Medicare Reimbursement for CPT 24076

CPT 24076 is a procedure code reported to Medicare for physician and outpatient services; the specific clinical description is maintained by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code at the national level and by locality, broken out for non-facility and facility settings. For this code, the non-facility and facility payment amounts are the same because the practice-expense RVU does not differ between settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$521.05	$521.05
ALASKA* (AK)	$633.04	$633.04
ALABAMA (AL)	$469.97	$469.97
ARKANSAS (AR)	$463.66	$463.66
ARIZONA (AZ)	$506.49	$506.49
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$607.40	$607.40
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$616.85	$616.85
OXNARD-THOUSAND OAKS-VENTURA (CA)	$549.62	$549.62
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$555.12	$555.12
NAPA (CA)	$583.05	$583.05
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$609.17	$609.17
VALLEJO (CA)	$580.50	$580.50
BAKERSFIELD (CA)	$527.13	$527.13
CHICO (CA)	$522.84	$522.84
FRESNO (CA)	$522.84	$522.84
HANFORD-CORCORAN (CA)	$522.84	$522.84
MADERA (CA)	$522.84	$522.84
MERCED (CA)	$522.84	$522.84
MODESTO (CA)	$522.84	$522.84
REDDING (CA)	$522.84	$522.84
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$539.60	$539.60
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$542.69	$542.69
SALINAS (CA)	$540.57	$540.57
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$624.09	$624.09
SANTA CRUZ-WATSONVILLE (CA)	$550.92	$550.92
SANTA ROSA-PETALUMA (CA)	$556.05	$556.05
STOCKTON (CA)	$522.84	$522.84
VISALIA (CA)	$522.84	$522.84
YUBA CITY (CA)	$522.84	$522.84
EL CENTRO (CA)	$523.11	$523.11
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$549.07	$549.07
SAN LUIS OBISPO-PASO ROBLES (CA)	$532.64	$532.64
SANTA MARIA-SANTA BARBARA (CA)	$541.44	$541.44
REST OF CALIFORNIA (CA)	$522.84	$522.84
COLORADO (CO)	$527.12	$527.12
CONNECTICUT (CT)	$554.36	$554.36
DC + MD/VA SUBURBS (DC)	$580.51	$580.51
DELAWARE (DE)	$514.26	$514.26
FORT LAUDERDALE (FL)	$566.12	$566.12
MIAMI (FL)	$610.06	$610.06
REST OF FLORIDA (FL)	$537.24	$537.24
ATLANTA (GA)	$535.90	$535.90
REST OF GEORGIA (GA)	$506.46	$506.46
HAWAII, GUAM (HI)	$530.33	$530.33
IOWA (IA)	$470.27	$470.27
IDAHO (ID)	$475.37	$475.37
EAST ST. LOUIS (IL)	$555.67	$555.67
SUBURBAN CHICAGO (IL)	$569.12	$569.12
CHICAGO (IL)	$591.36	$591.36
REST OF ILLINOIS (IL)	$530.57	$530.57
INDIANA (IN)	$477.64	$477.64
KANSAS (KS)	$473.34	$473.34
KENTUCKY (KY)	$491.34	$491.34
NEW ORLEANS (LA)	$514.70	$514.70
REST OF LOUISIANA (LA)	$492.67	$492.67
METROPOLITAN BOSTON (MA)	$569.40	$569.40
REST OF MASSACHUSETTS (MA)	$526.41	$526.41
BALTIMORE/SURR. CNTYS (MD)	$553.89	$553.89
REST OF MARYLAND (MD)	$521.93	$521.93
SOUTHERN MAINE (ME)	$499.78	$499.78
REST OF MAINE (ME)	$483.13	$483.13
DETROIT (MI)	$548.83	$548.83
REST OF MICHIGAN (MI)	$507.96	$507.96
MINNESOTA (MN)	$490.98	$490.98
METROPOLITAN ST. LOUIS (MO)	$510.22	$510.22
METROPOLITAN KANSAS CITY (MO)	$505.96	$505.96
REST OF MISSOURI (MO)	$488.26	$488.26
MISSISSIPPI (MS)	$475.79	$475.79
MONTANA** (MT)	$520.95	$520.95
NORTH CAROLINA (NC)	$486.98	$486.98
