Medicare Reimbursement for CPT 24149

CPT 24149 is a physician procedure code reported to Medicare and other payers for billing purposes. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both nationally and adjusted by locality, and compares non-facility and facility payment settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1090.21	$1090.21
ALASKA* (AK)	$1336.18	$1336.18
ALABAMA (AL)	$987.12	$987.12
ARKANSAS (AR)	$974.41	$974.41
ARIZONA (AZ)	$1060.78	$1060.78
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1266.23	$1266.23
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1285.76	$1285.76
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1147.93	$1147.93
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1159.60	$1159.60
NAPA (CA)	$1216.20	$1216.20
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1269.84	$1269.84
VALLEJO (CA)	$1210.99	$1210.99
BAKERSFIELD (CA)	$1102.48	$1102.48
CHICO (CA)	$1093.67	$1093.67
FRESNO (CA)	$1093.67	$1093.67
HANFORD-CORCORAN (CA)	$1093.67	$1093.67
MADERA (CA)	$1093.67	$1093.67
MERCED (CA)	$1093.67	$1093.67
MODESTO (CA)	$1093.67	$1093.67
REDDING (CA)	$1093.67	$1093.67
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1127.87	$1127.87
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1134.25	$1134.25
SALINAS (CA)	$1129.78	$1129.78
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1300.53	$1300.53
SANTA CRUZ-WATSONVILLE (CA)	$1150.03	$1150.03
SANTA ROSA-PETALUMA (CA)	$1160.71	$1160.71
STOCKTON (CA)	$1093.67	$1093.67
VISALIA (CA)	$1093.67	$1093.67
YUBA CITY (CA)	$1093.67	$1093.67
EL CENTRO (CA)	$1094.20	$1094.20
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1146.76	$1146.76
SAN LUIS OBISPO-PASO ROBLES (CA)	$1113.27	$1113.27
SANTA MARIA-SANTA BARBARA (CA)	$1131.39	$1131.39
REST OF CALIFORNIA (CA)	$1093.67	$1093.67
COLORADO (CO)	$1102.46	$1102.46
CONNECTICUT (CT)	$1158.18	$1158.18
DC + MD/VA SUBURBS (DC)	$1211.88	$1211.88
DELAWARE (DE)	$1076.65	$1076.65
FORT LAUDERDALE (FL)	$1181.95	$1181.95
MIAMI (FL)	$1271.30	$1271.30
REST OF FLORIDA (FL)	$1123.57	$1123.57
ATLANTA (GA)	$1120.43	$1120.43
REST OF GEORGIA (GA)	$1061.36	$1061.36
HAWAII, GUAM (HI)	$1107.95	$1107.95
IOWA (IA)	$987.40	$987.40
IDAHO (ID)	$997.76	$997.76
EAST ST. LOUIS (IL)	$1161.43	$1161.43
SUBURBAN CHICAGO (IL)	$1188.21	$1188.21
CHICAGO (IL)	$1233.73	$1233.73
REST OF ILLINOIS (IL)	$1110.34	$1110.34
INDIANA (IN)	$1002.33	$1002.33
KANSAS (KS)	$993.75	$993.75
KENTUCKY (KY)	$1030.57	$1030.57
NEW ORLEANS (LA)	$1077.75	$1077.75
REST OF LOUISIANA (LA)	$1033.31	$1033.31
METROPOLITAN BOSTON (MA)	$1188.62	$1188.62
REST OF MASSACHUSETTS (MA)	$1101.26	$1101.26
BALTIMORE/SURR. CNTYS (MD)	$1157.11	$1157.11
REST OF MARYLAND (MD)	$1092.25	$1092.25
SOUTHERN MAINE (ME)	$1046.91	$1046.91
REST OF MAINE (ME)	$1013.58	$1013.58
DETROIT (MI)	$1147.11	$1147.11
REST OF MICHIGAN (MI)	$1064.24	$1064.24
MINNESOTA (MN)	$1028.65	$1028.65
METROPOLITAN ST. LOUIS (MO)	$1068.53	$1068.53
METROPOLITAN KANSAS CITY (MO)	$1059.95	$1059.95
REST OF MISSOURI (MO)	$1024.53	$1024.53
MISSISSIPPI (MS)	$999.11	$999.11
MONTANA** (MT)	$1089.99	$1089.99
NORTH CAROLINA (NC)	$1021.32	$1021.32
NORTH DAKOTA** (ND)	$1027.11	$1027.11
