Medicare Reimbursement for CPT 23350

This page covers a specific CPT procedure code billed under the Medicare Physician Fee Schedule (PFS). It shows the estimated Medicare-allowed amount nationally and adjusted for your locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital, ASC) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$156.98	$42.09
ALASKA* (AK)	$179.88	$57.51
ALABAMA (AL)	$140.52	$39.99
ARKANSAS (AR)	$138.43	$39.73
ARIZONA (AZ)	$152.79	$41.46
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$208.08	$46.07
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$212.36	$46.68
OXNARD-THOUSAND OAKS-VENTURA (CA)	$178.83	$43.02
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$179.50	$43.58
NAPA (CA)	$196.12	$44.69
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$208.18	$46.17
VALLEJO (CA)	$195.98	$44.54
BAKERSFIELD (CA)	$168.07	$42.14
CHICO (CA)	$167.79	$41.86
FRESNO (CA)	$167.79	$41.86
HANFORD-CORCORAN (CA)	$167.79	$41.86
MADERA (CA)	$167.79	$41.86
MERCED (CA)	$167.79	$41.86
MODESTO (CA)	$167.79	$41.86
REDDING (CA)	$167.79	$41.86
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$168.77	$42.84
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$176.53	$42.90
SALINAS (CA)	$175.88	$42.71
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$212.78	$47.10
SANTA CRUZ-WATSONVILLE (CA)	$182.34	$42.74
SANTA ROSA-PETALUMA (CA)	$184.22	$43.12
STOCKTON (CA)	$167.79	$41.86
VISALIA (CA)	$167.79	$41.86
YUBA CITY (CA)	$167.79	$41.86
EL CENTRO (CA)	$167.80	$41.87
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$180.35	$42.93
SAN LUIS OBISPO-PASO ROBLES (CA)	$173.00	$42.13
SANTA MARIA-SANTA BARBARA (CA)	$176.63	$42.66
REST OF CALIFORNIA (CA)	$167.79	$41.86
COLORADO (CO)	$164.48	$42.23
CONNECTICUT (CT)	$167.61	$43.86
DC + MD/VA SUBURBS (DC)	$180.67	$45.32
DELAWARE (DE)	$155.39	$41.87
FORT LAUDERDALE (FL)	$160.99	$44.60
MIAMI (FL)	$166.55	$46.94
REST OF FLORIDA (FL)	$153.16	$43.32
ATLANTA (GA)	$159.63	$42.89
REST OF GEORGIA (GA)	$144.47	$41.98
HAWAII, GUAM (HI)	$172.33	$41.69
IOWA (IA)	$144.87	$39.73
IDAHO (ID)	$145.70	$39.99
EAST ST. LOUIS (IL)	$150.33	$44.63
SUBURBAN CHICAGO (IL)	$162.81	$44.81
CHICAGO (IL)	$161.71	$46.24
REST OF ILLINOIS (IL)	$148.13	$43.23
INDIANA (IN)	$146.59	$40.08
KANSAS (KS)	$143.85	$39.98
KENTUCKY (KY)	$143.27	$41.13
NEW ORLEANS (LA)	$150.24	$42.12
REST OF LOUISIANA (LA)	$142.91	$41.23
METROPOLITAN BOSTON (MA)	$181.52	$44.33
REST OF MASSACHUSETTS (MA)	$163.32	$42.33
BALTIMORE/SURR. CNTYS (MD)	$167.07	$43.78
REST OF MARYLAND (MD)	$158.52	$42.24
SOUTHERN MAINE (ME)	$154.78	$40.92
REST OF MAINE (ME)	$146.15	$40.44
DETROIT (MI)	$154.80	$43.93
REST OF MICHIGAN (MI)	$146.82	$41.92
MINNESOTA (MN)	$158.38	$40.15
METROPOLITAN ST. LOUIS (MO)	$151.17	$41.79
METROPOLITAN KANSAS CITY (MO)	$149.52	$41.63
REST OF MISSOURI (MO)	$140.17	$41.13
MISSISSIPPI (MS)	$139.35	$40.42
MONTANA** (MT)	$156.98	$42.08
NORTH CAROLINA (NC)	$147.78	$40.57
NORTH DAKOTA** (ND)	$155.20	$40.30
NEBRASKA (NE)	$145.78	$39.73
NEW HAMPSHIRE (NH)	$161.58	$41.97
NORTHERN NJ (NJ)	$178.65	$45.37
REST OF NEW JERSEY (NJ)	$169.74	$44.27
NEW MEXICO (NM)	$147.53	$42.16
NEVADA** (NV)	$156.60	$41.59
MANHATTAN (NY)	$180.48	$46.97
NYC SUBURBS/LONG ISLAND (NY)	$184.57	$47.96
POUGHKPSIE/N NYC SUBURBS (NY)	$170.61	$44.79
QUEENS (NY)	$182.47	$46.66
REST OF NEW YORK (NY)	$150.03	$40.88
OHIO (OH)	$146.46	$41.56
OKLAHOMA (OK)	$143.34	$40.74
PORTLAND (OR)	$170.20	$42.54
REST OF OREGON (OR)	$155.61	$41.17
METROPOLITAN PHILADELPHIA (PA)	$163.12	$43.51
REST OF PENNSYLVANIA (PA)	$146.88	$41.40
PUERTO RICO (PR)	$158.27	$42.11
RHODE ISLAND (RI)	$161.28	$42.59
SOUTH CAROLINA (SC)	$147.32	$41.15
SOUTH DAKOTA** (SD)	$154.99	$40.09
TENNESSEE (TN)	$144.56	$40.12
BRAZORIA (TX)	$155.49	$41.63
DALLAS (TX)	$156.37	$41.93
GALVESTON (TX)	$155.88	$41.79
HOUSTON (TX)	$157.53	$43.43
BEAUMONT (TX)	$145.86	$41.30
FORT WORTH (TX)	$155.19	$41.90
AUSTIN (TX)	$163.74	$42.18
REST OF TEXAS (TX)	$150.51	$41.47
UTAH (UT)	$149.40	$41.40
VIRGINIA (VA)	$154.04	$41.09
VIRGIN ISLANDS (VI)	$158.27	$42.11
VERMONT (VT)	$154.29	$40.54
SEATTLE (KING CNTY) (WA)	$185.59	$44.61
REST OF WASHINGTON (WA)	$163.12	$42.13
WISCONSIN (WI)	$149.81	$39.74
WEST VIRGINIA (WV)	$142.40	$42.55
WYOMING** (WY)	$156.20	$41.30

