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CPT · Medicare fee · 2026

Medicare Reimbursement for CPT 24361

CPT 24361 is a surgical procedure code; because it is a CPT code, the official AMA descriptor cannot be reproduced here. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code at the national level and by locality, broken out for non-facility and facility settings.

Medicare allowed amount (2026)

LocalityNon-facilityFacility
National (unadjusted)$930.55$930.55
ALASKA* (AK)$1143.67$1143.67
ALABAMA (AL)$841.93$841.93
ARKANSAS (AR)$831.04$831.04
ARIZONA (AZ)$904.93$904.93
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)$1065.55$1065.55
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)$1081.34$1081.34
OXNARD-THOUSAND OAKS-VENTURA (CA)$971.63$971.63
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)$982.20$982.20
NAPA (CA)$1025.63$1025.63
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)$1068.96$1068.96
VALLEJO (CA)$1020.72$1020.72
BAKERSFIELD (CA)$934.95$934.95
CHICO (CA)$926.69$926.69
FRESNO (CA)$926.69$926.69
HANFORD-CORCORAN (CA)$926.69$926.69
MADERA (CA)$926.69$926.69
MERCED (CA)$926.69$926.69
MODESTO (CA)$926.69$926.69
REDDING (CA)$926.69$926.69
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)$958.93$958.93
SACRAMENTO-ROSEVILLE-FOLSOM (CA)$959.80$959.80
SALINAS (CA)$956.01$956.01
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)$1095.27$1095.27
SANTA CRUZ-WATSONVILLE (CA)$971.54$971.54
SANTA ROSA-PETALUMA (CA)$980.46$980.46
STOCKTON (CA)$926.69$926.69
VISALIA (CA)$926.69$926.69
YUBA CITY (CA)$926.69$926.69
EL CENTRO (CA)$927.20$927.20
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)$969.50$969.50
SAN LUIS OBISPO-PASO ROBLES (CA)$942.22$942.22
SANTA MARIA-SANTA BARBARA (CA)$957.13$957.13
REST OF CALIFORNIA (CA)$926.69$926.69
COLORADO (CO)$937.34$937.34
CONNECTICUT (CT)$988.78$988.78
DC + MD/VA SUBURBS (DC)$1031.48$1031.48
DELAWARE (DE)$918.44$918.44
FORT LAUDERDALE (FL)$1016.21$1016.21
MIAMI (FL)$1098.56$1098.56
REST OF FLORIDA (FL)$965.06$965.06
ATLANTA (GA)$957.87$957.87
REST OF GEORGIA (GA)$910.79$910.79
HAWAII, GUAM (HI)$937.83$937.83
IOWA (IA)$839.44$839.44
IDAHO (ID)$848.86$848.86
EAST ST. LOUIS (IL)$1003.27$1003.27
SUBURBAN CHICAGO (IL)$1020.94$1020.94
CHICAGO (IL)$1065.40$1065.40
REST OF ILLINOIS (IL)$955.55$955.55
INDIANA (IN)$852.69$852.69
KANSAS (KS)$846.19$846.19
KENTUCKY (KY)$881.95$881.95
NEW ORLEANS (LA)$922.87$922.87
REST OF LOUISIANA (LA)$884.82$884.82
METROPOLITAN BOSTON (MA)$1008.81$1008.81
REST OF MASSACHUSETTS (MA)$936.85$936.85
BALTIMORE/SURR. CNTYS (MD)$988.16$988.16
REST OF MARYLAND (MD)$931.36$931.36
SOUTHERN MAINE (ME)$890.32$890.32
REST OF MAINE (ME)$863.79$863.79
DETROIT (MI)$986.65$986.65
REST OF MICHIGAN (MI)$912.06$912.06
MINNESOTA (MN)$870.48$870.48
METROPOLITAN ST. LOUIS (MO)$913.42$913.42
METROPOLITAN KANSAS CITY (MO)$906.22$906.22
REST OF MISSOURI (MO)$878.12$878.12
MISSISSIPPI (MS)$854.21$854.21
MONTANA** (MT)$930.35$930.35
NORTH CAROLINA (NC)$870.18$870.18
NORTH DAKOTA** (ND)$871.03$871.03
NEBRASKA (NE)$840.42$840.42
NEW HAMPSHIRE (NH)$932.83$932.83
NORTHERN NJ (NJ)$1024.70$1024.70
REST OF NEW JERSEY (NJ)$992.26$992.26
NEW MEXICO (NM)$920.72$920.72
NEVADA** (NV)$914.18$914.18
MANHATTAN (NY)$1077.79$1077.79
NYC SUBURBS/LONG ISLAND (NY)$1114.70$1114.70
POUGHKPSIE/N NYC SUBURBS (NY)$1007.01$1007.01
QUEENS (NY)$1070.59$1070.59
REST OF NEW YORK (NY)$882.74$882.74
OHIO (OH)$899.94$899.94
OKLAHOMA (OK)$869.57$869.57
PORTLAND (OR)$952.48$952.48
REST OF OREGON (OR)$899.34$899.34
METROPOLITAN PHILADELPHIA (PA)$973.14$973.14
REST OF PENNSYLVANIA (PA)$895.43$895.43
PUERTO RICO (PR)$933.02$933.02
RHODE ISLAND (RI)$940.56$940.56
SOUTH CAROLINA (SC)$888.08$888.08
SOUTH DAKOTA** (SD)$864.01$864.01
TENNESSEE (TN)$851.30$851.30
BRAZORIA (TX)$909.01$909.01
DALLAS (TX)$919.10$919.10
GALVESTON (TX)$914.54$914.54
HOUSTON (TX)$969.45$969.45
BEAUMONT (TX)$890.94$890.94
FORT WORTH (TX)$916.79$916.79
AUSTIN (TX)$941.01$941.01
REST OF TEXAS (TX)$902.42$902.42
UTAH (UT)$898.66$898.66
VIRGINIA (VA)$894.95$894.95
VIRGIN ISLANDS (VI)$933.02$933.02
VERMONT (VT)$877.44$877.44
SEATTLE (KING CNTY) (WA)$1017.64$1017.64
REST OF WASHINGTON (WA)$931.84$931.84
WISCONSIN (WI)$846.04$846.04
WEST VIRGINIA (WV)$926.44$926.44
WYOMING** (WY)$904.50$904.50

