Medicare Reimbursement for CPT 23410

This page covers a CPT procedure code (descriptor not shown here due to AMA licensing restrictions) and displays its estimated Medicare Physician Fee Schedule (PFS) allowed amount. Amounts are shown nationally and can vary by locality, and are broken out by non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$764.88	$764.88
ALASKA* (AK)	$936.53	$936.53
ALABAMA (AL)	$691.92	$691.92
ARKANSAS (AR)	$682.93	$682.93
ARIZONA (AZ)	$743.99	$743.99
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$885.92	$885.92
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$899.48	$899.48
OXNARD-THOUSAND OAKS-VENTURA (CA)	$804.00	$804.00
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$812.29	$812.29
NAPA (CA)	$851.26	$851.26
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$888.53	$888.53
VALLEJO (CA)	$847.50	$847.50
BAKERSFIELD (CA)	$772.32	$772.32
CHICO (CA)	$765.97	$765.97
FRESNO (CA)	$765.97	$765.97
HANFORD-CORCORAN (CA)	$765.97	$765.97
MADERA (CA)	$765.97	$765.97
MERCED (CA)	$765.97	$765.97
MODESTO (CA)	$765.97	$765.97
REDDING (CA)	$765.97	$765.97
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$790.70	$790.70
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$794.26	$794.26
SALINAS (CA)	$791.14	$791.14
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$910.16	$910.16
SANTA CRUZ-WATSONVILLE (CA)	$805.18	$805.18
SANTA ROSA-PETALUMA (CA)	$812.64	$812.64
STOCKTON (CA)	$765.97	$765.97
VISALIA (CA)	$765.97	$765.97
YUBA CITY (CA)	$765.97	$765.97
EL CENTRO (CA)	$766.36	$766.36
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$802.96	$802.96
SAN LUIS OBISPO-PASO ROBLES (CA)	$779.60	$779.60
SANTA MARIA-SANTA BARBARA (CA)	$792.24	$792.24
REST OF CALIFORNIA (CA)	$765.97	$765.97
COLORADO (CO)	$772.80	$772.80
CONNECTICUT (CT)	$812.84	$812.84
DC + MD/VA SUBURBS (DC)	$850.02	$850.02
DELAWARE (DE)	$755.17	$755.17
FORT LAUDERDALE (FL)	$831.07	$831.07
MIAMI (FL)	$895.34	$895.34
REST OF FLORIDA (FL)	$789.58	$789.58
ATLANTA (GA)	$786.51	$786.51
REST OF GEORGIA (GA)	$745.40	$745.40
HAWAII, GUAM (HI)	$775.96	$775.96
IOWA (IA)	$691.61	$691.61
IDAHO (ID)	$699.04	$699.04
EAST ST. LOUIS (IL)	$817.42	$817.42
SUBURBAN CHICAGO (IL)	$835.34	$835.34
CHICAGO (IL)	$868.55	$868.55
REST OF ILLINOIS (IL)	$780.55	$780.55
INDIANA (IN)	$702.25	$702.25
KANSAS (KS)	$696.35	$696.35
KENTUCKY (KY)	$723.17	$723.17
NEW ORLEANS (LA)	$756.63	$756.63
REST OF LOUISIANA (LA)	$725.20	$725.20
METROPOLITAN BOSTON (MA)	$833.14	$833.14
REST OF MASSACHUSETTS (MA)	$772.02	$772.02
BALTIMORE/SURR. CNTYS (MD)	$812.16	$812.16
REST OF MARYLAND (MD)	$766.10	$766.10
SOUTHERN MAINE (ME)	$733.68	$733.68
REST OF MAINE (ME)	$710.48	$710.48
DETROIT (MI)	$806.49	$806.49
REST OF MICHIGAN (MI)	$747.21	$747.21
MINNESOTA (MN)	$719.99	$719.99
METROPOLITAN ST. LOUIS (MO)	$749.82	$749.82
METROPOLITAN KANSAS CITY (MO)	$743.78	$743.78
REST OF MISSOURI (MO)	$719.14	$719.14
MISSISSIPPI (MS)	$700.77	$700.77
MONTANA** (MT)	$764.73	$764.73
NORTH CAROLINA (NC)	$715.91	$715.91
NORTH DAKOTA** (ND)	$719.25	$719.25
NEBRASKA (NE)	$692.69	$692.69
NEW HAMPSHIRE (NH)	$768.27	$768.27
NORTHERN NJ (NJ)	$844.20	$844.20
REST OF NEW JERSEY (NJ)	$816.34	$816.34
NEW MEXICO (NM)	$754.01	$754.01
NEVADA** (NV)	$752.37	$752.37
MANHATTAN (NY)	$885.00	$885.00
NYC SUBURBS/LONG ISLAND (NY)	$914.37	$914.37
POUGHKPSIE/N NYC SUBURBS (NY)	$827.82	$827.82
QUEENS (NY)	$880.27	$880.27
REST OF NEW YORK (NY)	$726.22	$726.22
OHIO (OH)	$737.92	$737.92
OKLAHOMA (OK)	$713.83	$713.83
PORTLAND (OR)	$786.34	$786.34
REST OF OREGON (OR)	$740.80	$740.80
METROPOLITAN PHILADELPHIA (PA)	$799.38	$799.38
REST OF PENNSYLVANIA (PA)	$734.66	$734.66
PUERTO RICO (PR)	$767.21	$767.21
RHODE ISLAND (RI)	$774.09	$774.09
SOUTH CAROLINA (SC)	$729.27	$729.27
SOUTH DAKOTA** (SD)	$713.87	$713.87
TENNESSEE (TN)	$700.47	$700.47
BRAZORIA (TX)	$748.10	$748.10
DALLAS (TX)	$756.04	$756.04
GALVESTON (TX)	$752.42	$752.42
HOUSTON (TX)	$794.52	$794.52
BEAUMONT (TX)	$730.90	$730.90
FORT WORTH (TX)	$753.87	$753.87
AUSTIN (TX)	$775.25	$775.25
REST OF TEXAS (TX)	$741.26	$741.26
UTAH (UT)	$738.03	$738.03
VIRGINIA (VA)	$736.91	$736.91
VIRGIN ISLANDS (VI)	$767.21	$767.21
VERMONT (VT)	$723.76	$723.76
SEATTLE (KING CNTY) (WA)	$841.33	$841.33
REST OF WASHINGTON (WA)	$768.14	$768.14
WISCONSIN (WI)	$698.41	$698.41
WEST VIRGINIA (WV)	$756.47	$756.47
WYOMING** (WY)	$744.91	$744.91

