Medicare Reimbursement for CPT 24359

CPT 24359 is a surgical procedure code reported to Medicare for physician and outpatient billing. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both at the national level and adjusted by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$616.91	$616.91
ALASKA* (AK)	$754.42	$754.42
ALABAMA (AL)	$558.42	$558.42
ARKANSAS (AR)	$551.19	$551.19
ARIZONA (AZ)	$600.29	$600.29
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$720.44	$720.44
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$731.72	$731.72
OXNARD-THOUSAND OAKS-VENTURA (CA)	$651.65	$651.65
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$658.10	$658.10
NAPA (CA)	$691.41	$691.41
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$722.41	$722.41
VALLEJO (CA)	$688.56	$688.56
BAKERSFIELD (CA)	$625.31	$625.31
CHICO (CA)	$620.48	$620.48
FRESNO (CA)	$620.48	$620.48
HANFORD-CORCORAN (CA)	$620.48	$620.48
MADERA (CA)	$620.48	$620.48
MERCED (CA)	$620.48	$620.48
MODESTO (CA)	$620.48	$620.48
REDDING (CA)	$620.48	$620.48
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$639.19	$639.19
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$643.87	$643.87
SALINAS (CA)	$641.35	$641.35
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$739.80	$739.80
SANTA CRUZ-WATSONVILLE (CA)	$653.33	$653.33
SANTA ROSA-PETALUMA (CA)	$659.42	$659.42
STOCKTON (CA)	$620.48	$620.48
VISALIA (CA)	$620.48	$620.48
YUBA CITY (CA)	$620.48	$620.48
EL CENTRO (CA)	$620.77	$620.77
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$651.25	$651.25
SAN LUIS OBISPO-PASO ROBLES (CA)	$631.92	$631.92
SANTA MARIA-SANTA BARBARA (CA)	$642.33	$642.33
REST OF CALIFORNIA (CA)	$620.48	$620.48
COLORADO (CO)	$624.74	$624.74
CONNECTICUT (CT)	$655.47	$655.47
DC + MD/VA SUBURBS (DC)	$686.67	$686.67
DELAWARE (DE)	$609.31	$609.31
FORT LAUDERDALE (FL)	$667.33	$667.33
MIAMI (FL)	$716.69	$716.69
REST OF FLORIDA (FL)	$634.43	$634.43
ATLANTA (GA)	$633.73	$633.73
REST OF GEORGIA (GA)	$599.32	$599.32
HAWAII, GUAM (HI)	$628.92	$628.92
IOWA (IA)	$559.24	$559.24
IDAHO (ID)	$564.99	$564.99
EAST ST. LOUIS (IL)	$654.55	$654.55
SUBURBAN CHICAGO (IL)	$671.02	$671.02
CHICAGO (IL)	$695.56	$695.56
REST OF ILLINOIS (IL)	$626.47	$626.47
INDIANA (IN)	$567.61	$567.61
KANSAS (KS)	$562.53	$562.53
KENTUCKY (KY)	$582.43	$582.43
NEW ORLEANS (LA)	$609.11	$609.11
REST OF LOUISIANA (LA)	$583.86	$583.86
METROPOLITAN BOSTON (MA)	$674.16	$674.16
REST OF MASSACHUSETTS (MA)	$623.91	$623.91
BALTIMORE/SURR. CNTYS (MD)	$654.80	$654.80
REST OF MARYLAND (MD)	$618.27	$618.27
SOUTHERN MAINE (ME)	$593.07	$593.07
REST OF MAINE (ME)	$573.65	$573.65
DETROIT (MI)	$647.47	$647.47
REST OF MICHIGAN (MI)	$601.25	$601.25
MINNESOTA (MN)	$583.72	$583.72
METROPOLITAN ST. LOUIS (MO)	$604.25	$604.25
METROPOLITAN KANSAS CITY (MO)	$599.34	$599.34
REST OF MISSOURI (MO)	$578.67	$578.67
MISSISSIPPI (MS)	$564.74	$564.74
MONTANA** (MT)	$616.80	$616.80
NORTH CAROLINA (NC)	$578.10	$578.10
NORTH DAKOTA** (ND)	$582.39	$582.39
NEBRASKA (NE)	$560.27	$560.27
NEW HAMPSHIRE (NH)	$620.56	$620.56
NORTHERN NJ (NJ)	$681.89	$681.89
REST OF NEW JERSEY (NJ)	$658.75	$658.75
NEW MEXICO (NM)	$606.50	$606.50
NEVADA** (NV)	$607.48	$607.48
MANHATTAN (NY)	$712.82	$712.82
NYC SUBURBS/LONG ISLAND (NY)	$735.76	$735.76
POUGHKPSIE/N NYC SUBURBS (NY)	$667.58	$667.58
QUEENS (NY)	$709.78	$709.78
REST OF NEW YORK (NY)	$586.34	$586.34
OHIO (OH)	$594.22	$594.22
OKLAHOMA (OK)	$575.47	$575.47
PORTLAND (OR)	$636.27	$636.27
REST OF OREGON (OR)	$598.59	$598.59
METROPOLITAN PHILADELPHIA (PA)	$644.31	$644.31
REST OF PENNSYLVANIA (PA)	$591.89	$591.89
PUERTO RICO (PR)	$618.97	$618.97
RHODE ISLAND (RI)	$624.98	$624.98
SOUTH CAROLINA (SC)	$587.97	$587.97
SOUTH DAKOTA** (SD)	$578.32	$578.32
TENNESSEE (TN)	$565.78	$565.78
BRAZORIA (TX)	$604.07	$604.07
DALLAS (TX)	$610.23	$610.23
GALVESTON (TX)	$607.40	$607.40
HOUSTON (TX)	$639.24	$639.24
BEAUMONT (TX)	$588.83	$588.83
FORT WORTH (TX)	$608.32	$608.32
AUSTIN (TX)	$626.31	$626.31
REST OF TEXAS (TX)	$597.70	$597.70
UTAH (UT)	$595.01	$595.01
VIRGINIA (VA)	$595.30	$595.30
VIRGIN ISLANDS (VI)	$618.97	$618.97
VERMONT (VT)	$585.54	$585.54
SEATTLE (KING CNTY) (WA)	$681.34	$681.34
REST OF WASHINGTON (WA)	$620.94	$620.94
WISCONSIN (WI)	$565.52	$565.52
WEST VIRGINIA (WV)	$607.09	$607.09
WYOMING** (WY)	$601.80	$601.80

