Medicare Reimbursement for CPT 23532

CPT 23532 is a procedure code billed to Medicare under the Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code nationally and adjusted for your specific locality, broken out by non-facility (e.g., office) and facility (e.g., hospital, ASC) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$597.21	$597.21
ALASKA* (AK)	$723.08	$723.08
ALABAMA (AL)	$538.41	$538.41
ARKANSAS (AR)	$531.15	$531.15
ARIZONA (AZ)	$580.56	$580.56
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$701.96	$701.96
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$713.12	$713.12
OXNARD-THOUSAND OAKS-VENTURA (CA)	$633.01	$633.01
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$639.08	$639.08
NAPA (CA)	$672.99	$672.99
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$703.89	$703.89
VALLEJO (CA)	$670.21	$670.21
BAKERSFIELD (CA)	$606.31	$606.31
CHICO (CA)	$601.63	$601.63
FRESNO (CA)	$601.63	$601.63
HANFORD-CORCORAN (CA)	$601.63	$601.63
MADERA (CA)	$601.63	$601.63
MERCED (CA)	$601.63	$601.63
MODESTO (CA)	$601.63	$601.63
REDDING (CA)	$601.63	$601.63
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$619.90	$619.90
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$625.02	$625.02
SALINAS (CA)	$622.59	$622.59
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$721.02	$721.02
SANTA CRUZ-WATSONVILLE (CA)	$635.21	$635.21
SANTA ROSA-PETALUMA (CA)	$641.17	$641.17
STOCKTON (CA)	$601.63	$601.63
VISALIA (CA)	$601.63	$601.63
YUBA CITY (CA)	$601.63	$601.63
EL CENTRO (CA)	$601.92	$601.92
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$632.77	$632.77
SAN LUIS OBISPO-PASO ROBLES (CA)	$613.38	$613.38
SANTA MARIA-SANTA BARBARA (CA)	$623.70	$623.70
REST OF CALIFORNIA (CA)	$601.63	$601.63
COLORADO (CO)	$605.47	$605.47
CONNECTICUT (CT)	$635.51	$635.51
DC + MD/VA SUBURBS (DC)	$666.69	$666.69
DELAWARE (DE)	$589.53	$589.53
FORT LAUDERDALE (FL)	$646.64	$646.64
MIAMI (FL)	$695.23	$695.23
REST OF FLORIDA (FL)	$613.75	$613.75
ATLANTA (GA)	$613.79	$613.79
REST OF GEORGIA (GA)	$578.60	$578.60
HAWAII, GUAM (HI)	$610.73	$610.73
IOWA (IA)	$539.75	$539.75
IDAHO (ID)	$545.43	$545.43
EAST ST. LOUIS (IL)	$632.93	$632.93
SUBURBAN CHICAGO (IL)	$650.29	$650.29
CHICAGO (IL)	$673.98	$673.98
REST OF ILLINOIS (IL)	$605.41	$605.41
INDIANA (IN)	$548.08	$548.08
KANSAS (KS)	$542.82	$542.82
KENTUCKY (KY)	$562.05	$562.05
NEW ORLEANS (LA)	$588.81	$588.81
REST OF LOUISIANA (LA)	$563.40	$563.40
METROPOLITAN BOSTON (MA)	$654.92	$654.92
REST OF MASSACHUSETTS (MA)	$604.44	$604.44
BALTIMORE/SURR. CNTYS (MD)	$634.89	$634.89
REST OF MARYLAND (MD)	$598.50	$598.50
SOUTHERN MAINE (ME)	$573.80	$573.80
REST OF MAINE (ME)	$553.89	$553.89
DETROIT (MI)	$626.60	$626.60
REST OF MICHIGAN (MI)	$580.76	$580.76
MINNESOTA (MN)	$565.16	$565.16
METROPOLITAN ST. LOUIS (MO)	$584.21	$584.21
METROPOLITAN KANSAS CITY (MO)	$579.24	$579.24
REST OF MISSOURI (MO)	$558.03	$558.03
MISSISSIPPI (MS)	$544.41	$544.41
MONTANA** (MT)	$597.09	$597.09
NORTH CAROLINA (NC)	$558.40	$558.40
NORTH DAKOTA** (ND)	$563.48	$563.48
NEBRASKA (NE)	$540.85	$540.85
NEW HAMPSHIRE (NH)	$601.31	$601.31
NORTHERN NJ (NJ)	$661.62	$661.62
REST OF NEW JERSEY (NJ)	$638.54	$638.54
NEW MEXICO (NM)	$585.94	$585.94
NEVADA** (NV)	$588.00	$588.00
MANHATTAN (NY)	$691.84	$691.84
NYC SUBURBS/LONG ISLAND (NY)	$714.61	$714.61
POUGHKPSIE/N NYC SUBURBS (NY)	$647.11	$647.11
QUEENS (NY)	$689.13	$689.13
REST OF NEW YORK (NY)	$566.68	$566.68
OHIO (OH)	$573.89	$573.89
OKLAHOMA (OK)	$555.31	$555.31
PORTLAND (OR)	$617.27	$617.27
REST OF OREGON (OR)	$579.25	$579.25
METROPOLITAN PHILADELPHIA (PA)	$624.18	$624.18
REST OF PENNSYLVANIA (PA)	$571.68	$571.68
PUERTO RICO (PR)	$599.36	$599.36
RHODE ISLAND (RI)	$605.17	$605.17
SOUTH CAROLINA (SC)	$567.93	$567.93
SOUTH DAKOTA** (SD)	$559.51	$559.51
TENNESSEE (TN)	$546.06	$546.06
BRAZORIA (TX)	$584.39	$584.39
DALLAS (TX)	$590.46	$590.46
GALVESTON (TX)	$587.67	$587.67
HOUSTON (TX)	$618.78	$618.78
BEAUMONT (TX)	$568.59	$568.59
FORT WORTH (TX)	$588.46	$588.46
AUSTIN (TX)	$607.12	$607.12
REST OF TEXAS (TX)	$577.77	$577.77
UTAH (UT)	$575.02	$575.02
VIRGINIA (VA)	$575.87	$575.87
VIRGIN ISLANDS (VI)	$599.36	$599.36
VERMONT (VT)	$566.43	$566.43
SEATTLE (KING CNTY) (WA)	$662.20	$662.20
REST OF WASHINGTON (WA)	$601.59	$601.59
WISCONSIN (WI)	$546.44	$546.44
WEST VIRGINIA (WV)	$585.89	$585.89
WYOMING** (WY)	$582.44	$582.44