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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) — physician work, practice expense, and malpractice — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is billed. These geographically adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often have different practice-expense RVUs, reflecting the different overhead costs involved, which is why the allowed amount can differ between the two settings. The conversion factor and RVUs are updated annually and can shift due to budget-neutrality adjustments.

RVUs — work 11.11, practice expense 9.49 (non-facility) / 9.49 (facility), malpractice 2.3 — × 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 insurer is generally responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and other claim-specific adjustments can change the final paid amount.
Annual budget-neutrality adjustments and conversion factor updates can shift amounts year to year.
Always confirm current rates and locality-specific figures with your Medicare Administrative Contractor (MAC).

Frequently asked

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

The practice-expense RVU component differs because overhead costs (equipment, supplies, staff time) are typically borne differently depending on whether the service is performed in an office versus a hospital or facility setting.

Does this amount reflect what Medicare actually pays?

No. The PFS amount shown is the allowed amount before cost-sharing. Medicare generally pays 80% of this amount after the deductible is met, with the remainder owed by the patient or a secondary payer.

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

Each locality has its own GPCIs for work, practice expense, and malpractice, which adjust the RVUs to reflect regional cost differences before the conversion factor is applied.

Can modifiers change this amount?

Yes. Modifiers (such as those indicating bilateral procedures, reduced services, or multiple-procedure reductions) 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.