Medicare Reimbursement for CPT 23460

CPT 23460 is a physician procedure code identified by the Medicare Physician Fee Schedule (PFS); the specific clinical descriptor is not reproduced here because CPT text is licensed by the AMA. This page shows the estimated Medicare-allowed amount for this code nationally and by locality, with non-facility and facility settings shown separately. Amounts shown are PFS estimates, not a guarantee of payment.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1000.69	$1000.69
ALASKA* (AK)	$1233.47	$1233.47
ALABAMA (AL)	$906.13	$906.13
ARKANSAS (AR)	$894.53	$894.53
ARIZONA (AZ)	$973.26	$973.26
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1140.82	$1140.82
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1157.52	$1157.52
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1042.26	$1042.26
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1053.82	$1053.82
NAPA (CA)	$1098.84	$1098.84
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1144.55	$1144.55
VALLEJO (CA)	$1093.47	$1093.47
BAKERSFIELD (CA)	$1003.75	$1003.75
CHICO (CA)	$994.72	$994.72
FRESNO (CA)	$994.72	$994.72
HANFORD-CORCORAN (CA)	$994.72	$994.72
MADERA (CA)	$994.72	$994.72
MERCED (CA)	$994.72	$994.72
MODESTO (CA)	$994.72	$994.72
REDDING (CA)	$994.72	$994.72
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1029.96	$1029.96
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1029.70	$1029.70
SALINAS (CA)	$1025.62	$1025.62
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1172.75	$1172.75
SANTA CRUZ-WATSONVILLE (CA)	$1041.53	$1041.53
SANTA ROSA-PETALUMA (CA)	$1051.06	$1051.06
STOCKTON (CA)	$994.72	$994.72
VISALIA (CA)	$994.72	$994.72
YUBA CITY (CA)	$994.72	$994.72
EL CENTRO (CA)	$995.27	$995.27
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1039.68	$1039.68
SAN LUIS OBISPO-PASO ROBLES (CA)	$1010.89	$1010.89
SANTA MARIA-SANTA BARBARA (CA)	$1026.71	$1026.71
REST OF CALIFORNIA (CA)	$994.72	$994.72
COLORADO (CO)	$1006.95	$1006.95
CONNECTICUT (CT)	$1062.96	$1062.96
DC + MD/VA SUBURBS (DC)	$1107.83	$1107.83
DELAWARE (DE)	$987.69	$987.69
FORT LAUDERDALE (FL)	$1094.10	$1094.10
MIAMI (FL)	$1183.62	$1183.62
REST OF FLORIDA (FL)	$1039.25	$1039.25
ATLANTA (GA)	$1030.27	$1030.27
REST OF GEORGIA (GA)	$981.11	$981.11
HAWAII, GUAM (HI)	$1006.09	$1006.09
IOWA (IA)	$902.66	$902.66
IDAHO (ID)	$912.87	$912.87
EAST ST. LOUIS (IL)	$1081.69	$1081.69
SUBURBAN CHICAGO (IL)	$1099.03	$1099.03
CHICAGO (IL)	$1148.05	$1148.05
REST OF ILLINOIS (IL)	$1029.65	$1029.65
INDIANA (IN)	$916.92	$916.92
KANSAS (KS)	$910.25	$910.25
KENTUCKY (KY)	$949.63	$949.63
NEW ORLEANS (LA)	$993.40	$993.40
REST OF LOUISIANA (LA)	$952.84	$952.84
METROPOLITAN BOSTON (MA)	$1082.72	$1082.72
REST OF MASSACHUSETTS (MA)	$1006.62	$1006.62
BALTIMORE/SURR. CNTYS (MD)	$1062.35	$1062.35
REST OF MARYLAND (MD)	$1001.37	$1001.37
SOUTHERN MAINE (ME)	$956.88	$956.88
REST OF MAINE (ME)	$929.19	$929.19
DETROIT (MI)	$1062.68	$1062.68
REST OF MICHIGAN (MI)	$982.10	$982.10
MINNESOTA (MN)	$934.47	$934.47
METROPOLITAN ST. LOUIS (MO)	$982.86	$982.86
METROPOLITAN KANSAS CITY (MO)	$975.23	$975.23
REST OF MISSOURI (MO)	$945.94	$945.94
MISSISSIPPI (MS)	$919.82	$919.82
MONTANA** (MT)	$1000.47	$1000.47
NORTH CAROLINA (NC)	$935.94	$935.94
NORTH DAKOTA** (ND)	$935.62	$935.62
NEBRASKA (NE)	$903.59	$903.59
NEW HAMPSHIRE (NH)	$1002.42	$1002.42
NORTHERN NJ (NJ)	$1100.76	$1100.76
REST OF NEW JERSEY (NJ)	$1066.52	$1066.52
NEW MEXICO (NM)	$991.50	$991.50
NEVADA** (NV)	$982.77	$982.77
MANHATTAN (NY)	$1158.78	$1158.78
NYC SUBURBS/LONG ISLAND (NY)	$1198.62	$1198.62
POUGHKPSIE/N NYC SUBURBS (NY)	$1082.60	$1082.60
QUEENS (NY)	$1150.53	$1150.53
REST OF NEW YORK (NY)	$949.35	$949.35
OHIO (OH)	$968.85	$968.85
OKLAHOMA (OK)	$936.02	$936.02
PORTLAND (OR)	$1022.63	$1022.63
REST OF OREGON (OR)	$966.65	$966.65
METROPOLITAN PHILADELPHIA (PA)	$1046.53	$1046.53
REST OF PENNSYLVANIA (PA)	$963.83	$963.83
PUERTO RICO (PR)	$1003.18	$1003.18
RHODE ISLAND (RI)	$1011.06	$1011.06
SOUTH CAROLINA (SC)	$955.67	$955.67
SOUTH DAKOTA** (SD)	$927.95	$927.95
TENNESSEE (TN)	$915.74	$915.74
BRAZORIA (TX)	$977.32	$977.32
DALLAS (TX)	$988.27	$988.27
GALVESTON (TX)	$983.34	$983.34
HOUSTON (TX)	$1043.37	$1043.37
BEAUMONT (TX)	$959.06	$959.06
FORT WORTH (TX)	$985.93	$985.93
AUSTIN (TX)	$1011.05	$1011.05
REST OF TEXAS (TX)	$970.88	$970.88
UTAH (UT)	$966.95	$966.95
VIRGINIA (VA)	$962.09	$962.09
VIRGIN ISLANDS (VI)	$1003.18	$1003.18
VERMONT (VT)	$942.81	$942.81
SEATTLE (KING CNTY) (WA)	$1091.77	$1091.77
REST OF WASHINGTON (WA)	$1001.14	$1001.14
WISCONSIN (WI)	$909.08	$909.08
WEST VIRGINIA (WV)	$998.64	$998.64
WYOMING** (WY)	$972.21	$972.21

