Medicare Reimbursement for CPT 24079

CPT 24079 is a physician procedure code; this page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and by locality, broken out for non-facility and facility settings. Amounts are based on published 2026 Medicare pricing inputs.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1226.15	$1226.15
ALASKA* (AK)	$1518.43	$1518.43
ALABAMA (AL)	$1109.07	$1109.07
ARKANSAS (AR)	$1094.79	$1094.79
ARIZONA (AZ)	$1191.50	$1191.50
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1365.50	$1365.50
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1384.07	$1384.07
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1259.71	$1259.71
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1275.16	$1275.16
NAPA (CA)	$1319.96	$1319.96
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1370.74	$1370.74
VALLEJO (CA)	$1312.40	$1312.40
BAKERSFIELD (CA)	$1217.04	$1217.04
CHICO (CA)	$1204.43	$1204.43
FRESNO (CA)	$1204.43	$1204.43
HANFORD-CORCORAN (CA)	$1204.43	$1204.43
MADERA (CA)	$1204.43	$1204.43
MERCED (CA)	$1204.43	$1204.43
MODESTO (CA)	$1204.43	$1204.43
REDDING (CA)	$1204.43	$1204.43
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1254.02	$1254.02
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1244.04	$1244.04
SALINAS (CA)	$1239.08	$1239.08
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1405.52	$1405.52
SANTA CRUZ-WATSONVILLE (CA)	$1254.81	$1254.81
SANTA ROSA-PETALUMA (CA)	$1266.06	$1266.06
STOCKTON (CA)	$1204.43	$1204.43
VISALIA (CA)	$1204.43	$1204.43
YUBA CITY (CA)	$1204.43	$1204.43
EL CENTRO (CA)	$1205.20	$1205.20
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1254.16	$1254.16
SAN LUIS OBISPO-PASO ROBLES (CA)	$1221.67	$1221.67
SANTA MARIA-SANTA BARBARA (CA)	$1239.87	$1239.87
REST OF CALIFORNIA (CA)	$1204.43	$1204.43
COLORADO (CO)	$1226.06	$1226.06
CONNECTICUT (CT)	$1302.84	$1302.84
DC + MD/VA SUBURBS (DC)	$1351.16	$1351.16
DELAWARE (DE)	$1209.11	$1209.11
FORT LAUDERDALE (FL)	$1356.04	$1356.04
MIAMI (FL)	$1478.52	$1478.52
REST OF FLORIDA (FL)	$1286.13	$1286.13
ATLANTA (GA)	$1265.59	$1265.59
REST OF GEORGIA (GA)	$1212.49	$1212.49
HAWAII, GUAM (HI)	$1216.09	$1216.09
IOWA (IA)	$1099.03	$1099.03
IDAHO (ID)	$1112.76	$1112.76
EAST ST. LOUIS (IL)	$1350.55	$1350.55
SUBURBAN CHICAGO (IL)	$1360.80	$1360.80
CHICAGO (IL)	$1432.68	$1432.68
REST OF ILLINOIS (IL)	$1278.15	$1278.15
INDIANA (IN)	$1117.57	$1117.57
KANSAS (KS)	$1111.13	$1111.13
KENTUCKY (KY)	$1168.54	$1168.54
NEW ORLEANS (LA)	$1223.49	$1223.49
REST OF LOUISIANA (LA)	$1173.57	$1173.57
METROPOLITAN BOSTON (MA)	$1314.44	$1314.44
REST OF MASSACHUSETTS (MA)	$1226.80	$1226.80
BALTIMORE/SURR. CNTYS (MD)	$1302.71	$1302.71
REST OF MARYLAND (MD)	$1225.01	$1225.01
SOUTHERN MAINE (ME)	$1165.60	$1165.60
REST OF MAINE (ME)	$1135.75	$1135.75
DETROIT (MI)	$1317.98	$1317.98
REST OF MICHIGAN (MI)	$1211.18	$1211.18
MINNESOTA (MN)	$1129.13	$1129.13
METROPOLITAN ST. LOUIS (MO)	$1207.22	$1207.22
METROPOLITAN KANSAS CITY (MO)	$1198.15	$1198.15
REST OF MISSOURI (MO)	$1166.82	$1166.82
MISSISSIPPI (MS)	$1130.16	$1130.16
MONTANA** (MT)	$1225.84	$1225.84
NORTH CAROLINA (NC)	$1143.59	$1143.59
NORTH DAKOTA** (ND)	$1134.49	$1134.49
NEBRASKA (NE)	$1099.30	$1099.30
NEW HAMPSHIRE (NH)	$1223.29	$1223.29