NEBRASKA (NE)	$989.03	$989.03
NEW HAMPSHIRE (NH)	$1095.62	$1095.62
NORTHERN NJ (NJ)	$1203.64	$1203.64
REST OF NEW JERSEY (NJ)	$1163.58	$1163.58
NEW MEXICO (NM)	$1073.71	$1073.71
NEVADA** (NV)	$1072.92	$1072.92
MANHATTAN (NY)	$1260.10	$1260.10
NYC SUBURBS/LONG ISLAND (NY)	$1301.20	$1301.20
POUGHKPSIE/N NYC SUBURBS (NY)	$1179.59	$1179.59
QUEENS (NY)	$1253.93	$1253.93
REST OF NEW YORK (NY)	$1035.86	$1035.86
OHIO (OH)	$1051.39	$1051.39
OKLAHOMA (OK)	$1017.74	$1017.74
PORTLAND (OR)	$1122.07	$1122.07
REST OF OREGON (OR)	$1056.84	$1056.84
METROPOLITAN PHILADELPHIA (PA)	$1138.90	$1138.90
REST OF PENNSYLVANIA (PA)	$1046.98	$1046.98
PUERTO RICO (PR)	$1093.63	$1093.63
RHODE ISLAND (RI)	$1103.81	$1103.81
SOUTH CAROLINA (SC)	$1039.62	$1039.62
SOUTH DAKOTA** (SD)	$1019.68	$1019.68
TENNESSEE (TN)	$999.54	$999.54
BRAZORIA (TX)	$1066.96	$1066.96
DALLAS (TX)	$1078.05	$1078.05
GALVESTON (TX)	$1072.97	$1072.97
HOUSTON (TX)	$1131.18	$1131.18
BEAUMONT (TX)	$1041.63	$1041.63
FORT WORTH (TX)	$1074.87	$1074.87
AUSTIN (TX)	$1105.60	$1105.60
REST OF TEXAS (TX)	$1056.65	$1056.65
UTAH (UT)	$1052.02	$1052.02
VIRGINIA (VA)	$1051.23	$1051.23
VIRGIN ISLANDS (VI)	$1093.63	$1093.63
VERMONT (VT)	$1033.18	$1033.18
SEATTLE (KING CNTY) (WA)	$1200.67	$1200.67
REST OF WASHINGTON (WA)	$1095.85	$1095.85
WISCONSIN (WI)	$997.56	$997.56
WEST VIRGINIA (WV)	$1076.26	$1076.26
WYOMING** (WY)	$1062.59	$1062.59

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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 PFS amounts are 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, to reflect local cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings can have different practice-expense RVUs, which is why the same code may price differently depending on place of service.

RVUs — work 15.81, practice expense 13.65 (non-facility) / 13.65 (facility), malpractice 3.18 — × 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 the Part B deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Locality-specific GPCIs and the conversion factor are updated annually and can shift reimbursement year to year.
Always verify the exact allowed amount with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does CPT 24149 pay differently in facility vs. non-facility settings?

Practice-expense RVUs can differ by place of service because the costs of overhead, staff, and supplies are allocated differently when the procedure is performed in a facility (like a hospital) versus a non-facility setting (like a physician office).

Why does the Medicare payment for this code vary by location?

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

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

No. The figure shown is the total Medicare-allowed amount. Medicare generally pays 80% of this after the deductible, with the remaining 20% typically owed by the patient or a secondary insurer.

Can modifiers change the reimbursement for CPT 24149?

Yes. Modifiers such as those indicating bilateral procedures, multiple procedures, or reduced services can increase or decrease the final payment relative to the base PFS amount 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.