frequently asked

Why are the non-facility and facility amounts the same for this code?

For some procedure codes, the practice expense RVU does not differ between non-facility and facility settings, resulting in identical allowed amounts for both.

Does this amount reflect what Medicare actually pays?

No. This is the total allowed amount before cost-sharing. Medicare generally pays 80% of this figure after the deductible, with the remainder owed by the patient or secondary payer.

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

Geographic Practice Cost Indices (GPCIs) adjust the RVUs based on local costs for labor, rent, and malpractice insurance, which causes the final amount to vary by locality.

Can modifiers change this amount?

Yes. Modifiers (such as those indicating bilateral procedures, reduced services, or multiple procedures) can increase or decrease the final payment relative to the base PFS amount shown here.

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.