Medicare Reimbursement for CPT 24435

CPT 24435 is a physician procedure code reported under Medicare Part B. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code at the national level and, where available, adjusted by locality, with separate non-facility and facility rates.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1004.03	$1004.03
ALASKA* (AK)	$1229.35	$1229.35
ALABAMA (AL)	$908.09	$908.09
ARKANSAS (AR)	$896.27	$896.27
ARIZONA (AZ)	$976.53	$976.53
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1161.52	$1161.52
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1179.23	$1179.23
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1054.62	$1054.62
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1065.56	$1065.56
NAPA (CA)	$1116.27	$1116.27
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1164.98	$1164.98
VALLEJO (CA)	$1111.28	$1111.28
BAKERSFIELD (CA)	$1013.21	$1013.21
CHICO (CA)	$1004.79	$1004.79
FRESNO (CA)	$1004.79	$1004.79
HANFORD-CORCORAN (CA)	$1004.79	$1004.79
MADERA (CA)	$1004.79	$1004.79
MERCED (CA)	$1004.79	$1004.79
MODESTO (CA)	$1004.79	$1004.79
REDDING (CA)	$1004.79	$1004.79
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1037.57	$1037.57
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1041.80	$1041.80
SALINAS (CA)	$1037.70	$1037.70
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1193.39	$1193.39
SANTA CRUZ-WATSONVILLE (CA)	$1055.99	$1055.99
SANTA ROSA-PETALUMA (CA)	$1065.77	$1065.77
STOCKTON (CA)	$1004.79	$1004.79
VISALIA (CA)	$1004.79	$1004.79
YUBA CITY (CA)	$1004.79	$1004.79
EL CENTRO (CA)	$1005.30	$1005.30
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1053.14	$1053.14
SAN LUIS OBISPO-PASO ROBLES (CA)	$1022.59	$1022.59
SANTA MARIA-SANTA BARBARA (CA)	$1039.13	$1039.13
REST OF CALIFORNIA (CA)	$1004.79	$1004.79
COLORADO (CO)	$1014.07	$1014.07
CONNECTICUT (CT)	$1067.06	$1067.06
DC + MD/VA SUBURBS (DC)	$1115.58	$1115.58
DELAWARE (DE)	$991.22	$991.22
FORT LAUDERDALE (FL)	$1091.72	$1091.72
MIAMI (FL)	$1176.76	$1176.76
REST OF FLORIDA (FL)	$1037.06	$1037.06
ATLANTA (GA)	$1032.59	$1032.59
REST OF GEORGIA (GA)	$978.90	$978.90
HAWAII, GUAM (HI)	$1017.84	$1017.84
IOWA (IA)	$907.43	$907.43
IDAHO (ID)	$917.24	$917.24
EAST ST. LOUIS (IL)	$1074.22	$1074.22
SUBURBAN CHICAGO (IL)	$1097.27	$1097.27
CHICAGO (IL)	$1141.44	$1141.44
REST OF ILLINOIS (IL)	$1025.38	$1025.38
INDIANA (IN)	$921.46	$921.46
KANSAS (KS)	$913.77	$913.77
KENTUCKY (KY)	$949.44	$949.44
NEW ORLEANS (LA)	$993.47	$993.47
REST OF LOUISIANA (LA)	$952.16	$952.16
METROPOLITAN BOSTON (MA)	$1093.13	$1093.13
REST OF MASSACHUSETTS (MA)	$1013.10	$1013.10
BALTIMORE/SURR. CNTYS (MD)	$1066.20	$1066.20
REST OF MARYLAND (MD)	$1005.53	$1005.53
SOUTHERN MAINE (ME)	$962.72	$962.72
REST OF MAINE (ME)	$932.42	$932.42
DETROIT (MI)	$1059.43	$1059.43
REST OF MICHIGAN (MI)	$981.17	$981.17
MINNESOTA (MN)	$944.31	$944.31
METROPOLITAN ST. LOUIS (MO)	$984.37	$984.37
METROPOLITAN KANSAS CITY (MO)	$976.44	$976.44
REST OF MISSOURI (MO)	$944.27	$944.27
MISSISSIPPI (MS)	$919.92	$919.92
MONTANA** (MT)	$1003.83	$1003.83
NORTH CAROLINA (NC)	$939.53	$939.53
NORTH DAKOTA** (ND)	$943.52	$943.52
NEBRASKA (NE)	$908.80	$908.80
NEW HAMPSHIRE (NH)	$1008.26	$1008.26
