Medicare Reimbursement for CPT Code 24115

CPT code 24115 is a procedure code defined by the American Medical Association; its specific descriptor is not reproduced here due to licensing restrictions. 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.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$693.07	$693.07
ALASKA* (AK)	$845.47	$845.47
ALABAMA (AL)	$625.97	$625.97
ARKANSAS (AR)	$617.70	$617.70
ARIZONA (AZ)	$673.88	$673.88
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$804.29	$804.29
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$816.66	$816.66
OXNARD-THOUSAND OAKS-VENTURA (CA)	$729.23	$729.23
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$736.68	$736.68
NAPA (CA)	$772.58	$772.58
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$806.68	$806.68
VALLEJO (CA)	$769.15	$769.15
BAKERSFIELD (CA)	$700.06	$700.06
CHICO (CA)	$694.28	$694.28
FRESNO (CA)	$694.28	$694.28
HANFORD-CORCORAN (CA)	$694.28	$694.28
MADERA (CA)	$694.28	$694.28
MERCED (CA)	$694.28	$694.28
MODESTO (CA)	$694.28	$694.28
REDDING (CA)	$694.28	$694.28
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$716.84	$716.84
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$720.19	$720.19
SALINAS (CA)	$717.37	$717.37
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$826.41	$826.41
SANTA CRUZ-WATSONVILLE (CA)	$730.50	$730.50
SANTA ROSA-PETALUMA (CA)	$737.28	$737.28
STOCKTON (CA)	$694.28	$694.28
VISALIA (CA)	$694.28	$694.28
YUBA CITY (CA)	$694.28	$694.28
EL CENTRO (CA)	$694.63	$694.63
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$728.31	$728.31
SAN LUIS OBISPO-PASO ROBLES (CA)	$706.89	$706.89
SANTA MARIA-SANTA BARBARA (CA)	$718.43	$718.43
REST OF CALIFORNIA (CA)	$694.28	$694.28
COLORADO (CO)	$700.43	$700.43
CONNECTICUT (CT)	$736.97	$736.97
DC + MD/VA SUBURBS (DC)	$771.00	$771.00
DELAWARE (DE)	$684.11	$684.11
FORT LAUDERDALE (FL)	$753.56	$753.56
MIAMI (FL)	$812.34	$812.34
REST OF FLORIDA (FL)	$715.45	$715.45
ATLANTA (GA)	$712.85	$712.85
REST OF GEORGIA (GA)	$674.86	$674.86
HAWAII, GUAM (HI)	$703.72	$703.72
IOWA (IA)	$625.85	$625.85
IDAHO (ID)	$632.64	$632.64
EAST ST. LOUIS (IL)	$740.73	$740.73
SUBURBAN CHICAGO (IL)	$757.44	$757.44
CHICAGO (IL)	$787.68	$787.68
REST OF ILLINOIS (IL)	$707.04	$707.04
INDIANA (IN)	$635.61	$635.61
KANSAS (KS)	$630.13	$630.13
KENTUCKY (KY)	$654.55	$654.55
NEW ORLEANS (LA)	$685.31	$685.31
REST OF LOUISIANA (LA)	$656.40	$656.40
METROPOLITAN BOSTON (MA)	$755.76	$755.76
REST OF MASSACHUSETTS (MA)	$699.65	$699.65
BALTIMORE/SURR. CNTYS (MD)	$736.37	$736.37
REST OF MARYLAND (MD)	$694.13	$694.13
SOUTHERN MAINE (ME)	$664.55	$664.55
REST OF MAINE (ME)	$643.09	$643.09
DETROIT (MI)	$730.92	$730.92
REST OF MICHIGAN (MI)	$676.60	$676.60
MINNESOTA (MN)	$652.19	$652.19
METROPOLITAN ST. LOUIS (MO)	$679.13	$679.13
METROPOLITAN KANSAS CITY (MO)	$673.57	$673.57
REST OF MISSOURI (MO)	$650.78	$650.78
MISSISSIPPI (MS)	$634.00	$634.00
MONTANA** (MT)	$692.93	$692.93
NORTH CAROLINA (NC)	$648.10	$648.10
NORTH DAKOTA** (ND)	$651.40	$651.40
NEBRASKA (NE)	$626.86	$626.86
NEW HAMPSHIRE (NH)	$696.32	$696.32
NORTHERN NJ (NJ)	$765.53	$765.53
REST OF NEW JERSEY (NJ)	$740.04	$740.04
NEW MEXICO (NM)	$682.83	$682.83
NEVADA** (NV)	$681.65	$681.65
MANHATTAN (NY)	$802.78	$802.78
NYC SUBURBS/LONG ISLAND (NY)	$829.71	$829.71
POUGHKPSIE/N NYC SUBURBS (NY)	$750.49	$750.49
QUEENS (NY)	$798.54	$798.54
REST OF NEW YORK (NY)	$657.57	$657.57
OHIO (OH)	$668.12	$668.12
OKLAHOMA (OK)	$646.05	$646.05
PORTLAND (OR)	$712.94	$712.94
REST OF OREGON (OR)	$671.06	$671.06
METROPOLITAN PHILADELPHIA (PA)	$724.56	$724.56
REST OF PENNSYLVANIA (PA)	$665.16	$665.16
PUERTO RICO (PR)	$695.24	$695.24
RHODE ISLAND (RI)	$701.43	$701.43
SOUTH CAROLINA (SC)	$660.26	$660.26
SOUTH DAKOTA** (SD)	$646.49	$646.49
TENNESSEE (TN)	$633.91	$633.91
BRAZORIA (TX)	$677.64	$677.64
DALLAS (TX)	$684.90	$684.90
GALVESTON (TX)	$681.59	$681.59
HOUSTON (TX)	$720.03	$720.03
BEAUMONT (TX)	$661.70	$661.70
FORT WORTH (TX)	$682.88	$682.88
AUSTIN (TX)	$702.74	$702.74
REST OF TEXAS (TX)	$671.31	$671.31
UTAH (UT)	$668.32	$668.32
VIRGINIA (VA)	$667.46	$667.46
VIRGIN ISLANDS (VI)	$695.24	$695.24
VERMONT (VT)	$655.49	$655.49
SEATTLE (KING CNTY) (WA)	$763.29	$763.29
REST OF WASHINGTON (WA)	$696.13	$696.13
WISCONSIN (WI)	$632.21	$632.21
WEST VIRGINIA (WV)	$684.88	$684.88
WYOMING** (WY)	$674.83	$674.83

