Medicare Reimbursement for CPT 24145

CPT code 24145 is a procedure code defined by the American Medical Association; this page does not reproduce its official descriptor. Below, you'll find the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code, shown nationally and adjusted by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$566.15	$566.15
ALASKA* (AK)	$685.53	$685.53
ALABAMA (AL)	$510.33	$510.33
ARKANSAS (AR)	$503.43	$503.43
ARIZONA (AZ)	$550.32	$550.32
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$664.57	$664.57
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$675.10	$675.10
OXNARD-THOUSAND OAKS-VENTURA (CA)	$599.61	$599.61
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$605.40	$605.40
NAPA (CA)	$637.26	$637.26
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$666.42	$666.42
VALLEJO (CA)	$634.60	$634.60
BAKERSFIELD (CA)	$574.41	$574.41
CHICO (CA)	$569.93	$569.93
FRESNO (CA)	$569.93	$569.93
HANFORD-CORCORAN (CA)	$569.93	$569.93
MADERA (CA)	$569.93	$569.93
MERCED (CA)	$569.93	$569.93
MODESTO (CA)	$569.93	$569.93
REDDING (CA)	$569.93	$569.93
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$587.44	$587.44
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$592.01	$592.01
SALINAS (CA)	$589.71	$589.71
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$682.67	$682.67
SANTA CRUZ-WATSONVILLE (CA)	$601.59	$601.59
SANTA ROSA-PETALUMA (CA)	$607.22	$607.22
STOCKTON (CA)	$569.93	$569.93
VISALIA (CA)	$569.93	$569.93
YUBA CITY (CA)	$569.93	$569.93
EL CENTRO (CA)	$570.20	$570.20
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$599.31	$599.31
SAN LUIS OBISPO-PASO ROBLES (CA)	$581.00	$581.00
SANTA MARIA-SANTA BARBARA (CA)	$590.75	$590.75
REST OF CALIFORNIA (CA)	$569.93	$569.93
COLORADO (CO)	$573.75	$573.75
CONNECTICUT (CT)	$602.49	$602.49
DC + MD/VA SUBURBS (DC)	$631.86	$631.86
DELAWARE (DE)	$558.83	$558.83
FORT LAUDERDALE (FL)	$613.48	$613.48
MIAMI (FL)	$659.95	$659.95
REST OF FLORIDA (FL)	$582.20	$582.20
ATLANTA (GA)	$581.97	$581.97
REST OF GEORGIA (GA)	$548.79	$548.79
HAWAII, GUAM (HI)	$578.50	$578.50
IOWA (IA)	$511.43	$511.43
IDAHO (ID)	$516.85	$516.85
EAST ST. LOUIS (IL)	$600.75	$600.75
SUBURBAN CHICAGO (IL)	$616.91	$616.91
CHICAGO (IL)	$639.72	$639.72
REST OF ILLINOIS (IL)	$574.39	$574.39
INDIANA (IN)	$519.36	$519.36
KANSAS (KS)	$514.42	$514.42
KENTUCKY (KY)	$532.93	$532.93
NEW ORLEANS (LA)	$558.36	$558.36
REST OF LOUISIANA (LA)	$534.24	$534.24
METROPOLITAN BOSTON (MA)	$620.54	$620.54
REST OF MASSACHUSETTS (MA)	$572.81	$572.81
BALTIMORE/SURR. CNTYS (MD)	$601.91	$601.91
REST OF MARYLAND (MD)	$567.31	$567.31
SOUTHERN MAINE (ME)	$543.74	$543.74
REST OF MAINE (ME)	$524.96	$524.96
DETROIT (MI)	$594.48	$594.48
REST OF MICHIGAN (MI)	$550.76	$550.76
MINNESOTA (MN)	$535.29	$535.29
METROPOLITAN ST. LOUIS (MO)	$553.89	$553.89
METROPOLITAN KANSAS CITY (MO)	$549.18	$549.18
REST OF MISSOURI (MO)	$529.19	$529.19
MISSISSIPPI (MS)	$516.14	$516.14
MONTANA** (MT)	$566.04	$566.04
NORTH CAROLINA (NC)	$529.24	$529.24
NORTH DAKOTA** (ND)	$533.81	$533.81
NEBRASKA (NE)	$512.45	$512.45
NEW HAMPSHIRE (NH)	$569.90	$569.90
NORTHERN NJ (NJ)	$627.06	$627.06
REST OF NEW JERSEY (NJ)	$605.29	$605.29
NEW MEXICO (NM)	$555.71	$555.71
NEVADA** (NV)	$557.31	$557.31
MANHATTAN (NY)	$656.04	$656.04
NYC SUBURBS/LONG ISLAND (NY)	$677.74	$677.74
POUGHKPSIE/N NYC SUBURBS (NY)	$613.48	$613.48
QUEENS (NY)	$653.35	$653.35
REST OF NEW YORK (NY)	$537.10	$537.10
OHIO (OH)	$544.18	$544.18
OKLAHOMA (OK)	$526.45	$526.45
PORTLAND (OR)	$584.86	$584.86
REST OF OREGON (OR)	$548.95	$548.95
METROPOLITAN PHILADELPHIA (PA)	$591.79	$591.79
REST OF PENNSYLVANIA (PA)	$542.03	$542.03
PUERTO RICO (PR)	$568.16	$568.16
RHODE ISLAND (RI)	$573.59	$573.59
SOUTH CAROLINA (SC)	$538.41	$538.41
SOUTH DAKOTA** (SD)	$529.99	$529.99
TENNESSEE (TN)	$517.50	$517.50
BRAZORIA (TX)	$553.88	$553.88
DALLAS (TX)	$559.67	$559.67
GALVESTON (TX)	$557.01	$557.01
HOUSTON (TX)	$586.85	$586.85
BEAUMONT (TX)	$539.10	$539.10
FORT WORTH (TX)	$557.80	$557.80
AUSTIN (TX)	$575.38	$575.38
REST OF TEXAS (TX)	$547.73	$547.73
UTAH (UT)	$545.14	$545.14
VIRGINIA (VA)	$545.76	$545.76
VIRGIN ISLANDS (VI)	$568.16	$568.16
VERMONT (VT)	$536.67	$536.67
SEATTLE (KING CNTY) (WA)	$627.35	$627.35
REST OF WASHINGTON (WA)	$570.09	$570.09
WISCONSIN (WI)	$517.65	$517.65
WEST VIRGINIA (WV)	$555.88	$555.88
WYOMING** (WY)	$551.99	$551.99

