Medicare Reimbursement for CPT 15620

CPT 15620 is a procedure code defined by the American Medical Association; its specific clinical description is not reproduced here due to licensing restrictions. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code, both nationally and adjusted by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$463.60	$304.62
ALASKA* (AK)	$536.96	$367.64
ALABAMA (AL)	$414.95	$275.83
ARKANSAS (AR)	$408.81	$272.24
ARIZONA (AZ)	$450.83	$296.77
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$596.09	$371.92
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$607.69	$378.43
OXNARD-THOUSAND OAKS-VENTURA (CA)	$518.33	$330.40
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$521.03	$332.95
NAPA (CA)	$564.17	$354.62
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$596.75	$372.58
VALLEJO (CA)	$563.22	$353.67
BAKERSFIELD (CA)	$489.26	$315.01
CHICO (CA)	$487.60	$313.35
FRESNO (CA)	$487.60	$313.35
HANFORD-CORCORAN (CA)	$487.60	$313.35
MADERA (CA)	$487.60	$313.35
MERCED (CA)	$487.60	$313.35
MODESTO (CA)	$487.60	$313.35
REDDING (CA)	$487.60	$313.35
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$493.87	$319.62
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$511.50	$326.60
SALINAS (CA)	$509.60	$325.33
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$610.38	$381.12
SANTA CRUZ-WATSONVILLE (CA)	$526.41	$333.24
SANTA ROSA-PETALUMA (CA)	$531.70	$336.46
STOCKTON (CA)	$487.60	$313.35
VISALIA (CA)	$487.60	$313.35
YUBA CITY (CA)	$487.60	$313.35
EL CENTRO (CA)	$487.70	$313.45
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$521.51	$331.36
SAN LUIS OBISPO-PASO ROBLES (CA)	$501.45	$320.36
SANTA MARIA-SANTA BARBARA (CA)	$511.49	$326.11
REST OF CALIFORNIA (CA)	$487.60	$313.35
COLORADO (CO)	$481.44	$312.27
CONNECTICUT (CT)	$494.91	$323.68
DC + MD/VA SUBURBS (DC)	$529.71	$342.42
DELAWARE (DE)	$458.40	$301.31
FORT LAUDERDALE (FL)	$483.44	$322.39
MIAMI (FL)	$506.43	$340.92
REST OF FLORIDA (FL)	$459.18	$307.19
ATLANTA (GA)	$473.02	$311.48
REST OF GEORGIA (GA)	$432.55	$290.73
HAWAII, GUAM (HI)	$499.56	$318.79
IOWA (IA)	$424.55	$279.08
IDAHO (ID)	$427.64	$281.37
EAST ST. LOUIS (IL)	$457.49	$311.22
SUBURBAN CHICAGO (IL)	$488.11	$324.83
CHICAGO (IL)	$491.16	$331.37
REST OF ILLINOIS (IL)	$446.50	$301.34
INDIANA (IN)	$430.14	$282.76
KANSAS (KS)	$423.09	$279.36
KENTUCKY (KY)	$426.22	$284.88
NEW ORLEANS (LA)	$447.24	$297.63
REST OF LOUISIANA (LA)	$425.76	$285.06
METROPOLITAN BOSTON (MA)	$528.95	$339.12
REST OF MASSACHUSETTS (MA)	$478.69	$311.28
BALTIMORE/SURR. CNTYS (MD)	$493.66	$323.06
REST OF MARYLAND (MD)	$467.10	$306.21
SOUTHERN MAINE (ME)	$453.56	$296.00
REST OF MAINE (ME)	$430.52	$284.25
DETROIT (MI)	$465.62	$312.20
REST OF MICHIGAN (MI)	$438.09	$292.93
MINNESOTA (MN)	$459.30	$295.70
METROPOLITAN ST. LOUIS (MO)	$448.19	$296.83
METROPOLITAN KANSAS CITY (MO)	$443.52	$294.23
REST OF MISSOURI (MO)	$418.67	$281.62
MISSISSIPPI (MS)	$413.79	$276.90
MONTANA** (MT)	$463.57	$304.58
NORTH CAROLINA (NC)	$435.04	$286.70
NORTH DAKOTA** (ND)	$452.10	$293.11
NEBRASKA (NE)	$426.76	$280.02
NEW HAMPSHIRE (NH)	$474.38	$308.88
NORTHERN NJ (NJ)	$524.14	$339.71
REST OF NEW JERSEY (NJ)	$500.00	$326.38
NEW MEXICO (NM)	$440.77	$294.98
NEVADA** (NV)	$460.69	$301.54
MANHATTAN (NY)	$534.94	$350.20
NYC SUBURBS/LONG ISLAND (NY)	$548.89	$359.85
POUGHKPSIE/N NYC SUBURBS (NY)	$503.76	$329.67
QUEENS (NY)	$538.59	$350.67
REST OF NEW YORK (NY)	$441.75	$290.71
OHIO (OH)	$435.75	$290.59
OKLAHOMA (OK)	$424.83	$282.86
PORTLAND (OR)	$496.34	$319.71
REST OF OREGON (OR)	$456.56	$298.21
METROPOLITAN PHILADELPHIA (PA)	$482.75	$317.24
REST OF PENNSYLVANIA (PA)	$436.14	$290.19
PUERTO RICO (PR)	$466.86	$306.12
RHODE ISLAND (RI)	$474.46	$310.23
SOUTH CAROLINA (SC)	$436.23	$289.32
SOUTH DAKOTA** (SD)	$450.74	$291.75
TENNESSEE (TN)	$425.33	$280.81
BRAZORIA (TX)	$457.42	$299.87
DALLAS (TX)	$460.67	$302.31
GALVESTON (TX)	$459.00	$301.12
HOUSTON (TX)	$469.61	$311.74
BEAUMONT (TX)	$433.25	$288.57
FORT WORTH (TX)	$457.70	$300.94
AUSTIN (TX)	$480.32	$312.11
REST OF TEXAS (TX)	$445.30	$294.42
UTAH (UT)	$442.31	$292.86
VIRGINIA (VA)	$452.44	$296.15
VIRGIN ISLANDS (VI)	$466.86	$306.12
VERMONT (VT)	$450.81	$293.42
SEATTLE (KING CNTY) (WA)	$539.26	$344.18
REST OF WASHINGTON (WA)	$477.63	$310.21
WISCONSIN (WI)	$436.68	$284.36
WEST VIRGINIA (WV)	$429.77	$291.61
WYOMING** (WY)	$458.57	$299.58