Look up another code or locality →

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's PFS payment is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each procedure code. 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 national conversion factor to produce a dollar amount. Practice expense RVUs differ between non-facility (e.g., physician office) and facility (e.g., hospital) settings because overhead costs differ, which is why the two amounts can diverge. The conversion factor is updated annually and applied uniformly nationwide before locality adjustments.

RVUs — work 9.87, practice expense 8.78 (non-facility) / 8.78 (facility), malpractice 2.1 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

All figures shown are estimates based on the published PFS formula, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the beneficiary or secondary payer is responsible for the remainder.
Actual payment can vary due to modifiers, place-of-service rules, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments.
Always confirm the exact allowed amount and any applicable adjustments with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

Why is the facility amount different from the non-facility amount?

The two settings use different practice expense RVUs to reflect that overhead costs (equipment, staff, supplies) are typically borne by the facility rather than the billing physician when the service is performed in a hospital or other facility setting.

Does this amount reflect what Medicare actually pays?

It reflects the Medicare-allowed amount before the standard 80/20 cost-sharing split and before any claim-specific adjustments such as modifiers or sequestration are applied.

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

Geographic Practice Cost Indices (GPCIs) adjust the work, practice expense, and malpractice RVUs to reflect regional cost differences, so the same code can have different allowed amounts in different localities.

Where can I find the official descriptor for this CPT code?

CPT code descriptors are copyrighted by the American Medical Association; consult your AMA CPT codebook or licensed coding software 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.