Medicare Reimbursement for CPT 24362
CPT 24362 is a physician procedure code reported to Medicare for payment purposes; the specific clinical descriptor is licensed by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both nationally and adjusted by locality, broken out by non-facility and facility settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $975.97 | $975.97 |
| ALASKA* (AK) | $1201.89 | $1201.89 |
| ALABAMA (AL) | $883.53 | $883.53 |
| ARKANSAS (AR) | $872.18 | $872.18 |
| ARIZONA (AZ) | $949.19 | $949.19 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $1114.31 | $1114.31 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $1130.69 | $1130.69 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $1017.38 | $1017.38 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $1028.59 | $1028.59 |
| NAPA (CA) | $1073.05 | $1073.05 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $1117.93 | $1117.93 |
| VALLEJO (CA) | $1067.85 | $1067.85 |
| BAKERSFIELD (CA) | $979.52 | $979.52 |
| CHICO (CA) | $970.77 | $970.77 |
| FRESNO (CA) | $970.77 | $970.77 |
| HANFORD-CORCORAN (CA) | $970.77 | $970.77 |
| MADERA (CA) | $970.77 | $970.77 |
| MERCED (CA) | $970.77 | $970.77 |
| MODESTO (CA) | $970.77 | $970.77 |
| REDDING (CA) | $970.77 | $970.77 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $1004.93 | $1004.93 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $1005.09 | $1005.09 |
| SALINAS (CA) | $1001.11 | $1001.11 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $1145.45 | $1145.45 |
| SANTA CRUZ-WATSONVILLE (CA) | $1016.88 | $1016.88 |
| SANTA ROSA-PETALUMA (CA) | $1026.19 | $1026.19 |
| STOCKTON (CA) | $970.77 | $970.77 |
| VISALIA (CA) | $970.77 | $970.77 |
| YUBA CITY (CA) | $970.77 | $970.77 |
| EL CENTRO (CA) | $971.30 | $971.30 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $1014.97 | $1014.97 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $986.71 | $986.71 |
| SANTA MARIA-SANTA BARBARA (CA) | $1002.21 | $1002.21 |
| REST OF CALIFORNIA (CA) | $970.77 | $970.77 |
| COLORADO (CO) | $982.43 | $982.43 |
| CONNECTICUT (CT) | $1036.81 | $1036.81 |
| DC + MD/VA SUBURBS (DC) | $1080.92 | $1080.92 |
| DELAWARE (DE) | $963.29 | $963.29 |
| FORT LAUDERDALE (FL) | $1066.62 | $1066.62 |
| MIAMI (FL) | $1153.58 | $1153.58 |
| REST OF FLORIDA (FL) | $1013.09 | $1013.09 |
| ATLANTA (GA) | $1004.75 | $1004.75 |
| REST OF GEORGIA (GA) | $956.33 | $956.33 |
| HAWAII, GUAM (HI) | $982.05 | $982.05 |
| IOWA (IA) | $880.41 | $880.41 |
| IDAHO (ID) | $890.34 | $890.34 |
| EAST ST. LOUIS (IL) | $1054.02 | $1054.02 |
| SUBURBAN CHICAGO (IL) | $1071.48 | $1071.48 |
| CHICAGO (IL) | $1118.87 | $1118.87 |
| REST OF ILLINOIS (IL) | $1003.52 | $1003.52 |
| INDIANA (IN) | $894.32 | $894.32 |
| KANSAS (KS) | $887.70 | $887.70 |
| KENTUCKY (KY) | $925.79 | $925.79 |
| NEW ORLEANS (LA) | $968.55 | $968.55 |
| REST OF LOUISIANA (LA) | $928.88 | $928.88 |
| METROPOLITAN BOSTON (MA) | $1056.68 | $1056.68 |
| REST OF MASSACHUSETTS (MA) | $982.05 | $982.05 |
| BALTIMORE/SURR. CNTYS (MD) | $1036.20 | $1036.20 |
| REST OF MARYLAND (MD) | $976.70 | $976.70 |
| SOUTHERN MAINE (ME) | $933.44 | $933.44 |
| REST OF MAINE (ME) | $906.17 | $906.17 |
| DETROIT (MI) | $1035.86 | $1035.86 |
| REST OF MICHIGAN (MI) | $957.42 | $957.42 |
| MINNESOTA (MN) | $911.95 | $911.95 |
| METROPOLITAN ST. LOUIS (MO) | $958.39 | $958.39 |
| METROPOLITAN KANSAS CITY (MO) | $950.92 | $950.92 |
| REST OF MISSOURI (MO) | $922.05 | $922.05 |
| MISSISSIPPI (MS) | $896.72 | $896.72 |
| MONTANA** (MT) | $975.76 | $975.76 |
| NORTH CAROLINA (NC) | $912.79 | $912.79 |
