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Medicare Physician Fee Schedule Effective Locality 09102-03 CMS RVU26D Updated

CPT 64721 Medicare rate in Fort Lauderdale, FL

Open carpal tunnel release in ZIPs including 33301, 33304, and 33308

The Medicare allowed amount is $513.10 in the Office (non-facility) setting and $452.87 in a facility, under the Q4 2026 Physician Fee Schedule. This is the fee schedule amount before sequestration and before any deductible or coinsurance is applied—not necessarily what a specific claim pays.

64721 Q4 2026
Locality-adjusted allowed amount
$513.10
in a doctor’s own office or clinic

Fort Lauderdale, FL flag Fort Lauderdale, FL (Locality 09102-03)

6.3% above the national baseline ($482.64)

CMS RVU26DOctober 1 – December 31, 2026revision 2

( Work4.85 × 1.000 + Practice exp.8.61 × 1.013 + Malpractice0.99 × 1.808 ) × Conv. factor$33.4009 = $513.10

row 7,210

F Work RVU

4.85

G Non‑facility PE RVU

8.61

K MP RVU

0.99

Z Conversion factor

33.4009

row 41

E Work GPCI

1.000

F PE GPCI

1.013

G MP GPCI

1.808

The Medicare allowed amount is $513.10 in the Office (non-facility) setting and $452.87 in a facility, under the Q4 2026 Physician Fee Schedule. This is the fee schedule amount before sequestration and before any deductible or coinsurance is applied—not necessarily what a specific claim pays.

Assumes a participating provider, no modifiers, the whole service, before sequestration.

Customize service date, participation, and modifiers Check service-location ZIP CMS sources and method

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What Medicare locality is Fort Lauderdale, FL in? Copy link

Fort Lauderdale, FL is in CMS payment locality Fort Lauderdale (09102-03). The same amount applies everywhere in it.

Confirm the locality before using this amount. A split ZIP needs ZIP+4 for an exact match.

ZIP codes in this payment locality (288)

The CMS ZIP-to-locality crosswalk maps 288 ZIP codes to this payment locality. Use this amount only after you confirm the service location is in this locality. Of these, 5 span more than one locality and need ZIP+4 for an exact match.

32948 32957 32958 32960 32961 32962 32963 32964 32965 32966 32967 32968 32969 32970 32971 32978 33004 33008 33009 33019 33020 33021 33022 33023 33024 33025 33026 33027 33028 33029 33060 33061 33062 33063 33064 33065 33066 33067 33068 33069 33071 33072 33073 33074 33075 33076 33077 33081 33082 33083 33084 33093 33097 33301 33302 33303 33304 33305 33306 33307 33308 33309 33310 33311 33312 33313 33314 33315 33316 33317 33318 33319 33320 33321 33322 33323 33324 33325 33326 33327 33328 33329 33330 33331 33332 33334 33335 33336 33337 33338 33339 33340 33345 33346 33348 33349 33351 33355 33359 33388

188 more ZIP codes map to this locality. The Fort Lauderdale, FL locality page lists the full set.

Which ZIP codes does the Fort Lauderdale, FL rate for 64721 cover?

The CMS ZIP-to-locality crosswalk maps 288 ZIP codes to this payment locality, and 64721 has the same amount in every one of them. Examples include 32948, 32957, 32958, 32960, 32961, 32962. Of these, 5 span more than one payment locality and need ZIP+4 for an exact match.

How locality affects the amount Copy link

Office (non-facility) · Q4 2026 · Participating · Whole service

Fort Lauderdale, FL (this locality)
$513.10
National PFS baseline (GPCI 1.000)
$482.64

Each of this locality's geographic practice cost indices (GPCIs) scales one RVU component before the conversion factor is applied. Together they put Fort Lauderdale, FL 6.3% above the national baseline.

Work GPCI
1.000
Practice expense GPCI
1.013
Malpractice GPCI
1.808
2026 conversion factor
$33.4009

CMS RVU26DOctober 1 – December 31, 2026revision 2 See file rows

Why is the 64721 rate in Fort Lauderdale, FL different from the national amount?

