Medicare Reimbursement for CPT 24371

CPT 24371 is a surgical procedure code reported to Medicare and other payers; the specific clinical descriptor is licensed by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) 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)	$1571.51	$1571.51
ALASKA* (AK)	$1971.17	$1971.17
ALABAMA (AL)	$1431.69	$1431.69
ARKANSAS (AR)	$1414.61	$1414.61
ARIZONA (AZ)	$1530.33	$1530.33
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1757.41	$1757.41
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1781.74	$1781.74
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1619.55	$1619.55
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1639.03	$1639.03
NAPA (CA)	$1697.89	$1697.89
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1763.50	$1763.50
VALLEJO (CA)	$1689.12	$1689.12
BAKERSFIELD (CA)	$1566.24	$1566.24
CHICO (CA)	$1551.38	$1551.38
FRESNO (CA)	$1551.38	$1551.38
HANFORD-CORCORAN (CA)	$1551.38	$1551.38
MADERA (CA)	$1551.38	$1551.38
MERCED (CA)	$1551.38	$1551.38
MODESTO (CA)	$1551.38	$1551.38
REDDING (CA)	$1551.38	$1551.38
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1609.03	$1609.03
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1601.69	$1601.69
SALINAS (CA)	$1595.23	$1595.23
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1806.62	$1806.62
SANTA CRUZ-WATSONVILLE (CA)	$1614.10	$1614.10
SANTA ROSA-PETALUMA (CA)	$1628.62	$1628.62
STOCKTON (CA)	$1551.38	$1551.38
VISALIA (CA)	$1551.38	$1551.38
YUBA CITY (CA)	$1551.38	$1551.38
EL CENTRO (CA)	$1552.27	$1552.27
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1613.79	$1613.79
SAN LUIS OBISPO-PASO ROBLES (CA)	$1572.75	$1572.75
SANTA MARIA-SANTA BARBARA (CA)	$1596.02	$1596.02
REST OF CALIFORNIA (CA)	$1551.38	$1551.38
COLORADO (CO)	$1574.86	$1574.86
CONNECTICUT (CT)	$1665.29	$1665.29
DC + MD/VA SUBURBS (DC)	$1728.57	$1728.57
DELAWARE (DE)	$1551.94	$1551.94
FORT LAUDERDALE (FL)	$1722.63	$1722.63
MIAMI (FL)	$1865.62	$1865.62
REST OF FLORIDA (FL)	$1639.70	$1639.70
ATLANTA (GA)	$1618.14	$1618.14
REST OF GEORGIA (GA)	$1552.21	$1552.21
HAWAII, GUAM (HI)	$1564.23	$1564.23
IOWA (IA)	$1421.31	$1421.31
IDAHO (ID)	$1437.40	$1437.40
EAST ST. LOUIS (IL)	$1713.29	$1713.29
SUBURBAN CHICAGO (IL)	$1729.41	$1729.41
CHICAGO (IL)	$1812.11	$1812.11
REST OF ILLINOIS (IL)	$1629.07	$1629.07
INDIANA (IN)	$1443.21	$1443.21
KANSAS (KS)	$1435.00	$1435.00
KENTUCKY (KY)	$1501.13	$1501.13
NEW ORLEANS (LA)	$1566.54	$1566.54
REST OF LOUISIANA (LA)	$1506.84	$1506.84
METROPOLITAN BOSTON (MA)	$1684.95	$1684.95
REST OF MASSACHUSETTS (MA)	$1575.84	$1575.84
BALTIMORE/SURR. CNTYS (MD)	$1664.55	$1664.55
REST OF MARYLAND (MD)	$1571.75	$1571.75
SOUTHERN MAINE (ME)	$1500.98	$1500.98
REST OF MAINE (ME)	$1464.08	$1464.08
DETROIT (MI)	$1676.93	$1676.93
REST OF MICHIGAN (MI)	$1551.37	$1551.37
MINNESOTA (MN)	$1459.89	$1459.89
METROPOLITAN ST. LOUIS (MO)	$1548.01	$1548.01
METROPOLITAN KANSAS CITY (MO)	$1537.08	$1537.08
REST OF MISSOURI (MO)	$1498.27	$1498.27
MISSISSIPPI (MS)	$1455.70	$1455.70
MONTANA** (MT)	$1571.15	$1571.15
NORTH CAROLINA (NC)	$1473.58	$1473.58
NORTH DAKOTA** (ND)	$1465.17	$1465.17
NEBRASKA (NE)	$1421.89	$1421.89
NEW HAMPSHIRE (NH)	$1569.51	$1569.51
NORTHERN NJ (NJ)	$1719.62	$1719.62
REST OF NEW JERSEY (NJ)	$1670.42	$1670.42
NEW MEXICO (NM)	$1566.25	$1566.25
NEVADA** (NV)	$1542.11	$1542.11
MANHATTAN (NY)	$1814.25	$1814.25
NYC SUBURBS/LONG ISLAND (NY)	$1876.18	$1876.18
POUGHKPSIE/N NYC SUBURBS (NY)	$1696.62	$1696.62
QUEENS (NY)	$1798.41	$1798.41
REST OF NEW YORK (NY)	$1493.49	$1493.49
OHIO (OH)	$1529.71	$1529.71
OKLAHOMA (OK)	$1478.41	$1478.41
PORTLAND (OR)	$1595.18	$1595.18
REST OF OREGON (OR)	$1516.35	$1516.35
METROPOLITAN PHILADELPHIA (PA)	$1642.56	$1642.56
REST OF PENNSYLVANIA (PA)	$1520.91	$1520.91
PUERTO RICO (PR)	$1574.29	$1574.29
RHODE ISLAND (RI)	$1585.59	$1585.59
SOUTH CAROLINA (SC)	$1506.89	$1506.89
SOUTH DAKOTA** (SD)	$1452.64	$1452.64
TENNESSEE (TN)	$1443.39	$1443.39
BRAZORIA (TX)	$1534.82	$1534.82
DALLAS (TX)	$1552.16	$1552.16
GALVESTON (TX)	$1544.40	$1544.40
HOUSTON (TX)	$1642.51	$1642.51
BEAUMONT (TX)	$1514.07	$1514.07
FORT WORTH (TX)	$1549.52	$1549.52
AUSTIN (TX)	$1581.72	$1581.72
REST OF TEXAS (TX)	$1528.80	$1528.80
UTAH (UT)	$1523.43	$1523.43
VIRGINIA (VA)	$1510.43	$1510.43
VIRGIN ISLANDS (VI)	$1574.29	$1574.29
VERMONT (VT)	$1478.10	$1478.10
SEATTLE (KING CNTY) (WA)	$1696.34	$1696.34
REST OF WASHINGTON (WA)	$1566.71	$1566.71
WISCONSIN (WI)	$1426.75	$1426.75
WEST VIRGINIA (WV)	$1583.57	$1583.57
WYOMING** (WY)	$1524.96	$1524.96

