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CPT 51741 Medicare rate in Q3 2014

Office (non-facility) & facility

Historical · Q3 2014
$15.76

National (GPCI 1.000)

Office-only: CMS developed no facility practice-expense RVUs for 51741 (NA indicator), so the file’s facility amount repeats the Office (non-facility) one.

$12.48–$19.36 across payment localities · Office (non-facility)

Participating physician · Before sequestration

CMS evidence · Q3 2014 release

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The national PFS baseline was $15.76 for CPT 51741 in the Office (non-facility) setting and $15.76 in a facility under the Q3 2014 Physician Fee Schedule, effective July 2014. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded.

Contract rate as % of Medicare Copy link

Applies to your locality's allowed amount, not the $15.76 national baseline. How to find your contract's percentage.

Need rates from another insurer? Join the waitlist →

Allowed amount, Medicare's share, and patient share Copy link

A physician's $15.76 Office (non-facility) allowed amount: Medicare pays $12.36 after sequestration and the patient owes $3.15, once the Part B deductible is met.

Adjust for your locality →
51741: allowed amount and each party's share by who bills it, Office (non-facility), national baseline
Billed by Allowed amount Participating claim If not participating
What Medicare pays Patient coinsurance Non-participating amount Limiting charge
Physician (MD/DO) 100% Calculator $15.76 $12.36 $12.61 − $0.25 $3.15 $14.97 $17.22
NP, PA or CNS 85% Calculator $13.40 $10.51 $10.72 − $0.21 $2.68 Always takes assignment
NP or PA visit billed under the physician (incident-to) 100% Calculator $15.76 $12.36 $12.61 − $0.25 $3.15 $14.97 $17.22

Paid as if the physician did it, but only in the office and only when every incident-to requirement, including supervision, is met.

National Q3 2014, GPCI 1.000. Rows are provider types with at least 1% of 51741’s Medicare services in CMS’s CY2024 Physician & Other Practitioners data; each % applies before the 80/20 split and sequestration.

For the ZIP in the price card

Is $15.76 what a practice actually receives?

It's the national allowed amount—the starting point. Medicare pays 80% of it ($12.61) and the patient owes 20% coinsurance ($3.15). Sequestration trims Medicare's share by about 2%, your locality's GPCIs scale the total up or down, and the expected-payment calculator applies all three. That payment is practice revenue that covers staff, space, equipment, and billing. It isn't the clinician's take-home pay. The practice-expense RVU above is CMS's estimate of that overhead share.

Sources: Budget Control Act sequestration provisions; CMS Medicare Fee-for-Service payment guidance; CMS Geographic Practice Cost Index (GPCI) files; CMS Physician Fee Schedule overview (cms.gov).

What's the non-participating amount for 51741?

$14.97 in the Office (non-facility) setting—95% of the $15.76 participating fee schedule amount above. A participating provider takes the fee schedule amount as payment in full on every claim. A non-participating provider is paid this reduced amount, but chooses claim by claim whether to accept assignment. See participating vs non-participating.

Sources: CMS Physician Fee Schedule overview (cms.gov); CMS Medicare Fee-for-Service payment guidance.

What's the limiting charge for 51741?

$17.22 in the Office (non-facility) setting—the ceiling on what a non-participating provider can bill the patient on an unassigned claim. That's 109.25% of the $15.76 amount above. The non-participating amount is 95% of the fee schedule rate ($14.97), and the statutory cap is 115% of that. See limiting charge.

Sources: CMS Physician Fee Schedule overview (cms.gov); CMS Medicare Fee-for-Service payment guidance.

CMS RVU14CJuly 1 – September 30, 2014 See file rows

Which billing rules and modifiers apply? Copy link

CMS indicators that apply to 51741: PCTC 1 (splits into professional and technical) · MULT PROC 2 (standard reduction applies).

Professional/technical split

Splits into professional and technical

PCTC

1

This procedure splits into a professional component (modifier 26) and a technical component (modifier TC), each separately payable.

51741 billed whole or split (-26 and -TC), national amounts by setting
Billed as Office (non-facility) Facility
51741 $15.76 $15.76
51741-26 $8.60 $8.60
51741-TC $7.16 $7.16

Multiple procedures

Standard reduction applies

MULT PROC

2

When billed with other procedures on the same date, the highest-valued one is paid at 100% and the next four at 50% each.

-51 depends on the other codes on the same claim, so it's a claim-level number rather than a per-code one.

Global surgery period XXX (does not apply). Not payable with 51741: -50 · -80/81/82 · -AS · -62 · -66.

