Medicare Reimbursement for CPT Code 24152

CPT code 24152 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 estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code, both nationally and adjusted by locality, and compares non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1224.14	$1224.14
ALASKA* (AK)	$1515.64	$1515.64
ALABAMA (AL)	$1109.67	$1109.67
ARKANSAS (AR)	$1095.64	$1095.64
ARIZONA (AZ)	$1190.71	$1190.71
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1384.45	$1384.45
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1404.24	$1404.24
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1269.20	$1269.20
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1283.78	$1283.78
NAPA (CA)	$1335.14	$1335.14
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1389.16	$1389.16
VALLEJO (CA)	$1328.35	$1328.35
BAKERSFIELD (CA)	$1224.03	$1224.03
CHICO (CA)	$1212.61	$1212.61
FRESNO (CA)	$1212.61	$1212.61
HANFORD-CORCORAN (CA)	$1212.61	$1212.61
MADERA (CA)	$1212.61	$1212.61
MERCED (CA)	$1212.61	$1212.61
MODESTO (CA)	$1212.61	$1212.61
REDDING (CA)	$1212.61	$1212.61
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1257.20	$1257.20
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1254.09	$1254.09
SALINAS (CA)	$1249.10	$1249.10
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1423.50	$1423.50
SANTA CRUZ-WATSONVILLE (CA)	$1266.92	$1266.92
SANTA ROSA-PETALUMA (CA)	$1278.43	$1278.43
STOCKTON (CA)	$1212.61	$1212.61
VISALIA (CA)	$1212.61	$1212.61
YUBA CITY (CA)	$1212.61	$1212.61
EL CENTRO (CA)	$1213.30	$1213.30
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1265.36	$1265.36
SAN LUIS OBISPO-PASO ROBLES (CA)	$1231.29	$1231.29
SANTA MARIA-SANTA BARBARA (CA)	$1250.19	$1250.19
REST OF CALIFORNIA (CA)	$1212.61	$1212.61
COLORADO (CO)	$1229.41	$1229.41
CONNECTICUT (CT)	$1299.73	$1299.73
DC + MD/VA SUBURBS (DC)	$1352.31	$1352.31
DELAWARE (DE)	$1208.18	$1208.18
FORT LAUDERDALE (FL)	$1341.79	$1341.79
MIAMI (FL)	$1453.90	$1453.90
REST OF FLORIDA (FL)	$1274.75	$1274.75
ATLANTA (GA)	$1260.91	$1260.91
REST OF GEORGIA (GA)	$1203.83	$1203.83
HAWAII, GUAM (HI)	$1225.32	$1225.32
IOWA (IA)	$1103.62	$1103.62
IDAHO (ID)	$1116.33	$1116.33
EAST ST. LOUIS (IL)	$1329.93	$1329.93
SUBURBAN CHICAGO (IL)	$1347.44	$1347.44
CHICAGO (IL)	$1410.38	$1410.38
REST OF ILLINOIS (IL)	$1264.38	$1264.38
INDIANA (IN)	$1121.17	$1121.17
KANSAS (KS)	$1113.67	$1113.67
KENTUCKY (KY)	$1164.13	$1164.13
NEW ORLEANS (LA)	$1217.36	$1217.36
REST OF LOUISIANA (LA)	$1168.35	$1168.35
METROPOLITAN BOSTON (MA)	$1319.89	$1319.89
REST OF MASSACHUSETTS (MA)	$1229.45	$1229.45
BALTIMORE/SURR. CNTYS (MD)	$1299.13	$1299.13
REST OF MARYLAND (MD)	$1224.50	$1224.50
SOUTHERN MAINE (ME)	$1169.08	$1169.08
REST OF MAINE (ME)	$1136.98	$1136.98
DETROIT (MI)	$1304.02	$1304.02
REST OF MICHIGAN (MI)	$1204.22	$1204.22
MINNESOTA (MN)	$1139.16	$1139.16
METROPOLITAN ST. LOUIS (MO)	$1203.56	$1203.56
METROPOLITAN KANSAS CITY (MO)	$1194.45	$1194.45
REST OF MISSOURI (MO)	$1160.57	$1160.57
MISSISSIPPI (MS)	$1127.56	$1127.56
MONTANA** (MT)	$1223.87	$1223.87
NORTH CAROLINA (NC)	$1144.99	$1144.99
NORTH DAKOTA** (ND)	$1141.81	$1141.81
NEBRASKA (NE)	$1104.47	$1104.47
NEW HAMPSHIRE (NH)	$1224.63	$1224.63
NORTHERN NJ (NJ)	$1344.11	$1344.11
REST OF NEW JERSEY (NJ)	$1303.61	$1303.61
NEW MEXICO (NM)	$1215.94	$1215.94
NEVADA** (NV)	$1201.43	$1201.43
MANHATTAN (NY)	$1417.43	$1417.43
NYC SUBURBS/LONG ISLAND (NY)	$1466.73	$1466.73
POUGHKPSIE/N NYC SUBURBS (NY)	$1323.83	$1323.83
QUEENS (NY)	$1406.16	$1406.16
REST OF NEW YORK (NY)	$1161.25	$1161.25
OHIO (OH)	$1187.45	$1187.45
OKLAHOMA (OK)	$1146.74	$1146.74
PORTLAND (OR)	$1247.31	$1247.31
REST OF OREGON (OR)	$1181.24	$1181.24
METROPOLITAN PHILADELPHIA (PA)	$1280.43	$1280.43
REST OF PENNSYLVANIA (PA)	$1180.89	$1180.89
PUERTO RICO (PR)	$1226.84	$1226.84
RHODE ISLAND (RI)	$1235.88	$1235.88
SOUTH CAROLINA (SC)	$1170.33	$1170.33
SOUTH DAKOTA** (SD)	$1132.10	$1132.10
TENNESSEE (TN)	$1120.42	$1120.42
BRAZORIA (TX)	$1194.94	$1194.94
DALLAS (TX)	$1208.58	$1208.58
GALVESTON (TX)	$1202.47	$1202.47
HOUSTON (TX)	$1278.43	$1278.43
BEAUMONT (TX)	$1175.19	$1175.19
FORT WORTH (TX)	$1206.04	$1206.04
AUSTIN (TX)	$1234.85	$1234.85
REST OF TEXAS (TX)	$1188.54	$1188.54
UTAH (UT)	$1183.93	$1183.93
VIRGINIA (VA)	$1176.00	$1176.00
VIRGIN ISLANDS (VI)	$1226.84	$1226.84
VERMONT (VT)	$1151.32	$1151.32
SEATTLE (KING CNTY) (WA)	$1329.97	$1329.97
REST OF WASHINGTON (WA)	$1222.51	$1222.51
WISCONSIN (WI)	$1109.97	$1109.97
WEST VIRGINIA (WV)	$1226.96	$1226.96
WYOMING** (WY)	$1188.10	$1188.10

