Medicare Reimbursement for CPT 15600
CPT 15600 is a procedure code reported under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code nationally and by locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital) settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $373.42 | $212.76 |
| ALASKA* (AK) | $419.82 | $248.72 |
| ALABAMA (AL) | $331.11 | $190.53 |
| ARKANSAS (AR) | $325.75 | $187.74 |
| ARIZONA (AZ) | $362.48 | $206.80 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $493.73 | $267.20 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $503.83 | $272.16 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $424.39 | $234.50 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $426.05 | $235.99 |
| NAPA (CA) | $465.47 | $253.72 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $494.15 | $267.62 |
| VALLEJO (CA) | $464.86 | $253.11 |
| BAKERSFIELD (CA) | $398.21 | $222.13 |
| CHICO (CA) | $397.18 | $221.10 |
| FRESNO (CA) | $397.18 | $221.10 |
| HANFORD-CORCORAN (CA) | $397.18 | $221.10 |
| MADERA (CA) | $397.18 | $221.10 |
| MERCED (CA) | $397.18 | $221.10 |
| MODESTO (CA) | $397.18 | $221.10 |
| REDDING (CA) | $397.18 | $221.10 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $401.16 | $225.08 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $418.23 | $231.38 |
| SALINAS (CA) | $416.72 | $230.51 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $505.54 | $273.87 |
| SANTA CRUZ-WATSONVILLE (CA) | $432.62 | $237.42 |
| SANTA ROSA-PETALUMA (CA) | $437.05 | $239.76 |
| STOCKTON (CA) | $397.18 | $221.10 |
| VISALIA (CA) | $397.18 | $221.10 |
| YUBA CITY (CA) | $397.18 | $221.10 |
| EL CENTRO (CA) | $397.24 | $221.16 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $427.66 | $235.52 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $409.89 | $226.90 |
| SANTA MARIA-SANTA BARBARA (CA) | $418.59 | $231.26 |
| REST OF CALIFORNIA (CA) | $397.18 | $221.10 |
| COLORADO (CO) | $390.42 | $219.48 |
| CONNECTICUT (CT) | $400.09 | $227.06 |
| DC + MD/VA SUBURBS (DC) | $430.97 | $241.71 |
| DELAWARE (DE) | $368.95 | $210.22 |
| FORT LAUDERDALE (FL) | $387.25 | $224.50 |
| MIAMI (FL) | $404.44 | $237.19 |
| REST OF FLORIDA (FL) | $366.63 | $213.04 |
| ATLANTA (GA) | $380.83 | $217.60 |
| REST OF GEORGIA (GA) | $343.87 | $200.56 |
| HAWAII, GUAM (HI) | $408.72 | $226.05 |
| IOWA (IA) | $340.84 | $193.84 |
| IDAHO (ID) | $343.26 | $195.46 |
| EAST ST. LOUIS (IL) | $362.31 | $214.50 |
| SUBURBAN CHICAGO (IL) | $391.40 | $226.41 |
| CHICAGO (IL) | $391.36 | $229.90 |
| REST OF ILLINOIS (IL) | $354.66 | $207.98 |
| INDIANA (IN) | $345.49 | $196.56 |
| KANSAS (KS) | $338.91 | $193.68 |
| KENTUCKY (KY) | $339.56 | $196.73 |
| NEW ORLEANS (LA) | $357.66 | $206.48 |
| REST OF LOUISIANA (LA) | $338.91 | $196.73 |
| METROPOLITAN BOSTON (MA) | $432.09 | $240.27 |
| REST OF MASSACHUSETTS (MA) | $387.63 | $218.45 |
| BALTIMORE/SURR. CNTYS (MD) | $398.98 | $226.59 |
| REST OF MARYLAND (MD) | $376.61 | $214.02 |
| SOUTHERN MAINE (ME) | $366.20 | $206.99 |
| REST OF MAINE (ME) | $345.10 | $197.30 |
| DETROIT (MI) | $371.55 | $216.52 |
| REST OF MICHIGAN (MI) | $349.30 | $202.62 |
| MINNESOTA (MN) | $373.29 | $207.98 |
| METROPOLITAN ST. LOUIS (MO) | $359.26 | $206.31 |
| METROPOLITAN KANSAS CITY (MO) | $355.11 | $204.25 |
| REST OF MISSOURI (MO) | $332.31 | $193.82 |
| MISSISSIPPI (MS) | $329.11 | $190.78 |
| MONTANA** (MT) | $373.40 | $212.74 |
| NORTH CAROLINA (NC) | $349.16 | $199.26 |
| NORTH DAKOTA** (ND) | $366.08 | $205.42 |
| NEBRASKA (NE) | $342.97 | $194.69 |
| NEW HAMPSHIRE (NH) | $384.00 | $216.75 |
| NORTHERN NJ (NJ) | $425.68 | $239.32 |
| REST OF NEW JERSEY (NJ) | $404.43 | $229.00 |
| NEW MEXICO (NM) | $351.37 | $204.05 |
| NEVADA** (NV) | $371.65 | $210.83 |
| MANHATTAN (NY) | $432.74 | $246.06 |
