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CPT · Medicare fee · 2026

Medicare Reimbursement for CPT 24147

CPT 24147 is a physician procedure code billed under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code nationally and by locality, with separate figures for non-facility and facility settings. Because CPT descriptors are proprietary to the AMA, this page refers to the code generically rather than quoting its official description.

Medicare allowed amount (2026)

LocalityNon-facilityFacility
National (unadjusted)$596.54$596.54
ALASKA* (AK)$720.05$720.05
ALABAMA (AL)$538.08$538.08
ARKANSAS (AR)$530.83$530.83
ARIZONA (AZ)$580.18$580.18
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)$710.40$710.40
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)$722.09$722.09
OXNARD-THOUSAND OAKS-VENTURA (CA)$637.25$637.25
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)$642.95$642.95
NAPA (CA)$679.77$679.77
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)$712.14$712.14
VALLEJO (CA)$677.27$677.27
BAKERSFIELD (CA)$609.27$609.27
CHICO (CA)$605.03$605.03
FRESNO (CA)$605.03$605.03
HANFORD-CORCORAN (CA)$605.03$605.03
MADERA (CA)$605.03$605.03
MERCED (CA)$605.03$605.03
MODESTO (CA)$605.03$605.03
REDDING (CA)$605.03$605.03
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)$621.49$621.49
SACRAMENTO-ROSEVILLE-FOLSOM (CA)$629.33$629.33
SALINAS (CA)$626.89$626.89
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)$729.19$729.19
SANTA CRUZ-WATSONVILLE (CA)$640.59$640.59
SANTA ROSA-PETALUMA (CA)$646.66$646.66
STOCKTON (CA)$605.03$605.03
VISALIA (CA)$605.03$605.03
YUBA CITY (CA)$605.03$605.03
EL CENTRO (CA)$605.29$605.29
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)$637.68$637.68
SAN LUIS OBISPO-PASO ROBLES (CA)$617.51$617.51
SANTA MARIA-SANTA BARBARA (CA)$628.16$628.16
REST OF CALIFORNIA (CA)$605.03$605.03
COLORADO (CO)$606.99$606.99
CONNECTICUT (CT)$634.72$634.72
DC + MD/VA SUBURBS (DC)$667.76$667.76
DELAWARE (DE)$589.17$589.17
FORT LAUDERDALE (FL)$641.60$641.60
MIAMI (FL)$686.58$686.58
REST OF FLORIDA (FL)$609.47$609.47
ATLANTA (GA)$612.22$612.22
REST OF GEORGIA (GA)$575.00$575.00
HAWAII, GUAM (HI)$614.79$614.79
IOWA (IA)$541.05$541.05
IDAHO (ID)$546.39$546.39
EAST ST. LOUIS (IL)$625.14$625.14
SUBURBAN CHICAGO (IL)$645.62$645.62
CHICAGO (IL)$665.96$665.96
REST OF ILLINOIS (IL)$600.06$600.06
INDIANA (IN)$549.08$549.08
KANSAS (KS)$543.33$543.33
KENTUCKY (KY)$559.98$559.98
NEW ORLEANS (LA)$586.37$586.37
REST OF LOUISIANA (LA)$561.01$561.01
METROPOLITAN BOSTON (MA)$657.69$657.69
REST OF MASSACHUSETTS (MA)$605.63$605.63
BALTIMORE/SURR. CNTYS (MD)$633.92$633.92
REST OF MARYLAND (MD)$598.38$598.38
SOUTHERN MAINE (ME)$575.07$575.07
REST OF MAINE (ME)$554.00$554.00
DETROIT (MI)$621.44$621.44
REST OF MICHIGAN (MI)$577.88$577.88
MINNESOTA (MN)$568.98$568.98
METROPOLITAN ST. LOUIS (MO)$582.71$582.71
METROPOLITAN KANSAS CITY (MO)$577.66$577.66
REST OF MISSOURI (MO)$555.16$555.16
MISSISSIPPI (MS)$542.86$542.86
MONTANA** (MT)$596.44$596.44
NORTH CAROLINA (NC)$558.64$558.64
NORTH DAKOTA** (ND)$566.18$566.18
NEBRASKA (NE)$542.40$542.40
NEW HAMPSHIRE (NH)$602.05$602.05
NORTHERN NJ (NJ)$662.53$662.53
REST OF NEW JERSEY (NJ)$638.41$638.41
NEW MEXICO (NM)$582.72$582.72
NEVADA** (NV)$588.30$588.30
MANHATTAN (NY)$689.84$689.84
NYC SUBURBS/LONG ISLAND (NY)$711.53$711.53
POUGHKPSIE/N NYC SUBURBS (NY)$646.33$646.33
QUEENS (NY)$688.29$688.29
REST OF NEW YORK (NY)$566.85$566.85
OHIO (OH)$571.70$571.70
OKLAHOMA (OK)$554.09$554.09
PORTLAND (OR)$619.76$619.76
REST OF OREGON (OR)$580.20$580.20
METROPOLITAN PHILADELPHIA (PA)$622.90$622.90
REST OF PENNSYLVANIA (PA)$569.93$569.93
PUERTO RICO (PR)$598.97$598.97
RHODE ISLAND (RI)$605.45$605.45
SOUTH CAROLINA (SC)$566.82$566.82
SOUTH DAKOTA** (SD)$562.61$562.61
TENNESSEE (TN)$546.47$546.47
BRAZORIA (TX)$584.73$584.73
DALLAS (TX)$590.42$590.42
GALVESTON (TX)$587.76$587.76
HOUSTON (TX)$615.76$615.76
BEAUMONT (TX)$566.79$566.79
FORT WORTH (TX)$588.18$588.18
AUSTIN (TX)$608.06$608.06
REST OF TEXAS (TX)$576.78$576.78
UTAH (UT)$573.91$573.91
VIRGINIA (VA)$576.58$576.58
VIRGIN ISLANDS (VI)$598.97$598.97
VERMONT (VT)$568.39$568.39
SEATTLE (KING CNTY) (WA)$665.83$665.83
REST OF WASHINGTON (WA)$603.03$603.03
WISCONSIN (WI)$548.99$548.99
WEST VIRGINIA (WV)$580.54$580.54
WYOMING** (WY)$583.25$583.25

