Medicare Reimbursement for CPT 24343

This page covers CPT code 24343, a procedure code valued under the Medicare Physician Fee Schedule (PFS). It shows the estimated Medicare-allowed amount nationally and by locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$676.70	$676.70
ALASKA* (AK)	$819.88	$819.88
ALABAMA (AL)	$611.03	$611.03
ARKANSAS (AR)	$602.89	$602.89
ARIZONA (AZ)	$658.25	$658.25
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$801.63	$801.63
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$814.65	$814.65
OXNARD-THOUSAND OAKS-VENTURA (CA)	$720.69	$720.69
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$727.33	$727.33
NAPA (CA)	$767.68	$767.68
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$803.65	$803.65
VALLEJO (CA)	$764.76	$764.76
BAKERSFIELD (CA)	$689.74	$689.74
CHICO (CA)	$684.81	$684.81
FRESNO (CA)	$684.81	$684.81
HANFORD-CORCORAN (CA)	$684.81	$684.81
MADERA (CA)	$684.81	$684.81
MERCED (CA)	$684.81	$684.81
MODESTO (CA)	$684.81	$684.81
REDDING (CA)	$684.81	$684.81
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$703.95	$703.95
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$711.85	$711.85
SALINAS (CA)	$709.08	$709.08
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$822.91	$822.91
SANTA CRUZ-WATSONVILLE (CA)	$723.96	$723.96
SANTA ROSA-PETALUMA (CA)	$730.79	$730.79
STOCKTON (CA)	$684.81	$684.81
VISALIA (CA)	$684.81	$684.81
YUBA CITY (CA)	$684.81	$684.81
EL CENTRO (CA)	$685.11	$685.11
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$720.94	$720.94
SAN LUIS OBISPO-PASO ROBLES (CA)	$698.52	$698.52
SANTA MARIA-SANTA BARBARA (CA)	$710.42	$710.42
REST OF CALIFORNIA (CA)	$684.81	$684.81
COLORADO (CO)	$687.68	$687.68
CONNECTICUT (CT)	$719.71	$719.71
DC + MD/VA SUBURBS (DC)	$756.31	$756.31
DELAWARE (DE)	$668.36	$668.36
FORT LAUDERDALE (FL)	$728.89	$728.89
MIAMI (FL)	$780.68	$780.68
REST OF FLORIDA (FL)	$692.57	$692.57
ATLANTA (GA)	$694.65	$694.65
REST OF GEORGIA (GA)	$653.67	$653.67
HAWAII, GUAM (HI)	$695.37	$695.37
IOWA (IA)	$613.74	$613.74
IDAHO (ID)	$619.85	$619.85
EAST ST. LOUIS (IL)	$711.47	$711.47
SUBURBAN CHICAGO (IL)	$733.30	$733.30
CHICAGO (IL)	$757.38	$757.38
REST OF ILLINOIS (IL)	$682.42	$682.42
INDIANA (IN)	$622.86	$622.86
KANSAS (KS)	$616.59	$616.59
KENTUCKY (KY)	$636.24	$636.24
NEW ORLEANS (LA)	$665.97	$665.97
REST OF LOUISIANA (LA)	$637.52	$637.52
METROPOLITAN BOSTON (MA)	$744.27	$744.27
REST OF MASSACHUSETTS (MA)	$686.31	$686.31
BALTIMORE/SURR. CNTYS (MD)	$718.85	$718.85
REST OF MARYLAND (MD)	$678.64	$678.64
SOUTHERN MAINE (ME)	$651.89	$651.89
REST OF MAINE (ME)	$628.71	$628.71
DETROIT (MI)	$706.32	$706.32
REST OF MICHIGAN (MI)	$656.62	$656.62
MINNESOTA (MN)	$644.10	$644.10
METROPOLITAN ST. LOUIS (MO)	$661.51	$661.51
METROPOLITAN KANSAS CITY (MO)	$655.88	$655.88
REST OF MISSOURI (MO)	$631.14	$631.14
MISSISSIPPI (MS)	$616.85	$616.85
MONTANA** (MT)	$676.58	$676.58
NORTH CAROLINA (NC)	$633.87	$633.87
NORTH DAKOTA** (ND)	$641.39	$641.39
NEBRASKA (NE)	$615.16	$615.16
NEW HAMPSHIRE (NH)	$682.35	$682.35
NORTHERN NJ (NJ)	$750.57	$750.57
REST OF NEW JERSEY (NJ)	$723.75	$723.75
NEW MEXICO (NM)	$662.18	$662.18
NEVADA** (NV)	$667.09	$667.09
MANHATTAN (NY)	$782.31	$782.31
NYC SUBURBS/LONG ISLAND (NY)	$807.03	$807.03
POUGHKPSIE/N NYC SUBURBS (NY)	$732.91	$732.91
QUEENS (NY)	$780.12	$780.12
REST OF NEW YORK (NY)	$643.10	$643.10
OHIO (OH)	$649.43	$649.43
OKLAHOMA (OK)	$629.31	$629.31
PORTLAND (OR)	$701.66	$701.66
REST OF OREGON (OR)	$657.77	$657.77
METROPOLITAN PHILADELPHIA (PA)	$706.62	$706.62
REST OF PENNSYLVANIA (PA)	$647.28	$647.28
PUERTO RICO (PR)	$679.32	$679.32
RHODE ISLAND (RI)	$686.47	$686.47
SOUTH CAROLINA (SC)	$643.54	$643.54
SOUTH DAKOTA** (SD)	$637.23	$637.23
TENNESSEE (TN)	$620.15	$620.15
BRAZORIA (TX)	$663.14	$663.14
DALLAS (TX)	$669.67	$669.67
GALVESTON (TX)	$666.63	$666.63
HOUSTON (TX)	$699.21	$699.21
BEAUMONT (TX)	$643.77	$643.77
FORT WORTH (TX)	$667.25	$667.25
AUSTIN (TX)	$689.02	$689.02
REST OF TEXAS (TX)	$654.67	$654.67
UTAH (UT)	$651.50	$651.50
VIRGINIA (VA)	$653.80	$653.80
VIRGIN ISLANDS (VI)	$679.32	$679.32
VERMONT (VT)	$644.14	$644.14
SEATTLE (KING CNTY) (WA)	$753.14	$753.14
REST OF WASHINGTON (WA)	$683.28	$683.28
WISCONSIN (WI)	$622.16	$622.16
WEST VIRGINIA (WV)	$660.54	$660.54
WYOMING** (WY)	$661.24	$661.24