Modifier amounts are derived, not a CMS column: Localis applies the standard MPFS percentage to the national Office (non-facility) amount. Check them against the Claims Processing Manual. Locality-adjusted amounts.

Why would a Medicare claim for 51741 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

CMS RVU14CJuly 1 – September 30, 2014 See file rows

Can you bill it with another code? Copy link

This code

51741

See every current NCCI pair for 51741 →

Payment review for 51741 Copy link

Checking a paid 51741 line?

Check an actual payment Model this code in a contract
What to check (4)

Three published payment rules can change what 51741 allows on a claim: the professional/technical split, the standard multiple-procedure reduction and the assistant-at-surgery prohibition. Each is a legitimate reason for a paid amount to differ from the fee-schedule amount on this page.

  • Confirm which component the line carried before comparing anything: the same code prices three ways—globally, as a professional component with modifier 26, and as a technical component with modifier TC.
  • Rank the claim’s procedure lines before calling this one short-paid: billed with a higher-valued procedure on the same date, its allowed amount is $7.88 instead of $15.76 (national, GPCI 1.000). That is the rule, not a payer error.
  • Expect an assistant-at-surgery denial here rather than appealing it—a -80 or -AS line on this procedure is never separately payable.
  • Reprice the line against the release, locality, setting, modifier and participation status that applied to the date of service before treating any difference as an underpayment.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files; CMS Medicare Claims Processing Manual (Pub. 100-04); 42 USC 1395w-4(i)(2) (SSA §1848(i)(2))—Assistants-at-surgery.

How location and RVUs set the amount Copy link

Office (non-facility) and facility: 0.44 RVUs × $35.8228 = $15.76 national PFS baseline. Local GPCIs move it from $12.48 in Puerto Rico, PR to $19.36 in Alaska, AK.

Office (non-facility) and facility

Office (non-facility) and facility: each RVU times its GPCI, summed, times the conversion factor
Component RVU × GPCI =
Work 0.17 1.000 0.17
Practice expense 0.25 1.000 0.25
Malpractice 0.02 1.000 0.02
Total RVUs 0.44
× Conversion factor $35.8228
= National PFS baseline $15.76

Rates by locality Copy link

Maine: $14.72–$15.66 across 2 localities ME Wisconsin: $15.07 WI Vermont: $15.54 VT New Hampshire: $16.12 NH Montana: $15.88 MT North Dakota: $15.43 ND Minnesota: $15.40 MN Michigan: $15.07–$16.31 across 2 localities MI New York: $15.00–$18.54 across 5 localities NY Massachusetts: $16.21–$17.04 across 2 localities MA Rhode Island: $16.34 RI Washington: $15.65–$17.03 across 2 localities WA Idaho: $14.51 ID Wyoming: $15.92 WY South Dakota: $15.34 SD Iowa: $14.42 IA Illinois: $15.16–$17.05 across 4 localities IL Indiana: $14.79 IN Ohio: $15.16 OH Pennsylvania: $15.09–$16.84 across 2 localities PA New Jersey: $17.08–$17.71 across 2 localities NJ Connecticut: $17.11 CT Oregon: $15.21–$15.97 across 2 localities OR Nevada: $16.34 NV Utah: $15.13 UT Colorado: $15.82 CO Nebraska: $14.45 NE Missouri: $14.41–$15.44 across 3 localities MO Kentucky: $14.45 KY West Virginia: $14.44 WV Virginia: $15.42 VA Maryland: $16.15–$16.92 across 2 localities MD Delaware: $16.09 DE California: $17.27–$19.21 across 7 localities CA Arizona: $15.62 AZ New Mexico: $15.08 NM Kansas: $14.72 KS Oklahoma: $14.39 OK Arkansas: $14.20 AR Tennessee: no locality amount on file for this code TN North Carolina: $14.93 NC South Carolina: $14.69 SC District of Columbia: $18.02 DC Texas: $14.81–$15.87 across 8 localities TX Louisiana: $14.69–$15.69 across 2 localities LA Mississippi: $14.33 MS Alabama: no locality amount on file for this code AL Georgia: no locality amount on file for this code GA Florida: $15.75–$17.34 across 3 localities FL Alaska: $19.36 AK Hawaii: $16.94 HI
$12–$14 $14–$15 $15–$16 $16–$17 $17–$18 $18–$19 No amount on file