| NYC SUBURBS/LONG ISLAND (NY) | $444.07 | $253.05 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $407.05 | $231.12 |
| QUEENS (NY) | $436.87 | $246.97 |
| REST OF NEW YORK (NY) | $354.97 | $202.35 |
| OHIO (OH) | $347.80 | $201.12 |
| OKLAHOMA (OK) | $339.04 | $195.57 |
| PORTLAND (OR) | $404.12 | $225.63 |
| REST OF OREGON (OR) | $368.57 | $208.55 |
| METROPOLITAN PHILADELPHIA (PA) | $389.11 | $221.86 |
| REST OF PENNSYLVANIA (PA) | $348.50 | $201.02 |
| PUERTO RICO (PR) | $376.49 | $214.06 |
| RHODE ISLAND (RI) | $383.09 | $217.13 |
| SOUTH CAROLINA (SC) | $349.10 | $200.65 |
| SOUTH DAKOTA** (SD) | $365.22 | $204.56 |
| TENNESSEE (TN) | $340.80 | $194.76 |
| BRAZORIA (TX) | $368.57 | $209.35 |
| DALLAS (TX) | $371.07 | $211.06 |
| GALVESTON (TX) | $369.75 | $210.22 |
| HOUSTON (TX) | $376.52 | $216.99 |
| BEAUMONT (TX) | $345.94 | $199.74 |
| FORT WORTH (TX) | $368.28 | $209.87 |
| AUSTIN (TX) | $389.29 | $219.31 |
| REST OF TEXAS (TX) | $357.15 | $204.68 |
| UTAH (UT) | $354.43 | $203.41 |
| VIRGINIA (VA) | $364.76 | $206.84 |
| VIRGIN ISLANDS (VI) | $376.49 | $214.06 |
| VERMONT (VT) | $364.36 | $205.31 |
| SEATTLE (KING CNTY) (WA) | $441.53 | $244.41 |
| REST OF WASHINGTON (WA) | $386.99 | $217.81 |
| WISCONSIN (WI) | $352.45 | $198.54 |
| WEST VIRGINIA (WV) | $340.03 | $200.41 |
| WYOMING** (WY) | $370.21 | $209.55 |
Look up another code or locality →
Maximum units per day (MUE)
Medicare’s Medically Unlikely Edit caps this code at 2 units 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 PFS amounts are built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by the Geographic Practice Cost Indices (GPCIs) for the specific locality. These locality-adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice-expense RVUs differ between non-facility and facility settings because non-facility rates account for the overhead of performing the service in a physician's office, while facility rates assume overhead is borne by the facility. The work and malpractice RVU components generally stay the same across settings, but the lower facility practice-expense RVU typically results in a lower total payment in that setting.
RVUs — work 1.96, practice expense 8.85 (non-facility) / 4.04 (facility), malpractice 0.37 — × 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 their deductible; the patient or secondary payer is responsible for the remainder.
- Actual payment can vary by locality, applicable modifiers, claim-specific adjustments, sequestration, and annual budget-neutrality changes to RVUs or the conversion factor.
- Always confirm current rates and coverage policy with your Medicare Administrative Contractor (MAC).
Frequently asked
Why is the facility amount lower than the non-facility amount?
The facility amount uses a lower practice-expense RVU because the hospital or facility, not the billing physician, is assumed to absorb most overhead costs for the service.
Does this amount reflect what Medicare will actually pay?
No. It is an estimate based on national RVUs and the conversion factor. Medicare pays 80% of the allowed amount after the deductible, and local GPCIs, modifiers, and other adjustments can change the final payment.
Why do allowed amounts vary by locality?
Each Medicare locality has its own Geographic Practice Cost Indices (GPCIs), which adjust the work, practice expense, and malpractice RVUs to reflect regional cost differences before the conversion factor is applied.
Can I find the official descriptor for CPT 15600 on this page?
No. CPT code descriptors are copyrighted by the American Medical Association and are not reproduced here; this page refers to it generically as a procedure code.
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.
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