NORTHERN NJ (NJ)	$1343.04	$1343.04
REST OF NEW JERSEY (NJ)	$1304.83	$1304.83
NEW MEXICO (NM)	$1223.90	$1223.90
NEVADA** (NV)	$1200.78	$1200.78
MANHATTAN (NY)	$1424.45	$1424.45
NYC SUBURBS/LONG ISLAND (NY)	$1477.09	$1477.09
POUGHKPSIE/N NYC SUBURBS (NY)	$1326.83	$1326.83
QUEENS (NY)	$1410.25	$1410.25
REST OF NEW YORK (NY)	$1160.28	$1160.28
OHIO (OH)	$1192.51	$1192.51
OKLAHOMA (OK)	$1148.85	$1148.85
PORTLAND (OR)	$1241.87	$1241.87
REST OF OREGON (OR)	$1178.71	$1178.71
METROPOLITAN PHILADELPHIA (PA)	$1284.44	$1284.44
REST OF PENNSYLVANIA (PA)	$1184.79	$1184.79
PUERTO RICO (PR)	$1228.24	$1228.24
RHODE ISLAND (RI)	$1235.46	$1235.46
SOUTH CAROLINA (SC)	$1172.54	$1172.54
SOUTH DAKOTA** (SD)	$1123.68	$1123.68
TENNESSEE (TN)	$1118.23	$1118.23
BRAZORIA (TX)	$1193.96	$1193.96
DALLAS (TX)	$1208.67	$1208.67
GALVESTON (TX)	$1202.17	$1202.17
HOUSTON (TX)	$1286.73	$1286.73
BEAUMONT (TX)	$1179.12	$1179.12
FORT WORTH (TX)	$1206.67	$1206.67
AUSTIN (TX)	$1233.14	$1233.14
REST OF TEXAS (TX)	$1190.74	$1190.74
UTAH (UT)	$1186.36	$1186.36
VIRGINIA (VA)	$1173.97	$1173.97
VIRGIN ISLANDS (VI)	$1228.24	$1228.24
VERMONT (VT)	$1145.91	$1145.91
SEATTLE (KING CNTY) (WA)	$1322.44	$1322.44
REST OF WASHINGTON (WA)	$1219.23	$1219.23
WISCONSIN (WI)	$1102.53	$1102.53
WEST VIRGINIA (WV)	$1240.15	$1240.15
WYOMING** (WY)	$1186.03	$1186.03

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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: 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 PFS amounts are 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 locality where the service is performed, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often have different practice-expense RVUs, reflecting whether the physician or the facility bears the overhead cost, which is why the two amounts can differ.

RVUs — work 20.09, practice expense 12 (non-facility) / 12 (facility), malpractice 4.62 — × 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 Part B deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, place of service, 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 do the facility and non-facility amounts differ for some codes?

They can differ because the practice-expense RVU component accounts for who incurs the overhead cost — the physician's office or the facility. When a service is performed in a facility, some overhead costs are billed separately by the facility, which can lower the physician's practice-expense RVU and therefore the physician payment.

Does this amount reflect what the patient will owe?

No. The figure shown is the Medicare-allowed amount before cost-sharing. Patient responsibility depends on deductible status, coinsurance, and any secondary insurance.

Why might my MAC pay a different amount than shown here?

Locality-specific GPCIs, applied modifiers, sequestration reductions, and annual budget-neutrality adjustments can all cause the actual paid amount to differ from a generic estimate.

Is this the global fee including all related services?

The PFS amount reflects the RVU-based valuation for this code only; it does not account for bundling, global surgical periods, or other claims-specific adjustments that may apply.

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.