Medicare Reimbursement for CPT 23930

CPT 23930 is a procedure code defined by the American Medical Association; its full descriptor is not reproduced here due to licensing restrictions. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for 2026, both nationally and by locality, and separately for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$381.10	$205.08
ALASKA* (AK)	$437.83	$250.37
ALABAMA (AL)	$339.36	$185.34
ARKANSAS (AR)	$334.11	$182.91
ARIZONA (AZ)	$370.01	$199.45
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$486.57	$238.37
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$495.88	$242.06
OXNARD-THOUSAND OAKS-VENTURA (CA)	$424.06	$216.00
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$426.42	$218.19
NAPA (CA)	$460.92	$228.92
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$487.26	$239.07
VALLEJO (CA)	$459.92	$227.93
BAKERSFIELD (CA)	$400.26	$207.34
CHICO (CA)	$398.58	$205.65
FRESNO (CA)	$398.58	$205.65
HANFORD-CORCORAN (CA)	$398.58	$205.65
MADERA (CA)	$398.58	$205.65
MERCED (CA)	$398.58	$205.65
MODESTO (CA)	$398.58	$205.65
REDDING (CA)	$398.58	$205.65
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$405.13	$212.21
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$418.06	$213.35
SALINAS (CA)	$416.52	$212.51
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$498.71	$244.89
SANTA CRUZ-WATSONVILLE (CA)	$430.29	$216.42
SANTA ROSA-PETALUMA (CA)	$434.59	$218.43
STOCKTON (CA)	$398.58	$205.65
VISALIA (CA)	$398.58	$205.65
YUBA CITY (CA)	$398.58	$205.65
EL CENTRO (CA)	$398.68	$205.76
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$426.29	$215.76
SAN LUIS OBISPO-PASO ROBLES (CA)	$409.89	$209.40
SANTA MARIA-SANTA BARBARA (CA)	$418.07	$212.83
REST OF CALIFORNIA (CA)	$398.58	$205.65
COLORADO (CO)	$394.66	$207.37
CONNECTICUT (CT)	$407.60	$218.02
DC + MD/VA SUBURBS (DC)	$435.52	$228.17
DELAWARE (DE)	$376.38	$202.47
FORT LAUDERDALE (FL)	$400.99	$222.68
MIAMI (FL)	$423.05	$239.81
REST OF FLORIDA (FL)	$379.77	$211.49
ATLANTA (GA)	$389.70	$210.86
REST OF GEORGIA (GA)	$356.59	$199.58
HAWAII, GUAM (HI)	$408.58	$208.45
IOWA (IA)	$346.45	$185.39
IDAHO (ID)	$349.31	$187.37
EAST ST. LOUIS (IL)	$380.71	$218.77
SUBURBAN CHICAGO (IL)	$404.62	$223.85
CHICAGO (IL)	$409.49	$232.59
REST OF ILLINOIS (IL)	$369.68	$208.97
INDIANA (IN)	$351.42	$188.25
KANSAS (KS)	$345.73	$186.61
KENTUCKY (KY)	$350.16	$193.67
NEW ORLEANS (LA)	$368.35	$202.71
REST OF LOUISIANA (LA)	$349.98	$194.20
METROPOLITAN BOSTON (MA)	$433.92	$223.75
REST OF MASSACHUSETTS (MA)	$392.48	$207.13
BALTIMORE/SURR. CNTYS (MD)	$406.71	$217.83
REST OF MARYLAND (MD)	$383.57	$205.43
SOUTHERN MAINE (ME)	$371.22	$196.78
REST OF MAINE (ME)	$352.35	$190.41
DETROIT (MI)	$385.87	$216.01
REST OF MICHIGAN (MI)	$360.83	$200.13
MINNESOTA (MN)	$374.39	$193.27
METROPOLITAN ST. LOUIS (MO)	$368.51	$200.94
METROPOLITAN KANSAS CITY (MO)	$364.58	$199.30
REST OF MISSOURI (MO)	$344.25	$192.52
MISSISSIPPI (MS)	$339.20	$187.65
MONTANA** (MT)	$381.06	$205.04
NORTH CAROLINA (NC)	$356.11	$191.89
NORTH DAKOTA** (ND)	$369.00	$192.98
NEBRASKA (NE)	$348.16	$185.70
NEW HAMPSHIRE (NH)	$389.35	$206.11
NORTHERN NJ (NJ)	$430.75	$226.56
REST OF NEW JERSEY (NJ)	$411.20	$218.98
NEW MEXICO (NM)	$363.35	$201.94
NEVADA** (NV)	$377.96	$201.77
MANHATTAN (NY)	$441.92	$237.39
NYC SUBURBS/LONG ISLAND (NY)	$454.55	$245.26
POUGHKPSIE/N NYC SUBURBS (NY)	$414.78	$222.03
QUEENS (NY)	$444.25	$236.20
REST OF NEW YORK (NY)	$361.89	$194.67
OHIO (OH)	$358.37	$197.66
OKLAHOMA (OK)	$348.40	$191.21
PORTLAND (OR)	$406.66	$211.10
REST OF OREGON (OR)	$374.00	$198.68
METROPOLITAN PHILADELPHIA (PA)	$397.58	$214.34
REST OF PENNSYLVANIA (PA)	$358.40	$196.81
PUERTO RICO (PR)	$383.69	$205.73
RHODE ISLAND (RI)	$389.44	$207.61
SOUTH CAROLINA (SC)	$358.04	$195.40
SOUTH DAKOTA** (SD)	$367.58	$191.55
TENNESSEE (TN)	$347.72	$187.72
BRAZORIA (TX)	$375.03	$200.59
DALLAS (TX)	$378.04	$202.72
GALVESTON (TX)	$376.54	$201.75
HOUSTON (TX)	$387.70	$212.91
BEAUMONT (TX)	$355.97	$195.79
FORT WORTH (TX)	$375.67	$202.11
AUSTIN (TX)	$394.24	$208.01
REST OF TEXAS (TX)	$365.70	$198.66
UTAH (UT)	$363.23	$197.77
VIRGINIA (VA)	$370.64	$197.61
VIRGIN ISLANDS (VI)	$383.69	$205.73
VERMONT (VT)	$368.41	$194.14
SEATTLE (KING CNTY) (WA)	$442.00	$226.02
REST OF WASHINGTON (WA)	$391.45	$206.10
WISCONSIN (WI)	$355.95	$187.32
WEST VIRGINIA (WV)	$355.41	$202.44
WYOMING** (WY)	$375.81	$199.78