The national figure is a GPCI 1.000 baseline, not an amount any provider is paid. This locality's geographic practice cost indices—work 1.000, practice expense 1.013, malpractice 1.808—scale each RVU component before the conversion factor is applied, which is why the Fort Lauderdale, FL amount is higher than the $482.64 baseline.

Formula and inputs Copy link

For the office (non-facility) amount, each of 64721's RVU components is multiplied by its Fort Lauderdale, FL GPCI; the products are summed and multiplied by the conversion factor.

Code
64721
DOS
Not selected; uses this release’s rates
Locality
FORT LAUDERDALE (FL)
Setting
Office (non-facility)
Participation
Participating provider
Modifiers
None
Units
1
Release
Q4 2026, revision 2
Sequestration
Shown separately from the allowed amount

Formula

(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor

Localis calculated this from CMS’s published inputs. Select an underlined value to see where it comes from.

RVU × GPCI components of Fort Lauderdale, FL allowed amount for 64721
Component RVU × GPCI = Adjusted
Work 4.85 × 1.000 4.8500
Practice expense · Office (non-facility) 8.61 × 1.013 8.7219
Malpractice 0.99 × 1.808 1.7899
Sum of adjusted RVUs 15.3618
× 33.4009 conversion factor = formula amount $513.10

Component subtotals show four decimals. The formula amount is rounded to cents before any later adjustment.

  1. Locality-adjusted allowed amount $513.10

    After applicable fee-schedule adjustments; sequestration excluded

Citations

  • 64721’s RVUs, PFS status and conversion factor

    Physician relative value file (PPRRVU)CMS RVU26DOctober 1 – December 31, 2026revision 2

    PPRRVU2026_Oct_nonQPP.csv row 7,210 in rvu26d-updated-08-26-2026.zip

    A HCPCS
    64721
    B Modifier
    blank
    D Status code
    A
    F Work RVU
    4.85
    G Non-facility PE RVU
    8.61
    K MP RVU
    0.99
    Z Conversion factor
    33.4009
    In the CMS file

    Loading rows 7,208–7,212 of PPRRVU2026_Oct_nonQPP.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626

  • Locality 09102-03’s GPCIs

    Geographic practice cost indices (GPCI)CMS RVU26DOctober 1 – December 31, 2026revision 2

    GPCI2026.csv row 41 in rvu26d-updated-08-26-2026.zip

    A MAC
    09102
    C Locality number
    03
    E Work GPCI
    1.000
    F PE GPCI
    1.013
    G MP GPCI
    1.808
    In the CMS file

    Loading rows 39–43 of GPCI2026.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 7850e2987d12e46930e49033f96829b5ae11f60dd1f19965329b38cf08b05264

CMS RVU26DOctober 1 – December 31, 2026revision 2

Facility vs. Office (non-facility) Copy link

In a facility (hospital outpatient department or ASC), the allowed amount for 64721 in Fort Lauderdale, FL is $452.87, versus $513.10 in the Office (non-facility) setting. Only the practice-expense RVU changes with the setting: the facility bills its own fee for overhead, so the professional amount is lower. See which setting applies to your place of service.

What is the Facility amount for 64721 in Fort Lauderdale, FL?

$452.87 in a facility, versus $513.10 in the Office (non-facility) setting—a $60.23 difference. Only the practice-expense RVU changes with the setting: in the Office (non-facility) setting the practice carries the overhead, so the professional amount is higher; in a hospital or ASC the facility bills its own fee.

Participating, non-participating and limiting charge Copy link

All figures are for the office (non-facility) setting in Fort Lauderdale, FL. Medicare pays part of the allowed amount and the patient pays the rest; the rows below show each figure. See how the limiting charge and sequestration are derived.