51741 Office (non-facility) by metro, highest first

Anchorage, AK $19.36 Locality 02102-01 San Francisco, CA $19.21 Locality 01112-05 San Jose, CA $18.95 Locality 01112-09 Long Island, NY $18.54 Locality 13202-02 Queens, NY $18.47 Locality 13292-04 Washington, DC $18.02 Locality 12202-01
Show 48 more metros
New York City, NY $17.96 Locality 13202-01 Northern New Jersey, NJ $17.71 Locality 12402-01 Ventura County, CA $17.43 Locality 01182-17 Miami, FL $17.34 Locality 09102-04 Los Angeles, CA $17.27 Locality 01182-18 Hartford, CT $17.11 Locality 13102-00 Chicago, IL $17.05 Locality 06102-16 Boston, MA $17.04 Locality 14212-01 Seattle, WA $17.03 Locality 02402-02 Honolulu, HI $16.94 Locality 01212-01 Suburban Chicago, IL $16.94 Locality 06102-15 Baltimore, MD $16.92 Locality 12302-01 Philadelphia, PA $16.84 Locality 12502-01 Fort Lauderdale, FL $16.74 Locality 09102-03 Las Vegas, NV $16.34 Locality 01312-00 Providence, RI $16.34 Locality 14412-01 Detroit, MI $16.31 Locality 08202-01 Portland, OR $15.97 Locality 02302-01 Houston, TX $15.84 Locality 04412-18 Metro East, IL $15.83 Locality 06102-12 Denver, CO $15.82 Locality 04112-01 Dallas, TX $15.82 Locality 04412-11 Tampa, FL $15.75 Locality 09102-99 Austin, TX $15.71 Locality 04412-31 New Orleans, LA $15.69 Locality 07202-01 Portland, ME $15.66 Locality 14112-03 Phoenix, AZ $15.62 Locality 03102-00 Fort Worth, TX $15.51 Locality 04412-28 St. Louis, MO $15.44 Locality 05302-01 Kansas City, MO $15.43 Locality 05302-02 Richmond, VA $15.42 Locality 11302-00 Minneapolis, MN $15.40 Locality 06202-00 Columbus, OH $15.16 Locality 15202-00 Salt Lake City, UT $15.13 Locality 03502-09 Pittsburgh, PA $15.09 Locality 12502-99 Albuquerque, NM $15.08 Locality 04212-05 Milwaukee, WI $15.07 Locality 06302-00 Buffalo, NY $15.00 Locality 13282-99 Charlotte, NC $14.93 Locality 11502-00 San Antonio, TX $14.88 Locality 04412-99 Indianapolis, IN $14.79 Locality 08102-00 Wichita, KS $14.72 Locality 05202-00 Charleston, SC $14.69 Locality 11202-01 Boise, ID $14.51 Locality 02202-00 Louisville, KY $14.45 Locality 15102-00 Omaha, NE $14.45 Locality 05402-00 Des Moines, IA $14.42 Locality 05102-00 Oklahoma City, OK $14.39 Locality 04312-00
Maine: $14.72–$15.66 across 2 localities ME Wisconsin: $15.07 WI Vermont: $15.54 VT New Hampshire: $16.12 NH Montana: $15.88 MT North Dakota: $15.43 ND Minnesota: $15.40 MN Michigan: $15.07–$16.31 across 2 localities MI New York: $15.00–$18.54 across 5 localities NY Massachusetts: $16.21–$17.04 across 2 localities MA Rhode Island: $16.34 RI Washington: $15.65–$17.03 across 2 localities WA Idaho: $14.51 ID Wyoming: $15.92 WY South Dakota: $15.34 SD Iowa: $14.42 IA Illinois: $15.16–$17.05 across 4 localities IL Indiana: $14.79 IN Ohio: $15.16 OH Pennsylvania: $15.09–$16.84 across 2 localities PA New Jersey: $17.08–$17.71 across 2 localities NJ Connecticut: $17.11 CT Oregon: $15.21–$15.97 across 2 localities OR Nevada: $16.34 NV Utah: $15.13 UT Colorado: $15.82 CO Nebraska: $14.45 NE Missouri: $14.41–$15.44 across 3 localities MO Kentucky: $14.45 KY West Virginia: $14.44 WV Virginia: $15.42 VA Maryland: $16.15–$16.92 across 2 localities MD Delaware: $16.09 DE California: $17.27–$19.21 across 7 localities CA Arizona: $15.62 AZ New Mexico: $15.08 NM Kansas: $14.72 KS Oklahoma: $14.39 OK Arkansas: $14.20 AR Tennessee: no locality amount on file for this code TN North Carolina: $14.93 NC South Carolina: $14.69 SC District of Columbia: $18.02 DC Texas: $14.81–$15.87 across 8 localities TX Louisiana: $14.69–$15.69 across 2 localities LA Mississippi: $14.33 MS Alabama: no locality amount on file for this code AL Georgia: no locality amount on file for this code GA Florida: $15.75–$17.34 across 3 localities FL Alaska: $19.36 AK Hawaii: $16.94 HI
$12–$14 $14–$15 $15–$16 $16–$17 $17–$18 $18–$19 No amount on file

