Medicare Reimbursement for CPT 24155

CPT 24155 is a physician procedure code billed under Medicare Part B. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code, both at the national level and adjusted for your specific locality, broken out by non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$791.27	$791.27
ALASKA* (AK)	$970.91	$970.91
ALABAMA (AL)	$715.68	$715.68
ARKANSAS (AR)	$706.38	$706.38
ARIZONA (AZ)	$769.47	$769.47
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$909.06	$909.06
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$922.66	$922.66
OXNARD-THOUSAND OAKS-VENTURA (CA)	$827.77	$827.77
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$836.64	$836.64
NAPA (CA)	$874.56	$874.56
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$911.91	$911.91
VALLEJO (CA)	$870.46	$870.46
BAKERSFIELD (CA)	$796.08	$796.08
CHICO (CA)	$789.17	$789.17
FRESNO (CA)	$789.17	$789.17
HANFORD-CORCORAN (CA)	$789.17	$789.17
MADERA (CA)	$789.17	$789.17
MERCED (CA)	$789.17	$789.17
MODESTO (CA)	$789.17	$789.17
REDDING (CA)	$789.17	$789.17
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$816.14	$816.14
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$817.67	$817.67
SALINAS (CA)	$814.44	$814.44
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$934.31	$934.31
SANTA CRUZ-WATSONVILLE (CA)	$828.07	$828.07
SANTA ROSA-PETALUMA (CA)	$835.69	$835.69
STOCKTON (CA)	$789.17	$789.17
VISALIA (CA)	$789.17	$789.17
YUBA CITY (CA)	$789.17	$789.17
EL CENTRO (CA)	$789.59	$789.59
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$826.16	$826.16
SAN LUIS OBISPO-PASO ROBLES (CA)	$802.66	$802.66
SANTA MARIA-SANTA BARBARA (CA)	$815.46	$815.46
REST OF CALIFORNIA (CA)	$789.17	$789.17
COLORADO (CO)	$797.71	$797.71
CONNECTICUT (CT)	$840.90	$840.90
DC + MD/VA SUBURBS (DC)	$877.83	$877.83
DELAWARE (DE)	$781.01	$781.01
FORT LAUDERDALE (FL)	$863.08	$863.08
MIAMI (FL)	$932.31	$932.31
REST OF FLORIDA (FL)	$819.64	$819.64
ATLANTA (GA)	$814.32	$814.32
REST OF GEORGIA (GA)	$773.49	$773.49
HAWAII, GUAM (HI)	$798.94	$798.94
IOWA (IA)	$714.06	$714.06
IDAHO (ID)	$721.99	$721.99
EAST ST. LOUIS (IL)	$851.19	$851.19
SUBURBAN CHICAGO (IL)	$867.21	$867.21
CHICAGO (IL)	$904.16	$904.16
REST OF ILLINOIS (IL)	$811.18	$811.18
INDIANA (IN)	$725.28	$725.28
KANSAS (KS)	$719.58	$719.58
KENTUCKY (KY)	$749.33	$749.33
NEW ORLEANS (LA)	$784.16	$784.16
REST OF LOUISIANA (LA)	$751.68	$751.68
METROPOLITAN BOSTON (MA)	$859.04	$859.04
REST OF MASSACHUSETTS (MA)	$797.17	$797.17
BALTIMORE/SURR. CNTYS (MD)	$840.33	$840.33
REST OF MARYLAND (MD)	$792.09	$792.09
SOUTHERN MAINE (ME)	$757.51	$757.51
REST OF MAINE (ME)	$734.49	$734.49
DETROIT (MI)	$837.80	$837.80
REST OF MICHIGAN (MI)	$774.80	$774.80
MINNESOTA (MN)	$741.34	$741.34
METROPOLITAN ST. LOUIS (MO)	$776.38	$776.38
METROPOLITAN KANSAS CITY (MO)	$770.21	$770.21
REST OF MISSOURI (MO)	$745.81	$745.81
MISSISSIPPI (MS)	$725.79	$725.79
MONTANA** (MT)	$791.10	$791.10
NORTH CAROLINA (NC)	$739.99	$739.99
NORTH DAKOTA** (ND)	$741.47	$741.47
NEBRASKA (NE)	$714.97	$714.97
NEW HAMPSHIRE (NH)	$793.65	$793.65
NORTHERN NJ (NJ)	$871.96	$871.96
REST OF NEW JERSEY (NJ)	$844.01	$844.01
NEW MEXICO (NM)	$782.09	$782.09
NEVADA** (NV)	$777.58	$777.58
MANHATTAN (NY)	$916.41	$916.41
NYC SUBURBS/LONG ISLAND (NY)	$947.59	$947.59
POUGHKPSIE/N NYC SUBURBS (NY)	$856.39	$856.39
QUEENS (NY)	$910.61	$910.61
REST OF NEW YORK (NY)	$750.69	$750.69
OHIO (OH)	$764.65	$764.65
OKLAHOMA (OK)	$739.01	$739.01
PORTLAND (OR)	$810.92	$810.92
REST OF OREGON (OR)	$765.11	$765.11
METROPOLITAN PHILADELPHIA (PA)	$827.40	$827.40
REST OF PENNSYLVANIA (PA)	$760.94	$760.94
PUERTO RICO (PR)	$793.46	$793.46
RHODE ISLAND (RI)	$800.05	$800.05
SOUTH CAROLINA (SC)	$754.86	$754.86
SOUTH DAKOTA** (SD)	$735.60	$735.60
TENNESSEE (TN)	$723.91	$723.91
BRAZORIA (TX)	$773.15	$773.15
DALLAS (TX)	$781.65	$781.65
GALVESTON (TX)	$777.80	$777.80
HOUSTON (TX)	$823.74	$823.74
BEAUMONT (TX)	$757.09	$757.09
FORT WORTH (TX)	$779.61	$779.61
AUSTIN (TX)	$800.69	$800.69
REST OF TEXAS (TX)	$767.14	$767.14
UTAH (UT)	$763.90	$763.90
VIRGINIA (VA)	$761.29	$761.29
VIRGIN ISLANDS (VI)	$793.46	$793.46
VERMONT (VT)	$746.72	$746.72
SEATTLE (KING CNTY) (WA)	$866.81	$866.81
REST OF WASHINGTON (WA)	$792.97	$792.97
WISCONSIN (WI)	$720.08	$720.08
WEST VIRGINIA (WV)	$786.31	$786.31
WYOMING** (WY)	$769.47	$769.47

