Medicare Reimbursement for CPT 24136

CPT 24136 is a physician procedure code reported under Medicare Part B. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code, both nationally and adjusted by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$600.55	$600.55
ALASKA* (AK)	$728.71	$728.71
ALABAMA (AL)	$541.72	$541.72
ARKANSAS (AR)	$534.45	$534.45
ARIZONA (AZ)	$583.84	$583.84
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$703.36	$703.36
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$714.44	$714.44
OXNARD-THOUSAND OAKS-VENTURA (CA)	$635.23	$635.23
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$641.44	$641.44
NAPA (CA)	$674.69	$674.69
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$705.33	$705.33
VALLEJO (CA)	$671.84	$671.84
BAKERSFIELD (CA)	$608.83	$608.83
CHICO (CA)	$604.04	$604.04
FRESNO (CA)	$604.04	$604.04
HANFORD-CORCORAN (CA)	$604.04	$604.04
MADERA (CA)	$604.04	$604.04
MERCED (CA)	$604.04	$604.04
MODESTO (CA)	$604.04	$604.04
REDDING (CA)	$604.04	$604.04
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$622.74	$622.74
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$627.26	$627.26
SALINAS (CA)	$624.81	$624.81
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$722.52	$722.52
SANTA CRUZ-WATSONVILLE (CA)	$637.13	$637.13
SANTA ROSA-PETALUMA (CA)	$643.09	$643.09
STOCKTON (CA)	$604.04	$604.04
VISALIA (CA)	$604.04	$604.04
YUBA CITY (CA)	$604.04	$604.04
EL CENTRO (CA)	$604.33	$604.33
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$634.84	$634.84
SAN LUIS OBISPO-PASO ROBLES (CA)	$615.61	$615.61
SANTA MARIA-SANTA BARBARA (CA)	$625.87	$625.87
REST OF CALIFORNIA (CA)	$604.04	$604.04
COLORADO (CO)	$608.31	$608.31
CONNECTICUT (CT)	$638.93	$638.93
DC + MD/VA SUBURBS (DC)	$669.75	$669.75
DELAWARE (DE)	$592.82	$592.82
FORT LAUDERDALE (FL)	$651.00	$651.00
MIAMI (FL)	$700.43	$700.43
REST OF FLORIDA (FL)	$617.95	$617.95
ATLANTA (GA)	$617.35	$617.35
REST OF GEORGIA (GA)	$582.67	$582.67
HAWAII, GUAM (HI)	$612.92	$612.92
IOWA (IA)	$542.65	$542.65
IDAHO (ID)	$548.41	$548.41
EAST ST. LOUIS (IL)	$637.97	$637.97
SUBURBAN CHICAGO (IL)	$654.59	$654.59
CHICAGO (IL)	$679.07	$679.07
REST OF ILLINOIS (IL)	$609.88	$609.88
INDIANA (IN)	$551.05	$551.05
KANSAS (KS)	$545.91	$545.91
KENTUCKY (KY)	$565.76	$565.76
NEW ORLEANS (LA)	$592.59	$592.59
REST OF LOUISIANA (LA)	$567.19	$567.19
METROPOLITAN BOSTON (MA)	$657.53	$657.53
REST OF MASSACHUSETTS (MA)	$607.38	$607.38
BALTIMORE/SURR. CNTYS (MD)	$638.33	$638.33
REST OF MARYLAND (MD)	$601.74	$601.74
SOUTHERN MAINE (ME)	$576.68	$576.68
REST OF MAINE (ME)	$557.07	$557.07
DETROIT (MI)	$631.01	$631.01
REST OF MICHIGAN (MI)	$584.65	$584.65
MINNESOTA (MN)	$567.43	$567.43
METROPOLITAN ST. LOUIS (MO)	$587.76	$587.76
METROPOLITAN KANSAS CITY (MO)	$582.81	$582.81
REST OF MISSOURI (MO)	$561.93	$561.93
MISSISSIPPI (MS)	$548.01	$548.01
MONTANA** (MT)	$600.43	$600.43
NORTH CAROLINA (NC)	$561.55	$561.55
NORTH DAKOTA** (ND)	$566.03	$566.03
NEBRASKA (NE)	$543.70	$543.70
NEW HAMPSHIRE (NH)	$604.31	$604.31
NORTHERN NJ (NJ)	$664.75	$664.75
REST OF NEW JERSEY (NJ)	$641.86	$641.86
NEW MEXICO (NM)	$589.91	$589.91
NEVADA** (NV)	$591.11	$591.11
MANHATTAN (NY)	$695.67	$695.67
NYC SUBURBS/LONG ISLAND (NY)	$718.68	$718.68
POUGHKPSIE/N NYC SUBURBS (NY)	$650.61	$650.61
QUEENS (NY)	$692.68	$692.68
REST OF NEW YORK (NY)	$569.84	$569.84
OHIO (OH)	$577.62	$577.62
OKLAHOMA (OK)	$558.82	$558.82
PORTLAND (OR)	$619.89	$619.89
REST OF OREGON (OR)	$582.21	$582.21
METROPOLITAN PHILADELPHIA (PA)	$627.71	$627.71
REST OF PENNSYLVANIA (PA)	$575.30	$575.30
PUERTO RICO (PR)	$602.63	$602.63
RHODE ISLAND (RI)	$608.34	$608.34
SOUTH CAROLINA (SC)	$571.40	$571.40
SOUTH DAKOTA** (SD)	$561.96	$561.96
TENNESSEE (TN)	$549.17	$549.17
BRAZORIA (TX)	$587.53	$587.53
DALLAS (TX)	$593.68	$593.68
GALVESTON (TX)	$590.86	$590.86
HOUSTON (TX)	$622.71	$622.71
BEAUMONT (TX)	$572.22	$572.22
FORT WORTH (TX)	$591.75	$591.75
AUSTIN (TX)	$610.06	$610.06
REST OF TEXAS (TX)	$581.20	$581.20
UTAH (UT)	$578.49	$578.49
VIRGINIA (VA)	$578.89	$578.89
VIRGIN ISLANDS (VI)	$602.63	$602.63
VERMONT (VT)	$569.15	$569.15
SEATTLE (KING CNTY) (WA)	$664.63	$664.63
REST OF WASHINGTON (WA)	$604.46	$604.46
WISCONSIN (WI)	$549.04	$549.04
WEST VIRGINIA (WV)	$590.37	$590.37
WYOMING** (WY)	$585.44	$585.44