Look up another code or locality →

Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 2 units 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 the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is performed. The adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Practice-expense RVUs differ depending on whether the service is reported in a non-facility setting (e.g., physician office) or a facility setting (e.g., hospital), which is why the two amounts differ. Work and malpractice RVUs generally stay the same across settings, while practice expense is typically lower in facility settings since overhead costs are borne by the facility.

RVUs — work 2.92, practice expense 7.88 (non-facility) / 2.61 (facility), malpractice 0.61 — × 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 approved amount after the annual Part B deductible is met; the patient or secondary insurer is responsible for the rest.
Actual payment can vary due to locality-specific GPCIs, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).

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 overhead costs (equipment, supplies, staff) are assumed to be covered by the facility rather than the billing physician's practice.

Does this amount reflect what Medicare actually pays?

No. It reflects the PFS allowed amount before the 80/20 cost-sharing split, deductible, modifiers, and any sequestration or budget-neutrality adjustments are applied.

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

The RVUs are multiplied by locality-specific GPCIs, which adjust for regional differences in wage, rent, and malpractice costs, so the final amount varies by geographic area.

Where can I find the official descriptor for CPT 23930?

CPT code descriptors are copyrighted by the American Medical Association; consult your AMA CPT manual or licensed coding software for the exact language.

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.