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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's PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed. These locality-adjusted RVUs are summed and multiplied by the annual conversion factor to produce the allowed amount. Practice-expense RVUs differ depending on whether the service is reported in a non-facility (e.g., physician office) or facility (e.g., hospital) setting, which is why two different amounts are shown. The conversion factor and RVU values are updated annually by CMS and can change due to budget-neutrality adjustments.

RVUs — work 3.66, practice expense 9.64 (non-facility) / 4.88 (facility), malpractice 0.58 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

All figures are estimates based on the national Medicare Physician Fee Schedule; actual payment may differ.
Medicare typically pays 80% of the allowed amount after the patient meets their deductible; the patient or secondary insurer is responsible for the remainder.
Modifiers, place-of-service codes, sequestration, and annual budget-neutrality adjustments can all change the final paid amount.
Locality-specific GPCIs mean the actual rate in your area may differ from the national average shown here.
Always verify final payment amounts with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

Why is the facility amount lower than the non-facility amount?

The facility rate uses a lower practice-expense RVU because Medicare assumes the facility (e.g., hospital) is incurring overhead costs like equipment and supplies, not the billing physician.

Does this amount reflect what my practice will actually be paid?

No — this is a national or locality-adjusted estimate. Actual payment depends on your specific MAC, contract terms, modifiers used, and any applicable sequestration or policy adjustments.

Why can't you show the CPT code description?

CPT code descriptors are copyrighted and licensed by the American Medical Association, so this page refers to the code generically rather than reproducing the official language.

How often do these amounts change?

CMS updates RVUs and the conversion factor annually, and amounts can also be affected by mid-year legislative or budget-neutrality adjustments.

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.