NORTHERN NJ (NJ)	$1107.94	$1107.94
REST OF NEW JERSEY (NJ)	$1071.52	$1071.52
NEW MEXICO (NM)	$990.16	$990.16
NEVADA** (NV)	$987.43	$987.43
MANHATTAN (NY)	$1162.02	$1162.02
NYC SUBURBS/LONG ISLAND (NY)	$1200.80	$1200.80
POUGHKPSIE/N NYC SUBURBS (NY)	$1086.71	$1086.71
QUEENS (NY)	$1155.63	$1155.63
REST OF NEW YORK (NY)	$953.08	$953.08
OHIO (OH)	$968.84	$968.84
OKLAHOMA (OK)	$937.03	$937.03
PORTLAND (OR)	$1031.70	$1031.70
REST OF OREGON (OR)	$972.12	$972.12
METROPOLITAN PHILADELPHIA (PA)	$1049.45	$1049.45
REST OF PENNSYLVANIA (PA)	$964.49	$964.49
PUERTO RICO (PR)	$1007.06	$1007.06
RHODE ISLAND (RI)	$1015.96	$1015.96
SOUTH CAROLINA (SC)	$957.30	$957.30
SOUTH DAKOTA** (SD)	$936.39	$936.39
TENNESSEE (TN)	$919.20	$919.20
BRAZORIA (TX)	$981.80	$981.80
DALLAS (TX)	$992.30	$992.30
GALVESTON (TX)	$987.52	$987.52
HOUSTON (TX)	$1043.34	$1043.34
BEAUMONT (TX)	$959.55	$959.55
FORT WORTH (TX)	$989.49	$989.49
AUSTIN (TX)	$1017.40	$1017.40
REST OF TEXAS (TX)	$973.04	$973.04
UTAH (UT)	$968.81	$968.81
VIRGINIA (VA)	$967.05	$967.05
VIRGIN ISLANDS (VI)	$1007.06	$1007.06
VERMONT (VT)	$949.57	$949.57
SEATTLE (KING CNTY) (WA)	$1103.75	$1103.75
REST OF WASHINGTON (WA)	$1007.97	$1007.97
WISCONSIN (WI)	$916.15	$916.15
WEST VIRGINIA (WV)	$993.73	$993.73
WYOMING** (WY)	$977.54	$977.54

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: Clinical. 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 — assigned to the code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Practice-expense RVUs can differ between non-facility (e.g., office) and facility (e.g., hospital) settings, which is why two rates are often shown; for this code the practice-expense RVU is the same in both settings, so the resulting amounts align. The conversion factor is updated annually and applies uniformly across all codes nationwide.

RVUs — work 14.62, practice expense 12.39 (non-facility) / 12.39 (facility), malpractice 3.05 — × 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 Part B deductible; the beneficiary or secondary insurer is responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
Always verify the final allowed amount with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

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

The practice-expense RVU assigned to this code is identical in both settings, so the calculated non-facility and facility amounts come out the same. This isn't the case for every code.

Does this amount reflect what my specific locality will be paid?

The figure shown is the national amount unless a locality-specific adjustment is displayed. Actual payment depends on the GPCI values for the specific Medicare locality where the service was rendered.

Will modifiers change this amount?

Yes. Modifiers such as those indicating bilateral procedures, reduced services, or assistant-at-surgery can increase or decrease the final allowed amount relative to the base PFS rate shown here.

Is this the amount the patient will owe?

No. This is the Medicare-allowed amount before cost-sharing. The patient's actual out-of-pocket responsibility depends on deductible status, coinsurance, and any secondary coverage.

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.