Medicare Reimbursement for CPT 24073
CPT 24073 is a procedure code reported for professional services under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code at the national level and the inputs used to calculate it, broken out by non-facility and facility settings. Actual payment in your locality may differ based on geographic adjustments and other factors.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $653.32 | $653.32 |
| ALASKA* (AK) | $800.71 | $800.71 |
| ALABAMA (AL) | $589.68 | $589.68 |
| ARKANSAS (AR) | $581.88 | $581.88 |
| ARIZONA (AZ) | $634.81 | $634.81 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $743.21 | $743.21 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $754.00 | $754.00 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $679.40 | $679.40 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $687.02 | $687.02 |
| NAPA (CA) | $716.05 | $716.05 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $745.76 | $745.76 |
| VALLEJO (CA) | $712.37 | $712.37 |
| BAKERSFIELD (CA) | $654.03 | $654.03 |
| CHICO (CA) | $647.89 | $647.89 |
| FRESNO (CA) | $647.89 | $647.89 |
| HANFORD-CORCORAN (CA) | $647.89 | $647.89 |
| MADERA (CA) | $647.89 | $647.89 |
| MERCED (CA) | $647.89 | $647.89 |
| MODESTO (CA) | $647.89 | $647.89 |
| REDDING (CA) | $647.89 | $647.89 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $672.04 | $672.04 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $670.78 | $670.78 |
| SALINAS (CA) | $668.14 | $668.14 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $764.44 | $764.44 |
| SANTA CRUZ-WATSONVILLE (CA) | $678.74 | $678.74 |
| SANTA ROSA-PETALUMA (CA) | $684.93 | $684.93 |
| STOCKTON (CA) | $647.89 | $647.89 |
| VISALIA (CA) | $647.89 | $647.89 |
| YUBA CITY (CA) | $647.89 | $647.89 |
| EL CENTRO (CA) | $648.26 | $648.26 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $677.44 | $677.44 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $658.56 | $658.56 |
| SANTA MARIA-SANTA BARBARA (CA) | $668.89 | $668.89 |
| REST OF CALIFORNIA (CA) | $647.89 | $647.89 |
| COLORADO (CO) | $656.71 | $656.71 |
| CONNECTICUT (CT) | $694.81 | $694.81 |
| DC + MD/VA SUBURBS (DC) | $723.81 | $723.81 |
| DELAWARE (DE) | $644.40 | $644.40 |
| FORT LAUDERDALE (FL) | $717.27 | $717.27 |
| MIAMI (FL) | $778.40 | $778.40 |
| REST OF FLORIDA (FL) | $680.20 | $680.20 |
| ATLANTA (GA) | $673.39 | $673.39 |
| REST OF GEORGIA (GA) | $640.95 | $640.95 |
| HAWAII, GUAM (HI) | $655.68 | $655.68 |
| IOWA (IA) | $586.91 | $586.91 |
| IDAHO (ID) | $593.86 | $593.86 |
| EAST ST. LOUIS (IL) | $709.67 | $709.67 |
| SUBURBAN CHICAGO (IL) | $720.35 | $720.35 |
| CHICAGO (IL) | $754.19 | $754.19 |
| REST OF ILLINOIS (IL) | $674.04 | $674.04 |
| INDIANA (IN) | $596.58 | $596.58 |
| KANSAS (KS) | $592.22 | $592.22 |
| KENTUCKY (KY) | $619.39 | $619.39 |
| NEW ORLEANS (LA) | $648.90 | $648.90 |
| REST OF LOUISIANA (LA) | $621.63 | $621.63 |
| METROPOLITAN BOSTON (MA) | $706.73 | $706.73 |
| REST OF MASSACHUSETTS (MA) | $656.50 | $656.50 |
| BALTIMORE/SURR. CNTYS (MD) | $694.53 | $694.53 |
| REST OF MARYLAND (MD) | $653.44 | $653.44 |
| SOUTHERN MAINE (ME) | $623.36 | $623.36 |
| REST OF MAINE (ME) | $605.06 | $605.06 |
| DETROIT (MI) | $696.19 | $696.19 |
| REST OF MICHIGAN (MI) | $641.43 | $641.43 |
| MINNESOTA (MN) | $607.61 | $607.61 |
| METROPOLITAN ST. LOUIS (MO) | $641.56 | $641.56 |
| METROPOLITAN KANSAS CITY (MO) | $636.45 | $636.45 |
| REST OF MISSOURI (MO) | $617.12 | $617.12 |
| MISSISSIPPI (MS) | $599.21 | $599.21 |
| MONTANA** (MT) | $653.17 | $653.17 |
| NORTH CAROLINA (NC) | $609.56 | $609.56 |
| NORTH DAKOTA** (ND) | $608.68 | $608.68 |
| NEBRASKA (NE) | $587.47 | $587.47 |