51741 Facility by metro, highest first

Anchorage, AK $19.36 Locality 02102-01 San Francisco, CA $19.21 Locality 01112-05 San Jose, CA $18.95 Locality 01112-09 Long Island, NY $18.54 Locality 13202-02 Queens, NY $18.47 Locality 13292-04 Washington, DC $18.02 Locality 12202-01
Show 48 more metros
New York City, NY $17.96 Locality 13202-01 Northern New Jersey, NJ $17.71 Locality 12402-01 Ventura County, CA $17.43 Locality 01182-17 Miami, FL $17.34 Locality 09102-04 Los Angeles, CA $17.27 Locality 01182-18 Hartford, CT $17.11 Locality 13102-00 Chicago, IL $17.05 Locality 06102-16 Boston, MA $17.04 Locality 14212-01 Seattle, WA $17.03 Locality 02402-02 Honolulu, HI $16.94 Locality 01212-01 Suburban Chicago, IL $16.94 Locality 06102-15 Baltimore, MD $16.92 Locality 12302-01 Philadelphia, PA $16.84 Locality 12502-01 Fort Lauderdale, FL $16.74 Locality 09102-03 Las Vegas, NV $16.34 Locality 01312-00 Providence, RI $16.34 Locality 14412-01 Detroit, MI $16.31 Locality 08202-01 Portland, OR $15.97 Locality 02302-01 Houston, TX $15.84 Locality 04412-18 Metro East, IL $15.83 Locality 06102-12 Denver, CO $15.82 Locality 04112-01 Dallas, TX $15.82 Locality 04412-11 Tampa, FL $15.75 Locality 09102-99 Austin, TX $15.71 Locality 04412-31 New Orleans, LA $15.69 Locality 07202-01 Portland, ME $15.66 Locality 14112-03 Phoenix, AZ $15.62 Locality 03102-00 Fort Worth, TX $15.51 Locality 04412-28 St. Louis, MO $15.44 Locality 05302-01 Kansas City, MO $15.43 Locality 05302-02 Richmond, VA $15.42 Locality 11302-00 Minneapolis, MN $15.40 Locality 06202-00 Columbus, OH $15.16 Locality 15202-00 Salt Lake City, UT $15.13 Locality 03502-09 Pittsburgh, PA $15.09 Locality 12502-99 Albuquerque, NM $15.08 Locality 04212-05 Milwaukee, WI $15.07 Locality 06302-00 Buffalo, NY $15.00 Locality 13282-99 Charlotte, NC $14.93 Locality 11502-00 San Antonio, TX $14.88 Locality 04412-99 Indianapolis, IN $14.79 Locality 08102-00 Wichita, KS $14.72 Locality 05202-00 Charleston, SC $14.69 Locality 11202-01 Boise, ID $14.51 Locality 02202-00 Louisville, KY $14.45 Locality 15102-00 Omaha, NE $14.45 Locality 05402-00 Des Moines, IA $14.42 Locality 05102-00 Oklahoma City, OK $14.39 Locality 04312-00

Q3 2014, each locality's GPCIs, before sequestration. Multi-locality states are shaded by their mean. Look up your exact locality →

CMS RVU14CJuly 1 – September 30, 2014 See file rows

Source & method Copy link

  1. 01 PPRRVU14_V0515.csv · Q3 2014 (RVU14C) · row 9,303—status A, RVUs limits
    Source
    Physician relative value file (PPRRVU), Q3 2014 release
    Effective
    July 1 – September 30, 2014
    Locator
    PPRRVU14_V0515.csv in rvu14c.zip · row 9,303 of 15,901 · via CMS
    Fields read
    Status A (col 4) Work RVU 0.17 (col 6) Office (non-facility) PE RVU 0.25 (col 7) Facility PE RVU 0.25 (col 9) Malpractice RVU 0.02 (col 11)
    SHA-256 c77da0d012ff73de…
    Doesn’t establish
    A locality-adjusted allowed amount, or the payment after sequestration. National baselines use GPCI 1.000 and exclude sequestration.
    Note
    Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero.
  2. 02 Conversion factor · same file · row 9,303 · column 25—$35.8228
    Source
    Conversion factor, read from the same file as the RVUs
  3. 03 Physician & Other Practitioners · CY2024—volume and who bills it limits
    Source
    CMS Physician & Other Practitioners dataset
    Effective
    Calendar-year snapshot, on a different cycle from the Q3 2014 fee schedule
    Doesn’t establish
    Medicare Advantage, Medicaid or commercial volume.
    Note
    The dataset suppresses rows under 11 beneficiaries.