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 2 units 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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) assigned to a code: physician work, practice expense, and malpractice. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar amount. Practice-expense RVUs differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ, which is why the two site-of-service amounts can diverge — though for some codes they may be equal or very close.

RVUs — work 8.76, practice expense 7.97 (non-facility) / 7.97 (facility), malpractice 1.74 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, based on the national or locality-adjusted PFS calculation — not a guarantee of payment.
Medicare typically pays 80% of the approved amount after the patient meets their deductible; the beneficiary or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, bilateral surgery rules, and sequestration can change the actual paid amount.
Annual budget-neutrality adjustments and conversion factor updates mean amounts change year to year.
Always verify current rates and local adjustments with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

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

When the practice-expense RVUs are set equal for both settings (as CMS sometimes does for certain procedures), the non-facility and facility PFS amounts will compute to the same figure, even though they are calculated separately.

Why does the reimbursement amount differ by locality?

Each locality has its own GPCI values for work, practice expense, and malpractice, reflecting regional cost-of-living and cost-of-practice differences. These multipliers are applied to the RVUs before the conversion factor is applied, so the same code can price differently across the country.

Does this figure reflect what my practice will actually collect?

No. It reflects the Medicare-allowed amount before the patient's deductible, coinsurance, applicable modifiers, and any claim-specific adjustments are applied.

Where can I find the official descriptor for CPT 24359?

CPT code descriptors are copyrighted by the American Medical Association. Consult your AMA CPT codebook or licensed coding software for the official language.

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.