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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 a code: physician work, practice expense, and malpractice. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the provider's locality, reflecting local cost-of-living and practice-cost differences. The locality-adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the dollar allowed amount. Non-facility and facility allowed amounts differ because the practice-expense RVU is typically higher in non-facility settings (e.g., a physician's office) to account for overhead that a facility (e.g., hospital) would otherwise absorb; for this code the facility and non-facility PE RVUs shown are equal, so national facility and non-facility amounts match.

RVUs — work 15.42, practice expense 11.26 (non-facility) / 11.26 (facility), malpractice 3.28 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, based on the national Medicare Physician Fee Schedule and standard RVU/GPCI data — it is not a payment guarantee.
Medicare typically pays 80% of the allowed amount after the patient meets the annual Part B deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, bilateral billing, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Locality-specific GPCIs mean the actual allowed amount will differ from the national figure shown here depending on where the service is performed.
Always confirm final payment rates and edits with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

Why do the facility and non-facility amounts differ for some codes but not others?

The practice-expense RVU component is usually lower in facility settings because overhead costs (equipment, staff, supplies) are borne by the facility rather than the billing physician. When the facility and non-facility PE RVUs are the same, as shown here, the allowed amounts will be identical nationally.

Why might my local Medicare payment differ from the national amount shown?

The national amount uses a GPCI value of 1.0 for all components. Actual payments are adjusted using locality-specific GPCIs for work, practice expense, and malpractice, so the real allowed amount can be higher or lower depending on the geographic area.

Does this amount include the patient's share?

No. The figure shown is the full Medicare-allowed amount before cost-sharing. Medicare generally pays 80% after the deductible is met, with the remaining 20% owed by the patient or a secondary payer.

Will modifiers change the reimbursement for this code?

Yes. Modifiers such as those for bilateral procedures, multiple procedures, or reduced/discontinued services can increase or decrease the final paid amount relative to the base PFS rate 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.