Medicare Reimbursement for CPT 24363

CPT 24363 is a physician procedure code reported for Medicare Part B billing purposes; the full descriptor is maintained by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and by locality, broken out for non-facility and facility settings. These figures reflect the formula Medicare uses before any deductible, coinsurance, or local adjustments are applied.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1300.63	$1300.63
ALASKA* (AK)	$1622.49	$1622.49
ALABAMA (AL)	$1182.92	$1182.92
ARKANSAS (AR)	$1168.51	$1168.51
ARIZONA (AZ)	$1266.18	$1266.18
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1465.75	$1465.75
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1486.51	$1486.51
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1346.17	$1346.17
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1361.85	$1361.85
NAPA (CA)	$1414.39	$1414.39
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1470.67	$1470.67
VALLEJO (CA)	$1407.30	$1407.30
BAKERSFIELD (CA)	$1299.89	$1299.89
CHICO (CA)	$1287.90	$1287.90
FRESNO (CA)	$1287.90	$1287.90
HANFORD-CORCORAN (CA)	$1287.90	$1287.90
MADERA (CA)	$1287.90	$1287.90
MERCED (CA)	$1287.90	$1287.90
MODESTO (CA)	$1287.90	$1287.90
REDDING (CA)	$1287.90	$1287.90
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1334.46	$1334.46
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1330.96	$1330.96
SALINAS (CA)	$1325.62	$1325.62
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1506.62	$1506.62
SANTA CRUZ-WATSONVILLE (CA)	$1343.07	$1343.07
SANTA ROSA-PETALUMA (CA)	$1355.24	$1355.24
STOCKTON (CA)	$1287.90	$1287.90
VISALIA (CA)	$1287.90	$1287.90
YUBA CITY (CA)	$1287.90	$1287.90
EL CENTRO (CA)	$1288.62	$1288.62
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1342.04	$1342.04
SAN LUIS OBISPO-PASO ROBLES (CA)	$1306.80	$1306.80
SANTA MARIA-SANTA BARBARA (CA)	$1326.55	$1326.55
REST OF CALIFORNIA (CA)	$1287.90	$1287.90
COLORADO (CO)	$1305.69	$1305.69
CONNECTICUT (CT)	$1379.18	$1379.18
DC + MD/VA SUBURBS (DC)	$1433.90	$1433.90
DELAWARE (DE)	$1284.33	$1284.33
FORT LAUDERDALE (FL)	$1423.20	$1423.20
MIAMI (FL)	$1539.79	$1539.79
REST OF FLORIDA (FL)	$1354.04	$1354.04
ATLANTA (GA)	$1338.88	$1338.88
REST OF GEORGIA (GA)	$1280.93	$1280.93
HAWAII, GUAM (HI)	$1299.96	$1299.96
IOWA (IA)	$1176.06	$1176.06
IDAHO (ID)	$1189.25	$1189.25
EAST ST. LOUIS (IL)	$1412.12	$1412.12
SUBURBAN CHICAGO (IL)	$1429.17	$1429.17
CHICAGO (IL)	$1495.13	$1495.13
REST OF ILLINOIS (IL)	$1343.81	$1343.81
INDIANA (IN)	$1194.21	$1194.21
KANSAS (KS)	$1186.70	$1186.70
KENTUCKY (KY)	$1239.55	$1239.55
NEW ORLEANS (LA)	$1294.37	$1294.37
REST OF LOUISIANA (LA)	$1244.01	$1244.01
METROPOLITAN BOSTON (MA)	$1399.37	$1399.37
REST OF MASSACHUSETTS (MA)	$1306.03	$1306.03
BALTIMORE/SURR. CNTYS (MD)	$1378.46	$1378.46
REST OF MARYLAND (MD)	$1301.21	$1301.21
SOUTHERN MAINE (ME)	$1243.31	$1243.31
REST OF MAINE (ME)	$1210.80	$1210.80
DETROIT (MI)	$1384.46	$1384.46
REST OF MICHIGAN (MI)	$1281.05	$1281.05
MINNESOTA (MN)	$1211.56	$1211.56
METROPOLITAN ST. LOUIS (MO)	$1279.82	$1279.82
METROPOLITAN KANSAS CITY (MO)	$1270.49	$1270.49
REST OF MISSOURI (MO)	$1236.21	$1236.21
MISSISSIPPI (MS)	$1201.79	$1201.79
MONTANA** (MT)	$1300.34	$1300.34
NORTH CAROLINA (NC)	$1218.97	$1218.97
NORTH DAKOTA** (ND)	$1214.72	$1214.72
NEBRASKA (NE)	$1176.83	$1176.83
NEW HAMPSHIRE (NH)	$1300.57	$1300.57
NORTHERN NJ (NJ)	$1425.93	$1425.93
REST OF NEW JERSEY (NJ)	$1383.76	$1383.76
NEW MEXICO (NM)	$1293.22	$1293.22
NEVADA** (NV)	$1276.92	$1276.92
MANHATTAN (NY)	$1502.44	$1502.44
NYC SUBURBS/LONG ISLAND (NY)	$1553.50	$1553.50
POUGHKPSIE/N NYC SUBURBS (NY)	$1405.00	$1405.00
QUEENS (NY)	$1490.41	$1490.41
REST OF NEW YORK (NY)	$1235.70	$1235.70
OHIO (OH)	$1263.55	$1263.55
OKLAHOMA (OK)	$1221.35	$1221.35
PORTLAND (OR)	$1323.86	$1323.86
REST OF OREGON (OR)	$1255.92	$1255.92
METROPOLITAN PHILADELPHIA (PA)	$1359.46	$1359.46
REST OF PENNSYLVANIA (PA)	$1256.63	$1256.63
PUERTO RICO (PR)	$1303.30	$1303.30
RHODE ISLAND (RI)	$1313.13	$1313.13
SOUTH CAROLINA (SC)	$1245.53	$1245.53
SOUTH DAKOTA** (SD)	$1204.60	$1204.60
TENNESSEE (TN)	$1193.67	$1193.67
BRAZORIA (TX)	$1270.59	$1270.59
DALLAS (TX)	$1284.78	$1284.78
GALVESTON (TX)	$1278.41	$1278.41
HOUSTON (TX)	$1357.67	$1357.67
BEAUMONT (TX)	$1250.80	$1250.80
FORT WORTH (TX)	$1282.27	$1282.27
AUSTIN (TX)	$1311.07	$1311.07
REST OF TEXAS (TX)	$1264.18	$1264.18
UTAH (UT)	$1259.51	$1259.51
VIRGINIA (VA)	$1250.64	$1250.64
VIRGIN ISLANDS (VI)	$1303.30	$1303.30
VERMONT (VT)	$1224.79	$1224.79
SEATTLE (KING CNTY) (WA)	$1409.77	$1409.77
REST OF WASHINGTON (WA)	$1298.68	$1298.68
WISCONSIN (WI)	$1182.09	$1182.09
WEST VIRGINIA (WV)	$1305.38	$1305.38
WYOMING** (WY)	$1263.03	$1263.03