| NEW HAMPSHIRE (NH) | $654.10 | $654.10 |
| NORTHERN NJ (NJ) | $718.93 | $718.93 |
| REST OF NEW JERSEY (NJ) | $696.64 | $696.64 |
| NEW MEXICO (NM) | $647.83 | $647.83 |
| NEVADA** (NV) | $641.02 | $641.02 |
| MANHATTAN (NY) | $758.68 | $758.68 |
| NYC SUBURBS/LONG ISLAND (NY) | $785.75 | $785.75 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $707.53 | $707.53 |
| QUEENS (NY) | $752.83 | $752.83 |
| REST OF NEW YORK (NY) | $618.59 | $618.59 |
| OHIO (OH) | $632.33 | $632.33 |
| OKLAHOMA (OK) | $610.01 | $610.01 |
| PORTLAND (OR) | $666.91 | $666.91 |
| REST OF OREGON (OR) | $630.01 | $630.01 |
| METROPOLITAN PHILADELPHIA (PA) | $683.94 | $683.94 |
| REST OF PENNSYLVANIA (PA) | $628.84 | $628.84 |
| PUERTO RICO (PR) | $654.92 | $654.92 |
| RHODE ISLAND (RI) | $659.66 | $659.66 |
| SOUTH CAROLINA (SC) | $623.19 | $623.19 |
| SOUTH DAKOTA** (SD) | $603.42 | $603.42 |
| TENNESSEE (TN) | $595.94 | $595.94 |
| BRAZORIA (TX) | $637.19 | $637.19 |
| DALLAS (TX) | $644.63 | $644.63 |
| GALVESTON (TX) | $641.30 | $641.30 |
| HOUSTON (TX) | $682.48 | $682.48 |
| BEAUMONT (TX) | $625.65 | $625.65 |
| FORT WORTH (TX) | $643.12 | $643.12 |
| AUSTIN (TX) | $659.81 | $659.81 |
| REST OF TEXAS (TX) | $633.38 | $633.38 |
| UTAH (UT) | $630.77 | $630.77 |
| VIRGINIA (VA) | $627.01 | $627.01 |
| VIRGIN ISLANDS (VI) | $654.92 | $654.92 |
| VERMONT (VT) | $613.71 | $613.71 |
| SEATTLE (KING CNTY) (WA) | $712.40 | $712.40 |
| REST OF WASHINGTON (WA) | $652.80 | $652.80 |
| WISCONSIN (WI) | $590.89 | $590.89 |
| WEST VIRGINIA (WV) | $653.20 | $653.20 |
| WYOMING** (WY) | $633.78 | $633.78 |
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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 Index (GPCI) for the specific locality where the service is performed. The locality-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 typically carry different practice-expense RVUs because overhead costs differ; for this code the practice-expense RVU and resulting national amount happen to be the same in both settings, but locality-level amounts can still vary. Work and malpractice RVUs do not change by setting, only practice expense does.
RVUs — work 9.88, practice expense 7.43 (non-facility) / 7.43 (facility), malpractice 2.25 — × 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 responsible for the rest.
- Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
- Confirm the exact allowed amount with your Medicare Administrative Contractor (MAC), since locality-specific GPCI values affect the final figure.
- Rates are subject to change each calendar year when CMS updates RVUs and the conversion factor.
Frequently asked
Why is the non-facility and facility amount the same for this code?
For some codes, CMS assigns identical practice-expense RVUs to both settings, resulting in the same national allowed amount. Locality-adjusted amounts can still differ due to GPCI variations.
Does this amount reflect what Medicare actually pays?
No — it's the allowed amount before the standard 80/20 split. Medicare generally pays 80% after the deductible is met, with the remainder owed by the patient or secondary payer.
Why does my locality show a different amount than the national figure?
The PFS applies locality-specific Geographic Practice Cost Indices to the RVUs before multiplying by the conversion factor, so amounts vary by region to reflect local cost differences.
Can I see the CPT code's official description here?
No. CPT descriptors are copyrighted by the American Medical Association and are not reproduced on this page; only the numeric code and payment data are shown.
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.
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