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: 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 fee for this procedure code is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility rates can differ because the practice-expense RVU component reflects whether overhead costs (like supplies and staff) are borne by the physician's office or by a facility such as a hospital. For this code, the practice-expense RVU is the same in both settings, so the computed amounts are equal here, but that is not true for every code.

RVUs — work 8.93, practice expense 9.55 (non-facility) / 9.55 (facility), malpractice 1.78 — × 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 Part B deductible is met; 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 periodically; always confirm current figures with your Medicare Administrative Contractor (MAC).
This page does not include coverage determinations, medical necessity requirements, or bundling edits that may affect payment.

Frequently asked

Why does the fee for CPT 24343 vary by locality?

Medicare adjusts the practice expense, work, and malpractice RVUs using locality-specific Geographic Practice Cost Indices (GPCIs) to reflect regional differences in cost of living and practice costs before applying the conversion factor.

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

The practice-expense RVU — the component that usually differs between office and facility settings — is identical for both settings for this code, so the calculated allowed amounts match.

Is the amount shown what Medicare will actually pay?

No. The figure is the Medicare-allowed amount before the patient's deductible and coinsurance are applied, and it can be further affected by modifiers, sequestration, and other claim-level adjustments.

Where can I verify the exact rate for my area?

Check the official CMS Physician Fee Schedule lookup tool or contact your local Medicare Administrative Contractor (MAC) for the most current, locality-specific rate.

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.