Billing code 86480Medicare rate & RVUs
Compare 86480 physician payment amounts across CMS localities, including office and facility settings.
Medicare rate · 86480
Code 86480
- Work RVUs
- 0
- Total RVUs
- 0.00
- Global days
- XXX
National rate · 2026
—
Not priced in the facility setting.
See every locality for 86480 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 6 sections
Where 86480 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$61.98 to $61.98
109 of 109 payment localities
86480 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$61.98
$61.98
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $61.98 | 1 |
| AL | $61.98 | 1 |
| AR | $61.98 | 1 |
| AZ | $61.98 | 1 |
| CA | $61.98 | 29 |
| CO | $61.98 | 1 |
| CT | $61.98 | 1 |
| DC | $61.98 | 1 |
| DE | $61.98 | 1 |
| FL | $61.98 | 3 |
| GA | $61.98 | 2 |
| GU | $61.98 | 1 |
| HI | $61.98 | 1 |
| IA | $61.98 | 1 |
| ID | $61.98 | 1 |
| IL | $61.98 | 4 |
| IN | $61.98 | 1 |
| KS | $61.98 | 1 |
| KY | $61.98 | 1 |
| LA | $61.98 | 2 |
| MA | $61.98 | 2 |
| MD | $61.98 | 3 |
| ME | $61.98 | 2 |
| MI | $61.98 | 2 |
| MN | $61.98 | 1 |
| MO | $61.98 | 3 |
| MS | $61.98 | 1 |
| MT | $61.98 | 1 |
| NC | $61.98 | 1 |
| ND | $61.98 | 1 |
| NE | $61.98 | 1 |
| NH | $61.98 | 1 |
| NJ | $61.98 | 2 |
| NM | $61.98 | 1 |
| NV | $61.98 | 1 |
| NY | $61.98 | 5 |
| OH | $61.98 | 1 |
| OK | $61.98 | 1 |
| OR | $61.98 | 2 |
| PA | $61.98 | 2 |
| PR | $61.98 | 1 |
| RI | $61.98 | 1 |
| SC | $61.98 | 1 |
| SD | $61.98 | 1 |
| TN | $61.98 | 1 |
| TX | $61.98 | 8 |
| UT | $61.98 | 1 |
| VA | $61.98 | 2 |
| VI | $61.98 | 1 |
| VT | $61.98 | 1 |
| WA | $61.98 | 2 |
| WI | $61.98 | 1 |
| WV | $61.98 | 1 |
| WY | $61.98 | 1 |
How the 86480 rate is calculated
Each of 86480’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 86480
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 86480
86480 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 86480
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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86480 isn’t priced in this setting.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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