Medicare Reimbursement for CPT 24360
CPT 24360 is a physician procedure code reported under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code nationally and by locality, with non-facility and facility rates shown separately. The descriptor itself is not reproduced here because CPT code text is licensed by the AMA.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $837.69 | $837.69 |
| ALASKA* (AK) | $1026.60 | $1026.60 |
| ALABAMA (AL) | $757.50 | $757.50 |
| ARKANSAS (AR) | $747.64 | $747.64 |
| ARIZONA (AZ) | $814.62 | $814.62 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $965.01 | $965.01 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $979.56 | $979.56 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $877.71 | $877.71 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $887.00 | $887.00 |
| NAPA (CA) | $928.01 | $928.01 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $967.99 | $967.99 |
| VALLEJO (CA) | $923.72 | $923.72 |
| BAKERSFIELD (CA) | $843.73 | $843.73 |
| CHICO (CA) | $836.52 | $836.52 |
| FRESNO (CA) | $836.52 | $836.52 |
| HANFORD-CORCORAN (CA) | $836.52 | $836.52 |
| MADERA (CA) | $836.52 | $836.52 |
| MERCED (CA) | $836.52 | $836.52 |
| MODESTO (CA) | $836.52 | $836.52 |
| REDDING (CA) | $836.52 | $836.52 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $864.67 | $864.67 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $866.98 | $866.98 |
| SALINAS (CA) | $863.57 | $863.57 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $991.72 | $991.72 |
| SANTA CRUZ-WATSONVILLE (CA) | $878.35 | $878.35 |
| SANTA ROSA-PETALUMA (CA) | $886.46 | $886.46 |
| STOCKTON (CA) | $836.52 | $836.52 |
| VISALIA (CA) | $836.52 | $836.52 |
| YUBA CITY (CA) | $836.52 | $836.52 |
| EL CENTRO (CA) | $836.96 | $836.96 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $876.18 | $876.18 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $851.04 | $851.04 |
| SANTA MARIA-SANTA BARBARA (CA) | $864.70 | $864.70 |
| REST OF CALIFORNIA (CA) | $836.52 | $836.52 |
| COLORADO (CO) | $845.09 | $845.09 |
| CONNECTICUT (CT) | $890.32 | $890.32 |
| DC + MD/VA SUBURBS (DC) | $929.97 | $929.97 |
| DELAWARE (DE) | $826.87 | $826.87 |
| FORT LAUDERDALE (FL) | $912.79 | $912.79 |
| MIAMI (FL) | $985.34 | $985.34 |
| REST OF FLORIDA (FL) | $866.85 | $866.85 |
| ATLANTA (GA) | $861.92 | $861.92 |
| REST OF GEORGIA (GA) | $818.03 | $818.03 |
| HAWAII, GUAM (HI) | $847.12 | $847.12 |
| IOWA (IA) | $756.22 | $756.22 |
| IDAHO (ID) | $764.56 | $764.56 |
| EAST ST. LOUIS (IL) | $899.42 | $899.42 |
| SUBURBAN CHICAGO (IL) | $917.26 | $917.26 |
| CHICAGO (IL) | $955.60 | $955.60 |
| REST OF ILLINOIS (IL) | $857.58 | $857.58 |
| INDIANA (IN) | $768.06 | $768.06 |
| KANSAS (KS) | $761.87 | $761.87 |
| KENTUCKY (KY) | $792.77 | $792.77 |
| NEW ORLEANS (LA) | $829.67 | $829.67 |
| REST OF LOUISIANA (LA) | $795.19 | $795.19 |
| METROPOLITAN BOSTON (MA) | $910.49 | $910.49 |
| REST OF MASSACHUSETTS (MA) | $844.43 | $844.43 |
| BALTIMORE/SURR. CNTYS (MD) | $889.69 | $889.69 |
| REST OF MARYLAND (MD) | $838.70 | $838.70 |
| SOUTHERN MAINE (ME) | $802.36 | $802.36 |
| REST OF MAINE (ME) | $777.60 | $777.60 |
| DETROIT (MI) | $885.91 | $885.91 |
| REST OF MICHIGAN (MI) | $819.60 | $819.60 |
| MINNESOTA (MN) | $785.88 | $785.88 |
| METROPOLITAN ST. LOUIS (MO) | $821.66 | $821.66 |
| METROPOLITAN KANSAS CITY (MO) | $815.08 | $815.08 |
| REST OF MISSOURI (MO) | $788.82 | $788.82 |
| MISSISSIPPI (MS) | $767.92 | $767.92 |
| MONTANA** (MT) | $837.52 | $837.52 |
| NORTH CAROLINA (NC) | $783.48 | $783.48 |
| NORTH DAKOTA** (ND) | $785.71 | $785.71 |
| NEBRASKA (NE) | $757.26 | $757.26 |
| NEW HAMPSHIRE (NH) | $840.60 | $840.60 |
| NORTHERN NJ (NJ) | $923.66 | $923.66 |