Participation and payment-split amounts for 64721 in Fort Lauderdale, FL
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full. $513.10
Non-participating allowed amount 95% of the participating amount. $487.45
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim—115% of the non-participating amount. $560.57
Medicare share 80% of the allowed amount, once the annual Part B deductible is met. $410.48
Patient coinsurance The remaining 20%. $102.62
Sequestration adjustment Reduces only Medicare's share—never the allowed amount or the patient's coinsurance. $8.21
Net Medicare payment Medicare's share after the sequestration reduction. $402.27
What is the non-participating amount and limiting charge for 64721 in Fort Lauderdale, FL?

A non-participating provider is paid $487.45—95% of the $513.10 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $560.57, which is 115% of the non-participating amount.

How much of the Fort Lauderdale, FL 64721 rate does Medicare actually pay?

Medicare pays 80% of the allowed amount ($410.48) once the annual Part B deductible is met, and the beneficiary owes 20% ($102.62). Sequestration reduces Medicare's share by about 2% ($8.21), leaving $402.27. Sequestration never changes the allowed amount itself, which is why it is shown separately here.

Contracted rate: % of Medicare in Fort Lauderdale, FL Copy link

Commercial contracts are often written as a percentage of the Medicare fee schedule. The part that gets misread is which Medicare amount: a contract benchmarked to the fee schedule prices off this locality's allowed amount—$513.10 in the office (non-facility) setting—not the $482.64 national baseline.

Opens the calculator set to Fort Lauderdale, FL and your selected setting, where you can also compare what a payer paid against the expected amount. See how to find your contract's actual percentage.

64721 in nearby payment localities Copy link

Payment localities in the same region as Fort Lauderdale, FL, nearest first. Each amount is that locality's own GPCI-adjusted Office (non-facility) figure for 64721. Neighboring localities often differ.

Percentages are against Fort Lauderdale, FL. Every payment locality nationwide is on the CPT 64721 rate map.

Other codes priced in Fort Lauderdale, FL Copy link

Office (non-facility) allowed amounts in this same payment locality, Q4 2026.

Other curated codes and their allowed amounts in Fort Lauderdale, FL
Code and service Allowed vs. national
66984 Cataract Surgery $479.84 +3.7%
27447 Knee Replacement $1,272.86 +9.8%
66982 Complex Cataract Surgery With Lens Implant $655.45 +3.9%
27130 Total Hip Arthroplasty $1,276.37 +9.8%
29827 Arthroscopic Rotator Cuff Repair $1,063.39 +8.9%
47562 Outpatient surgery $706.63 +11.8%
29881 Outpatient surgery $556.61 +7.9%
23472 Total Shoulder Arthroplasty $1,423.60 +9.5%
49505 Outpatient surgery $565.70 +11.4%
58571 Outpatient surgery $911.96 +10.0%
19120 Outpatient surgery $616.61 +7.6%
43775 Outpatient surgery $1,144.07 +14.4%

Source & method Copy link

Computed from the CMS Medicare Physician Fee Schedule Q4 2026 release: this code's RVUs from the relative value file, multiplied by payment locality 09102-03's GPCIs, then by the 2026 conversion factor of $33.4009. ZIP coverage from the CMS ZIP-to-locality crosswalk, Q4 2026 release. Past releases are never edited, so an amount for an earlier quarter always matches what CMS published for it. Coverage and coding correctness are outside this calculation.

Physician relative value file (Q4 2026) · rvu26d-updated-08-26-2026.zip (PPRRVU2026_Oct_nonQPP.csv row 7,210)
Geographic practice cost indices (Q4 2026) · rvu26d-updated-08-26-2026.zip (GPCI2026.csv row 41)
ZIP code to carrier locality crosswalk (Q4 2026) · zip-code-carrier-locality-file-updated-08-13-2026.zip (ZIP5_OCT2026.txt)

Working a claim with an earlier date of service? The calculator prices 64721 in Fort Lauderdale, FL against the release in effect on that date. Dates of service this quarter don't need an account; earlier dates need a free account.

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