Medicare Reimbursement for CPT 24102
CPT 24102 is a procedure code used for physician billing under Medicare Part B. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code, both nationally and adjusted for locality, broken out by non-facility and facility settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $578.84 | $578.84 |
| ALASKA* (AK) | $705.61 | $705.61 |
| ALABAMA (AL) | $523.37 | $523.37 |
| ARKANSAS (AR) | $516.52 | $516.52 |
| ARIZONA (AZ) | $563.11 | $563.11 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $678.17 | $678.17 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $688.87 | $688.87 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $612.53 | $612.53 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $618.50 | $618.50 |
| NAPA (CA) | $650.52 | $650.52 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $680.01 | $680.01 |
| VALLEJO (CA) | $647.86 | $647.86 |
| BAKERSFIELD (CA) | $587.35 | $587.35 |
| CHICO (CA) | $582.86 | $582.86 |
| FRESNO (CA) | $582.86 | $582.86 |
| HANFORD-CORCORAN (CA) | $582.86 | $582.86 |
| MADERA (CA) | $582.86 | $582.86 |
| MERCED (CA) | $582.86 | $582.86 |
| MODESTO (CA) | $582.86 | $582.86 |
| REDDING (CA) | $582.86 | $582.86 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $600.28 | $600.28 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $605.11 | $605.11 |
| SALINAS (CA) | $602.75 | $602.75 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $696.39 | $696.39 |
| SANTA CRUZ-WATSONVILLE (CA) | $614.39 | $614.39 |
| SANTA ROSA-PETALUMA (CA) | $620.13 | $620.13 |
| STOCKTON (CA) | $582.86 | $582.86 |
| VISALIA (CA) | $582.86 | $582.86 |
| YUBA CITY (CA) | $582.86 | $582.86 |
| EL CENTRO (CA) | $583.13 | $583.13 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $612.27 | $612.27 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $593.86 | $593.86 |
| SANTA MARIA-SANTA BARBARA (CA) | $603.73 | $603.73 |
| REST OF CALIFORNIA (CA) | $582.86 | $582.86 |
| COLORADO (CO) | $586.59 | $586.59 |
| CONNECTICUT (CT) | $615.28 | $615.28 |
| DC + MD/VA SUBURBS (DC) | $645.01 | $645.01 |
| DELAWARE (DE) | $571.65 | $571.65 |
| FORT LAUDERDALE (FL) | $625.88 | $625.88 |
| MIAMI (FL) | $672.06 | $672.06 |
| REST OF FLORIDA (FL) | $594.80 | $594.80 |
| ATLANTA (GA) | $594.61 | $594.61 |
| REST OF GEORGIA (GA) | $561.59 | $561.59 |
| HAWAII, GUAM (HI) | $591.11 | $591.11 |
| IOWA (IA) | $524.46 | $524.46 |
| IDAHO (ID) | $529.85 | $529.85 |
| EAST ST. LOUIS (IL) | $613.24 | $613.24 |
| SUBURBAN CHICAGO (IL) | $629.40 | $629.40 |
| CHICAGO (IL) | $652.07 | $652.07 |
| REST OF ILLINOIS (IL) | $587.04 | $587.04 |
| INDIANA (IN) | $532.35 | $532.35 |
| KANSAS (KS) | $527.44 | $527.44 |
| KENTUCKY (KY) | $545.84 | $545.84 |
| NEW ORLEANS (LA) | $571.10 | $571.10 |
| REST OF LOUISIANA (LA) | $547.14 | $547.14 |
| METROPOLITAN BOSTON (MA) | $633.54 | $633.54 |
| REST OF MASSACHUSETTS (MA) | $585.72 | $585.72 |
| BALTIMORE/SURR. CNTYS (MD) | $614.64 | $614.64 |
| REST OF MARYLAND (MD) | $580.16 | $580.16 |
| SOUTHERN MAINE (ME) | $556.57 | $556.57 |
| REST OF MAINE (ME) | $537.92 | $537.92 |
| DETROIT (MI) | $607.00 | $607.00 |
| REST OF MICHIGAN (MI) | $563.56 | $563.56 |
| MINNESOTA (MN) | $548.16 | $548.16 |
| METROPOLITAN ST. LOUIS (MO) | $566.66 | $566.66 |
| METROPOLITAN KANSAS CITY (MO) | $561.99 | $561.99 |
| REST OF MISSOURI (MO) | $542.12 | $542.12 |
| MISSISSIPPI (MS) | $529.15 | $529.15 |
| MONTANA** (MT) | $578.73 | $578.73 |
| NORTH CAROLINA (NC) | $542.16 | $542.16 |
| NORTH DAKOTA** (ND) | $546.70 | $546.70 |
| NEBRASKA (NE) | $525.48 | $525.48 |
| NEW HAMPSHIRE (NH) | $582.56 | $582.56 |
| NORTHERN NJ (NJ) | $640.39 | $640.39 |