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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 — assigned to each code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar allowed amount. Non-facility and facility settings can have different practice-expense RVUs, since facility settings (like hospitals) shift some overhead costs to the facility itself rather than the physician's practice.

RVUs — work 7.64, practice expense 8.69 (non-facility) / 8.69 (facility), malpractice 1.53 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

  • This is an estimate only, not a guarantee of payment — actual reimbursement can differ.
  • Medicare typically pays 80% of the allowed amount after the patient meets their Part B deductible; the patient or secondary insurer is responsible for the remainder.
  • Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
  • GPCI values and the conversion factor are updated periodically (often annually), so amounts shown may not reflect mid-year changes.
  • Always verify the current allowed amount with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

Why does the amount differ between non-facility and facility settings?

The practice-expense RVU component differs because, in facility settings, the facility (not the physician's office) absorbs certain overhead costs like staff, equipment, and supplies.

Why does the allowed amount change by locality?

Each locality has its own Geographic Practice Cost Index (GPCI) values for work, practice expense, and malpractice, reflecting regional differences in wages, rents, and other costs.

Does this amount reflect what the patient or secondary payer will owe?

No — this figure is the Medicare-allowed amount. Medicare generally pays 80% after the deductible, and the remaining portion may be billed to the patient or a secondary insurer.

Can modifiers change this amount?

Yes. Modifiers such as those indicating bilateral procedures, reduced services, or multiple-procedure scenarios can increase or decrease the final paid amount from the base PFS figure shown here.

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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