| REST OF NEW JERSEY (NJ) | $893.75 | $893.75 |
| NEW MEXICO (NM) | $827.26 | $827.26 |
| NEVADA** (NV) | $823.42 | $823.42 |
| MANHATTAN (NY) | $970.08 | $970.08 |
| NYC SUBURBS/LONG ISLAND (NY) | $1002.91 | $1002.91 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $906.71 | $906.71 |
| QUEENS (NY) | $964.23 | $964.23 |
| REST OF NEW YORK (NY) | $794.82 | $794.82 |
| OHIO (OH) | $809.02 | $809.02 |
| OKLAHOMA (OK) | $782.05 | $782.05 |
| PORTLAND (OR) | $859.37 | $859.37 |
| REST OF OREGON (OR) | $810.35 | $810.35 |
| METROPOLITAN PHILADELPHIA (PA) | $875.85 | $875.85 |
| REST OF PENNSYLVANIA (PA) | $805.19 | $805.19 |
| PUERTO RICO (PR) | $840.10 | $840.10 |
| RHODE ISLAND (RI) | $847.22 | $847.22 |
| SOUTH CAROLINA (SC) | $798.90 | $798.90 |
| SOUTH DAKOTA** (SD) | $779.59 | $779.59 |
| TENNESSEE (TN) | $766.45 | $766.45 |
| BRAZORIA (TX) | $818.70 | $818.70 |
| DALLAS (TX) | $827.63 | $827.63 |
| GALVESTON (TX) | $823.58 | $823.58 |
| HOUSTON (TX) | $871.53 | $871.53 |
| BEAUMONT (TX) | $801.09 | $801.09 |
| FORT WORTH (TX) | $825.39 | $825.39 |
| AUSTIN (TX) | $848.13 | $848.13 |
| REST OF TEXAS (TX) | $811.98 | $811.98 |
| UTAH (UT) | $808.51 | $808.51 |
| VIRGINIA (VA) | $806.23 | $806.23 |
| VIRGIN ISLANDS (VI) | $840.10 | $840.10 |
| VERMONT (VT) | $791.09 | $791.09 |
| SEATTLE (KING CNTY) (WA) | $918.96 | $918.96 |
| REST OF WASHINGTON (WA) | $840.04 | $840.04 |
| WISCONSIN (WI) | $762.95 | $762.95 |
| WEST VIRGINIA (WV) | $831.18 | $831.18 |
| WYOMING** (WY) | $814.94 | $814.94 |
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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 the Geographic Practice Cost Index (GPCI) for the specific locality where the service is furnished, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings can have different practice-expense RVUs because the resources the physician practice must supply differ; for this code those two practice-expense RVU values are the same, so the resulting non-facility and facility amounts shown are identical.
RVUs — work 12.35, practice expense 10.11 (non-facility) / 10.11 (facility), malpractice 2.62 — × 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's Part B deductible is met; the patient or secondary payer is responsible for the remainder.
- Actual payment can vary by locality, applicable modifiers, claim-level adjustments, sequestration, and annual budget-neutrality adjustments to RVUs or the conversion factor.
- Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.
Frequently asked
Why are the non-facility and facility amounts the same for this code?
Because the practice-expense RVU used in the formula is the same for both settings for this particular code, the calculated allowed amount comes out identical for non-facility and facility claims.
Does this amount reflect what my specific locality will pay?
No — the national amount uses a GPCI of 1.0 for all components. Your actual local rate depends on the GPCI values assigned to your specific Medicare locality, which are applied separately from the national figure.
Why might the amount Medicare actually pays differ from this estimate?
Modifiers, place-of-service reporting, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments to the conversion factor or RVUs can all change the final paid amount from year to year or claim to claim.
Can I use this figure to predict patient responsibility?
Only as a rough estimate. Patient responsibility depends on deductible status, secondary coverage, and the 20% coinsurance, none of which are reflected in the PFS allowed amount alone.
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.
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