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 allowed amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is performed. These locality-adjusted RVUs are summed and multiplied by the annual Conversion Factor set by CMS to produce the dollar amount. Practice-expense RVUs often differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ, which is why the two amounts can diverge. The resulting figure is the Medicare-allowed amount before any adjustments for deductible, coinsurance, or sequestration.

RVUs — work 8.19, practice expense 8.05 (non-facility) / 8.05 (facility), malpractice 1.74 — × 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's deductible is met; the beneficiary or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Rates vary by locality due to GPCI adjustments; confirm exact figures with your Medicare Administrative Contractor (MAC).
CPT code descriptors are proprietary to the AMA and are not reproduced here.

Frequently asked

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

The two settings can have different practice-expense RVUs because overhead (staff, supplies, equipment) is handled differently when a service is performed in a facility versus a physician's office.

Does this amount reflect what the practice will actually collect?

No. It reflects the Medicare-allowed amount before patient cost-sharing, secondary payer contributions, deductible status, modifiers, and any sequestration reduction are applied.

Why do amounts change year to year?

CMS updates RVUs, GPCIs, and the conversion factor annually, and applies budget-neutrality adjustments, which can raise or lower the allowed amount even if the code itself doesn't change.

Where can I verify the exact rate for my location?

Your Medicare Administrative Contractor (MAC) publishes the finalized locality-specific fee schedule, which should be used for authoritative billing decisions.

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.