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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) — physician work, practice expense, and malpractice — each adjusted by the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is performed. The geographically adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice-expense RVUs differ between non-facility (e.g., office) and facility (e.g., hospital) settings, which is why the same code can have two different allowed amounts depending on place of service. For this code, the non-facility and facility amounts shown are identical, reflecting the published RVU inputs for this year.

RVUs — work 14.05, practice expense 10.81 (non-facility) / 10.81 (facility), malpractice 3 — × 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 meets their deductible; the beneficiary or secondary payer is responsible for the remainder.
  • Actual payment can vary by locality, applicable modifiers, claims-processing adjustments, sequestration, and annual budget-neutrality changes to RVUs or the conversion factor.
  • Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

Why does CPT 24361 show the same amount for facility and non-facility?

The allowed amount depends on practice-expense RVUs, which can be equal in both settings for some codes, resulting in the same calculated payment regardless of place of service.

Why can't you show the official description for CPT 24361?

CPT code descriptors are copyrighted and licensed by the American Medical Association, so they cannot be reproduced on this page. Refer to your CPT codebook or EHR for the official descriptor.

Will my locality's payment match the national amount shown?

Not necessarily. The national amount uses a standard GPCI baseline, while locality-specific amounts reflect geographic adjustments for that area's cost of practice.

Does this page account for sequestration or other Medicare payment reductions?

No. The figures reflect the standard PFS calculation only; actual remittance may be lower due to sequestration or other federal payment adjustments.

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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