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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. 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 the allowed amount. Practice-expense RVUs differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ, which is why this code may show two different amounts depending on place of service.

RVUs — work 26.81, practice expense 14.88 (non-facility) / 14.88 (facility), malpractice 5.36 — × 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 the annual Part B deductible; the beneficiary or secondary insurer is responsible for the remainder.
Actual payment can vary based on modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments.
Locality-adjusted amounts depend on the GPCI values in effect for the specific Medicare Administrative Contractor (MAC) jurisdiction.
Always confirm the current allowed amount and any applicable edits or modifiers with your MAC before billing.

Frequently asked

Why does the facility amount differ from the non-facility amount?

The two settings use different practice-expense RVUs because Medicare assumes the facility (e.g., hospital) absorbs certain overhead costs that a non-facility (e.g., physician office) would otherwise bear directly.

Does this amount include sequestration or other automatic reductions?

No. The figures shown reflect the standard PFS calculation before mandatory federal payment reductions like sequestration, which are applied separately at the claims-processing level.

Why might my MAC's actual payment differ from the amount shown here?

Locality GPCIs, contractor pricing, modifiers, and annual Medicare updates can all cause the final paid amount to differ slightly from a generic PFS calculation.

Can I use this figure to predict patient cost-sharing?

It can serve as a starting estimate, but the patient's actual responsibility depends on deductible status, secondary coverage, and any applicable modifiers or reductions.

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.