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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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — that reflect the relative resources needed to furnish the service. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, accounting for regional cost differences. The locality-adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice-expense RVUs differ between non-facility and facility settings because overhead costs (equipment, supplies, staff time) vary by where the service is rendered, which is why the two allowed amounts can differ.

RVUs — work 8, practice expense 8.18 (non-facility) / 8.18 (facility), malpractice 1.7 — × 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 Part B deductible is met; the patient or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Amounts vary by locality and are updated annually; always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).
This page does not constitute coding, billing, or clinical guidance.

Frequently asked

Why do the non-facility and facility amounts differ for some codes?

The practice-expense RVU component is calculated separately for non-facility (e.g., office) and facility (e.g., hospital, ASC) settings because overhead costs differ by site of service. For some codes, like this one, the practice-expense RVU happens to be the same in both settings, so the allowed amounts may match.

Why does my locality's amount differ from the national amount shown?

The national amount uses a standard GPCI baseline, while your locality's amount reflects that area's specific wage, rent, and malpractice cost indices, which raise or lower the final allowed amount.

Is this the amount Medicare will actually pay?

No. This is an estimated allowed amount before the Part B deductible and coinsurance are applied, and before any modifier, sequestration, or claim-specific adjustments.

Where can I confirm the exact rate for my claim?

Check with your Medicare Administrative Contractor (MAC) or the official CMS Physician Fee Schedule lookup tool for the most current, claim-specific figures.

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.