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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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) — work, practice expense (PE), and malpractice (MP) — assigned to each code. Each RVU component is adjusted by a Geographic Practice Cost Index (GPCI) specific to the locality where the service is performed, accounting for local cost-of-living and practice cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Non-facility and facility PE RVUs can differ because non-facility payments cover more of the practice's overhead (e.g., when services are performed in an office rather than a hospital or ASC); for this code, those PE RVUs happen to be the same, so facility and non-facility amounts match.

RVUs — work 21.45, practice expense 13.16 (non-facility) / 13.16 (facility), malpractice 4.33 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only — actual Medicare payment can vary.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the patient or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, bilateral billing, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Locality-specific GPCIs mean the actual reimbursement will differ from the national figure shown here.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why does the amount differ by locality?

Medicare applies locality-specific Geographic Practice Cost Indices (GPCIs) to the work, practice expense, and malpractice RVUs to reflect regional differences in costs, so the same code can pay differently depending on where the service is performed.

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

When the practice expense RVU is identical for both settings, as shown here, the calculated payment amount ends up the same regardless of place of service.

Does this figure represent what the practice will actually collect?

No. It represents the Medicare allowed amount before application of the patient's deductible and coinsurance, and before any modifier, sequestration, or budget-neutrality adjustments that may apply to the actual claim.

Where can I find the official rate for my area?

Your Medicare Administrative Contractor (MAC) publishes the finalized, locality-adjusted fee schedule, which should be used to confirm exact reimbursement for billing purposes.

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.