| REST OF NEW JERSEY (NJ) | $618.38 | $618.38 |
| NEW MEXICO (NM) | $568.48 | $568.48 |
| NEVADA** (NV) | $570.06 | $570.06 |
| MANHATTAN (NY) | $669.20 | $669.20 |
| NYC SUBURBS/LONG ISLAND (NY) | $690.77 | $690.77 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $626.61 | $626.61 |
| QUEENS (NY) | $666.53 | $666.53 |
| REST OF NEW YORK (NY) | $549.97 | $549.97 |
| OHIO (OH) | $557.01 | $557.01 |
| OKLAHOMA (OK) | $539.40 | $539.40 |
| PORTLAND (OR) | $597.69 | $597.69 |
| REST OF OREGON (OR) | $561.74 | $561.74 |
| METROPOLITAN PHILADELPHIA (PA) | $604.61 | $604.61 |
| REST OF PENNSYLVANIA (PA) | $554.88 | $554.88 |
| PUERTO RICO (PR) | $580.84 | $580.84 |
| RHODE ISLAND (RI) | $586.55 | $586.55 |
| SOUTH CAROLINA (SC) | $551.28 | $551.28 |
| SOUTH DAKOTA** (SD) | $542.91 | $542.91 |
| TENNESSEE (TN) | $530.50 | $530.50 |
| BRAZORIA (TX) | $566.78 | $566.78 |
| DALLAS (TX) | $572.55 | $572.55 |
| GALVESTON (TX) | $569.89 | $569.89 |
| HOUSTON (TX) | $599.54 | $599.54 |
| BEAUMONT (TX) | $551.97 | $551.97 |
| FORT WORTH (TX) | $570.70 | $570.70 |
| AUSTIN (TX) | $588.05 | $588.05 |
| REST OF TEXAS (TX) | $560.54 | $560.54 |
| UTAH (UT) | $557.97 | $557.97 |
| VIRGINIA (VA) | $558.58 | $558.58 |
| VIRGIN ISLANDS (VI) | $580.84 | $580.84 |
| VERMONT (VT) | $549.55 | $549.55 |
| SEATTLE (KING CNTY) (WA) | $640.46 | $640.46 |
| REST OF WASHINGTON (WA) | $582.96 | $582.96 |
| WISCONSIN (WI) | $530.65 | $530.65 |
| WEST VIRGINIA (WV) | $568.64 | $568.64 |
| WYOMING** (WY) | $564.77 | $564.77 |
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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 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 geographically adjusted RVUs are summed and multiplied by the annual conversion factor to produce the allowed amount. Practice expense RVUs typically differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ, though for some codes these values are the same. The result is a national baseline that shifts up or down depending on local cost-of-living and practice-cost factors.
RVUs — work 8.05, practice expense 7.66 (non-facility) / 7.66 (facility), malpractice 1.62 — × 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 deductible; the patient or secondary insurer is responsible for the remainder.
- Actual payment can vary by locality, applicable modifiers, claims-processing adjustments, and sequestration.
- Annual updates to RVUs, GPCIs, and the conversion factor — including budget-neutrality adjustments — can change this amount each year.
- Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC).
Frequently asked
Why does the Medicare payment for this code vary by location?
Medicare adjusts the practice expense, work, and malpractice RVUs using locality-specific GPICs to reflect differences in local labor, rent, and other costs, which changes the final allowed amount by region.
Why are the non-facility and facility amounts the same for this code?
When a code's practice expense RVUs are identical in both settings, the non-facility and facility allowed amounts will match, since the other RVU components don't change by setting.
Is the amount shown what Medicare will actually pay?
No. The figure is Medicare's allowed amount before cost-sharing. Medicare generally pays 80% after the deductible, and actual reimbursement can be affected by modifiers, sequestration, and claim-specific adjustments.
Where can I find the official descriptor for CPT 24102?
CPT code descriptors are copyrighted by the American Medical Association. Refer to your licensed CPT codebook or AMA resources for the official 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.
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