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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 amount is built from three Relative Value Units (RVUs) assigned to this procedure code — physician work, practice expense, and malpractice — which reflect the relative resources and effort involved. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, accounting for regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility rates differ mainly in the practice-expense RVU, since overhead costs are typically higher when the physician's own office bears equipment and staffing costs versus when the service is performed in a facility that bills separately.

RVUs — work 0.98, practice expense 3.63 (non-facility) / 0.19 (facility), malpractice 0.09 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment — actual reimbursement can differ.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the patient or secondary payer may be responsible for the remainder.
Modifiers, place of service, multiple-procedure reductions, and sequestration can change the final paid amount.
Annual budget-neutrality adjustments and conversion factor updates mean amounts change year to year.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why is the facility amount lower than the non-facility amount for this code?

The facility rate uses a lower practice-expense RVU because the facility (hospital or ASC), not the physician's office, absorbs most of the overhead costs like equipment, supplies, and clinical staff for that setting.

Does this amount reflect what Medicare will actually pay?

No. The figure shown is the Medicare-allowed amount before the standard 20% coinsurance and any unmet deductible are applied, and it can be further affected by modifiers or local adjustments.

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

Medicare adjusts each RVU component using locality-specific Geographic Practice Cost Indices (GPCIs) to reflect differences in local wages, rents, and malpractice costs, so allowed amounts vary by region.

Will this amount change next year?

Yes. CMS updates the conversion factor and may revise RVUs annually, and budget-neutrality adjustments can shift fees even if the code itself is unchanged.

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.