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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's fee schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings can have different practice-expense RVUs, which is why two separate allowed amounts are often shown; for this code, those practice-expense inputs happen to be the same.

RVUs — work 7.61, practice expense 7.71 (non-facility) / 7.71 (facility), malpractice 1.63 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only — actual Medicare payment can differ based on your specific locality, contractor, and claim details.
Medicare typically pays 80% of the allowed amount after the patient meets their deductible; the patient or secondary insurer is generally responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can all change the final paid amount.
Conversion factors and RVUs are updated annually and are sometimes revised mid-year — always confirm current values.
Verify final payment amounts and coverage policy with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why is the facility amount the same as the non-facility amount for this code?

When the practice-expense RVU is identical for both settings, the calculated allowed amount comes out the same, since work and malpractice RVUs don't change by setting.

Why does the Medicare fee for this code differ by locality?

Each locality has its own GPCI values for work, practice expense, and malpractice, reflecting local cost-of-living and practice cost differences, which adjust the base RVUs before the conversion factor is applied.

Does this amount reflect what the patient will owe?

No. This figure is the Medicare-allowed amount; patient responsibility depends on deductible status, coinsurance (typically 20%), and any secondary coverage.

Can this number change after the start of the year?

Yes. CMS can issue mid-year corrections, and budget-neutrality adjustments or legislative action can alter the conversion factor or RVUs during the year.

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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.