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 amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to the code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, to reflect regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility settings can have different practice-expense RVUs, reflecting whether overhead costs (like supplies and staff) are borne by the physician's office or a facility such as a hospital.

RVUs — work 19.49, practice expense 13.01 (non-facility) / 13.01 (facility), malpractice 4.15 — × 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 annual Part B deductible is met; the patient or secondary insurer is responsible for the remainder.
Actual payment can vary due to modifiers, place of service, sequestration, and annual budget-neutrality adjustments.
Always confirm exact allowed amounts and coverage policies with your Medicare Administrative Contractor (MAC).

Frequently asked

Why does the facility and non-facility amount differ for some codes?

Practice expense RVUs can differ between settings because the cost of supplies, equipment, and staff may be borne by the facility rather than the physician's office. For this code, both settings show the same value, meaning no facility/non-facility adjustment applies.

Does this amount reflect what Medicare will actually pay?

No. It reflects the Medicare Physician Fee Schedule allowed amount before patient responsibility, deductible, and secondary payer adjustments are applied.

Why do GPCIs matter for billing?

GPCIs adjust the RVUs to account for regional differences in labor, rent, and malpractice costs, so the same code can have different allowed amounts in different localities.

Can modifiers change this amount?

Yes. Modifiers such as bilateral procedure, assistant surgeon, or reduced services can increase or decrease the calculated allowed amount from the base PFS rate 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.