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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) assigned to the code: physician work, practice expense, and malpractice risk. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local cost-of-living and practice-cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor (a dollar-per-RVU rate set each year) to produce the allowed amount. Non-facility and facility amounts can differ because the practice-expense RVU is typically higher in non-facility settings (e.g., a physician's own office) to account for overhead, versus facility settings (e.g., hospitals) where the facility itself bills separately for overhead costs; for this code, those RVUs happen to be the same, so the two amounts align.

RVUs — work 11.79, practice expense 9.39 (non-facility) / 9.39 (facility), malpractice 2.51 — × 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 depends on claim-specific factors.
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.
Always verify the current fee schedule amount and any applicable edits with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the amount differ between my locality and the national rate shown here?

The national rate uses an average GPCI, while your locality's actual payment is adjusted using that area's specific GPCI values for work, practice expense, and malpractice, which can raise or lower the amount compared to the national figure.

Why are the non-facility and facility amounts the same for this code?

The practice-expense RVU — the component that usually differs between settings — is identical for this code in both non-facility and facility settings, so the calculated allowed amounts come out the same.

Does this amount reflect what Medicare will actually pay?

No. This is the PFS allowed amount before adjustments. Medicare generally reimburses 80% of this amount after the deductible, and the final payment can be affected by modifiers, sequestration, and other claim-specific factors.

Where can I find the official rate for my MAC and locality?

Your Medicare Administrative Contractor (MAC) publishes the finalized, locality-specific PFS amounts, which should be used to confirm any figures shown here before billing or appealing a denial.

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.