Cite this rate

CPT 51741 National PFS baseline: Office (non-facility) $15.76; Facility $15.76 (Q3 2014; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU14C, PPRRVU14_V0515.csv row 9,303. Localis. https://localishealth.com/cpt/51741/2014/C

Past releases are never edited, so the citation stays checkable after CMS publishes a newer one. Methodology · Plain-text summary · JSON

How has it changed? Copy link

$15.36 Office (non-facility) and $15.36 Facility since Jan 1, 2026, after a +10.4% increase in the Office (non-facility) amount. -1.9% decrease since Q1 2013; peak $16.20 in Q1 2018.

  1. Jan 1, 2026 – present

    Q1 2026

    Still in effect · 4 releases at this rate
    Office
    $15.36 (+$1.45, +10.4% increase)
    Facility
    $15.36 (+$1.45, +10.4% increase)

    Q1 2026 Jan 1, 2026 – Mar 31, 2026 · Q2 2026 Apr 1, 2026 – Jun 30, 2026 · Q3 2026 Jul 1, 2026 – Sep 30, 2026 · Q4 2026 Oct 1, 2026 – present

  2. Jan 1, 2025 – Dec 31, 2025

    Q1 2025

    4 releases at this rate
    Office
    $13.91 (−$0.40, -2.8% decrease)
    Facility
    $13.91 (−$0.40, -2.8% decrease)

    Q1 2025 Jan 1, 2025 – Mar 31, 2025 · Q2 2025 Apr 1, 2025 – Jun 30, 2025 · Q3 2025 Jul 1, 2025 – Sep 30, 2025 · Q4 2025 Oct 1, 2025 – Dec 31, 2025

  3. Mar 9, 2024 – Dec 31, 2024

    Q1 2024

    4 releases at this rate
    Office
    $14.31 (+$0.23, +1.6% increase)
    Facility
    $14.31 (+$0.23, +1.6% increase)

    Q1 2024 Mar 9, 2024 – Mar 31, 2024 · Q2 2024 Apr 1, 2024 – Jun 30, 2024 · Q3 2024 Jul 1, 2024 – Sep 30, 2024 · Q4 2024 Oct 1, 2024 – Dec 31, 2024

  4. Jan 1, 2024 – Mar 8, 2024 · Superseded revision

    Q1 2024 rev 1

    Revision 1, later corrected by CMS
    Office
    $14.08
    Facility
    $14.08

  5. Jan 1, 2023 – Dec 31, 2023

    Q1 2023

    4 releases at this rate
    Office
    $14.23 (+$0.04, +0.3% increase)
    Facility
    $14.23 (+$0.04, +0.3% increase)

    Q1 2023 Jan 1, 2023 – Mar 31, 2023 · Q2 2023 Apr 1, 2023 – Jun 30, 2023 · Q3 2023 Jul 1, 2023 – Sep 30, 2023 · Q4 2023 Oct 1, 2023 – Dec 31, 2023

  6. Jan 1, 2022 – Dec 31, 2022

    Q1 2022

    4 releases at this rate
    Office
    $14.19 (−$0.12, -0.8% decrease)
    Facility
    $14.19 (−$0.12, -0.8% decrease)

    Q1 2022 Jan 1, 2022 – Mar 31, 2022 · Q2 2022 Apr 1, 2022 – Jun 30, 2022 · Q3 2022 Jul 1, 2022 – Sep 30, 2022 · Q4 2022 Oct 1, 2022 – Dec 31, 2022

National baseline (GPCI 1.000), before sequestration.

How each change is split
The chips under each change split the Office (non-facility) move into the conversion factor's share, which CMS sets for every code, and 51741's own work, practice-expense and malpractice RVUs. CMS doesn't publish this split; we derive it from each release's RVUs and conversion factor. We apply the new conversion factor to the earlier RVUs first, then price each RVU change at the new conversion factor. Another order would move a few cents between columns, but every total stays the same.
When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

The 51741 rate last moved in Q1 2026. See its rate history.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

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Usage and related codes Copy link

In CY2024, 51741 ranked #468 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.

Services
321,590
Allowed
$3.4M
Beneficiaries
260,148

CY2024 Medicare fee-for-service, from the CMS Physician & Other Practitioners dataset (limits). Localis groups related codes for payment research; the grouping isn't the AMA's code families.