| NORTH DAKOTA** (ND) | $912.88 | $912.88 |
| NEBRASKA (NE) | $881.36 | $881.36 |
| NEW HAMPSHIRE (NH) | $977.90 | $977.90 |
| NORTHERN NJ (NJ) | $1073.95 | $1073.95 |
| REST OF NEW JERSEY (NJ) | $1040.35 | $1040.35 |
| NEW MEXICO (NM) | $966.55 | $966.55 |
| NEVADA** (NV) | $958.61 | $958.61 |
| MANHATTAN (NY) | $1130.21 | $1130.21 |
| NYC SUBURBS/LONG ISLAND (NY) | $1169.01 | $1169.01 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $1055.96 | $1055.96 |
| QUEENS (NY) | $1122.33 | $1122.33 |
| REST OF NEW YORK (NY) | $925.89 | $925.89 |
| OHIO (OH) | $944.57 | $944.57 |
| OKLAHOMA (OK) | $912.62 | $912.62 |
| PORTLAND (OR) | $997.92 | $997.92 |
| REST OF OREGON (OR) | $942.95 | $942.95 |
| METROPOLITAN PHILADELPHIA (PA) | $1020.66 | $1020.66 |
| REST OF PENNSYLVANIA (PA) | $939.73 | $939.73 |
| PUERTO RICO (PR) | $978.46 | $978.46 |
| RHODE ISLAND (RI) | $986.22 | $986.22 |
| SOUTH CAROLINA (SC) | $931.87 | $931.87 |
| SOUTH DAKOTA** (SD) | $905.45 | $905.45 |
| TENNESSEE (TN) | $893.06 | $893.06 |
| BRAZORIA (TX) | $953.26 | $953.26 |
| DALLAS (TX) | $963.90 | $963.90 |
| GALVESTON (TX) | $959.10 | $959.10 |
| HOUSTON (TX) | $1017.31 | $1017.31 |
| BEAUMONT (TX) | $935.07 | $935.07 |
| FORT WORTH (TX) | $961.57 | $961.57 |
| AUSTIN (TX) | $986.37 | $986.37 |
| REST OF TEXAS (TX) | $946.76 | $946.76 |
| UTAH (UT) | $942.90 | $942.90 |
| VIRGINIA (VA) | $938.44 | $938.44 |
| VIRGIN ISLANDS (VI) | $978.46 | $978.46 |
| VERMONT (VT) | $919.80 | $919.80 |
| SEATTLE (KING CNTY) (WA) | $1065.65 | $1065.65 |
| REST OF WASHINGTON (WA) | $976.73 | $976.73 |
| WISCONSIN (WI) | $886.90 | $886.90 |
| WEST VIRGINIA (WV) | $973.18 | $973.18 |
| WYOMING** (WY) | $948.36 | $948.36 |
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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, reflecting differences in local cost of living and practice costs. 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 is typically lower in facility settings, where the facility itself bears more of the overhead cost.
RVUs — work 14.94, practice expense 11.1 (non-facility) / 11.1 (facility), malpractice 3.18 — × 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 annual Part B deductible is met; the patient or secondary insurer is responsible for the remainder.
- Actual payment can vary by locality, applicable modifiers, multiple-procedure or bilateral adjustments, sequestration, and annual budget-neutrality adjustments.
- Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.
Frequently asked
Why does the facility rate differ from the non-facility rate?
The facility rate generally uses a lower practice-expense RVU because the facility (e.g., hospital) covers part of the overhead costs that a physician's office would otherwise bear.
Why might my locality's allowed amount differ from the national figure?
Medicare applies Geographic Practice Cost Indices (GPCIs) to adjust the work, practice-expense, and malpractice RVUs for regional cost differences before applying the conversion factor.
Does this amount reflect what the patient will owe?
No. The figure shown is the Medicare-allowed amount before cost-sharing; patients typically owe 20% coinsurance after the deductible, subject to secondary coverage.
Can modifiers change this amount?
Yes. Modifiers (e.g., for bilateral procedures, reduced services, or multiple-procedure reductions) can increase or decrease the final payment relative to the base PFS amount shown here.
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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