NORTH DAKOTA** (ND)	$490.10	$490.10
NEBRASKA (NE)	$471.10	$471.10
NEW HAMPSHIRE (NH)	$523.88	$523.88
NORTHERN NJ (NJ)	$576.24	$576.24
REST OF NEW JERSEY (NJ)	$556.71	$556.71
NEW MEXICO (NM)	$512.62	$512.62
NEVADA** (NV)	$512.58	$512.58
MANHATTAN (NY)	$603.92	$603.92
NYC SUBURBS/LONG ISLAND (NY)	$624.20	$624.20
POUGHKPSIE/N NYC SUBURBS (NY)	$564.49	$564.49
QUEENS (NY)	$600.98	$600.98
REST OF NEW YORK (NY)	$494.19	$494.19
OHIO (OH)	$501.65	$501.65
OKLAHOMA (OK)	$485.06	$485.06
PORTLAND (OR)	$536.86	$536.86
REST OF OREGON (OR)	$504.67	$504.67
METROPOLITAN PHILADELPHIA (PA)	$544.79	$544.79
REST OF PENNSYLVANIA (PA)	$499.51	$499.51
PUERTO RICO (PR)	$522.78	$522.78
RHODE ISLAND (RI)	$527.53	$527.53
SOUTH CAROLINA (SC)	$495.93	$495.93
SOUTH DAKOTA** (SD)	$486.46	$486.46
TENNESSEE (TN)	$476.20	$476.20
BRAZORIA (TX)	$509.47	$509.47
DALLAS (TX)	$514.91	$514.91
GALVESTON (TX)	$512.43	$512.43
HOUSTON (TX)	$540.98	$540.98
BEAUMONT (TX)	$496.85	$496.85
FORT WORTH (TX)	$513.31	$513.31
AUSTIN (TX)	$528.81	$528.81
REST OF TEXAS (TX)	$504.38	$504.38
UTAH (UT)	$502.07	$502.07
VIRGINIA (VA)	$501.86	$501.86
VIRGIN ISLANDS (VI)	$522.78	$522.78
VERMONT (VT)	$493.04	$493.04
SEATTLE (KING CNTY) (WA)	$575.29	$575.29
REST OF WASHINGTON (WA)	$523.81	$523.81
WISCONSIN (WI)	$475.43	$475.43
WEST VIRGINIA (WV)	$513.67	$513.67
WYOMING** (WY)	$507.51	$507.51

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 4 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 Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed. The GPCI-adjusted RVUs are summed and multiplied by the annual Conversion Factor (CF) set by CMS to produce the allowed amount. Non-facility rates apply when the service is performed in a setting like a physician's office, while facility rates apply in hospitals or ambulatory surgical centers, typically reflecting a lower practice-expense RVU for the physician since the facility bears some overhead. Because GPCIs vary by locality and the CF changes yearly, the same code can have different allowed amounts across regions and years.

RVUs — work 7.22, practice expense 6.82 (non-facility) / 6.82 (facility), malpractice 1.56 — × 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 patient meets their deductible; the patient or secondary insurer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why are the non-facility and facility amounts the same for this code?

When the practice-expense RVU is identical for both settings, the calculated allowed amount is the same regardless of where the service is performed.

Why does the allowed amount differ by locality?

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

Does this amount reflect what the patient will owe?

No. The PFS amount is the total allowed amount; Medicare generally pays 80% after the deductible, with the patient or secondary payer responsible for the rest, subject to plan-specific rules.

Will this amount stay the same next year?

No. CMS updates the conversion factor and may revise RVUs annually, so the allowed amount can change from year to year even if the code itself is unchanged.

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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.