Medicare Reimbursement for CPT 15733

CPT 15733 is a surgical procedure code reported under the Medicare Physician Fee Schedule. This page shows the national Medicare-allowed amount for this code and explains how locality adjustments can change the payment in non-facility versus facility settings. All figures are estimates, not a guarantee of payment.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$908.17	$908.17
ALASKA* (AK)	$1145.06	$1145.06
ALABAMA (AL)	$831.86	$831.86
ARKANSAS (AR)	$822.48	$822.48
ARIZONA (AZ)	$886.11	$886.11
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1034.77	$1034.77
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1049.98	$1049.98
OXNARD-THOUSAND OAKS-VENTURA (CA)	$946.64	$946.64
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$957.12	$957.12
NAPA (CA)	$996.94	$996.94
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1037.70	$1037.70
VALLEJO (CA)	$992.72	$992.72
BAKERSFIELD (CA)	$914.06	$914.06
CHICO (CA)	$906.75	$906.75
FRESNO (CA)	$906.75	$906.75
HANFORD-CORCORAN (CA)	$906.75	$906.75
MADERA (CA)	$906.75	$906.75
MERCED (CA)	$906.75	$906.75
MODESTO (CA)	$906.75	$906.75
REDDING (CA)	$906.75	$906.75
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$934.58	$934.58
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$937.31	$937.31
SALINAS (CA)	$933.51	$933.51
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1061.96	$1061.96
SANTA CRUZ-WATSONVILLE (CA)	$945.84	$945.84
SANTA ROSA-PETALUMA (CA)	$954.48	$954.48
STOCKTON (CA)	$906.75	$906.75
VISALIA (CA)	$906.75	$906.75
YUBA CITY (CA)	$906.75	$906.75
EL CENTRO (CA)	$907.18	$907.18
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$945.04	$945.04
SAN LUIS OBISPO-PASO ROBLES (CA)	$920.14	$920.14
SANTA MARIA-SANTA BARBARA (CA)	$934.16	$934.16
REST OF CALIFORNIA (CA)	$906.75	$906.75
COLORADO (CO)	$915.35	$915.35
CONNECTICUT (CT)	$960.45	$960.45
DC + MD/VA SUBURBS (DC)	$1000.90	$1000.90
DELAWARE (DE)	$898.28	$898.28
FORT LAUDERDALE (FL)	$981.85	$981.85
MIAMI (FL)	$1052.69	$1052.69
REST OF FLORIDA (FL)	$937.82	$937.82
ATLANTA (GA)	$932.00	$932.00
REST OF GEORGIA (GA)	$891.10	$891.10
HAWAII, GUAM (HI)	$914.54	$914.54
IOWA (IA)	$829.75	$829.75
IDAHO (ID)	$837.85	$837.85
EAST ST. LOUIS (IL)	$970.65	$970.65
SUBURBAN CHICAGO (IL)	$986.68	$986.68
CHICAGO (IL)	$1024.90	$1024.90
REST OF ILLINOIS (IL)	$929.60	$929.60
INDIANA (IN)	$841.15	$841.15
KANSAS (KS)	$835.54	$835.54
KENTUCKY (KY)	$866.29	$866.29
NEW ORLEANS (LA)	$901.52	$901.52
REST OF LOUISIANA (LA)	$868.75	$868.75
METROPOLITAN BOSTON (MA)	$980.02	$980.02
REST OF MASSACHUSETTS (MA)	$915.35	$915.35
BALTIMORE/SURR. CNTYS (MD)	$959.49	$959.49
REST OF MARYLAND (MD)	$909.95	$909.95
SOUTHERN MAINE (ME)	$873.57	$873.57
REST OF MAINE (ME)	$850.69	$850.69
DETROIT (MI)	$956.39	$956.39
REST OF MICHIGAN (MI)	$892.20	$892.20
MINNESOTA (MN)	$856.53	$856.53
METROPOLITAN ST. LOUIS (MO)	$893.40	$893.40
METROPOLITAN KANSAS CITY (MO)	$887.20	$887.20
REST OF MISSOURI (MO)	$862.97	$862.97
MISSISSIPPI (MS)	$842.41	$842.41
MONTANA** (MT)	$908.00	$908.00
NORTH CAROLINA (NC)	$856.20	$856.20
NORTH DAKOTA** (ND)	$856.98	$856.98
NEBRASKA (NE)	$830.60	$830.60
NEW HAMPSHIRE (NH)	$910.16	$910.16
NORTHERN NJ (NJ)	$996.01	$996.01
REST OF NEW JERSEY (NJ)	$965.60	$965.60
NEW MEXICO (NM)	$899.65	$899.65
NEVADA** (NV)	$894.09	$894.09
MANHATTAN (NY)	$1041.78	$1041.78
NYC SUBURBS/LONG ISLAND (NY)	$1073.54	$1073.54
POUGHKPSIE/N NYC SUBURBS (NY)	$978.82	$978.82
QUEENS (NY)	$1035.60	$1035.60
REST OF NEW YORK (NY)	$867.01	$867.01
OHIO (OH)	$881.78	$881.78
OKLAHOMA (OK)	$855.64	$855.64
PORTLAND (OR)	$928.83	$928.83
REST OF OREGON (OR)	$881.33	$881.33
METROPOLITAN PHILADELPHIA (PA)	$946.76	$946.76
REST OF PENNSYLVANIA (PA)	$877.90	$877.90
PUERTO RICO (PR)	$910.30	$910.30
RHODE ISLAND (RI)	$918.84	$918.84
SOUTH CAROLINA (SC)	$871.59	$871.59
SOUTH DAKOTA** (SD)	$850.95	$850.95
TENNESSEE (TN)	$839.94	$839.94
BRAZORIA (TX)	$890.50	$890.50
DALLAS (TX)	$899.28	$899.28
GALVESTON (TX)	$895.26	$895.26
HOUSTON (TX)	$942.48	$942.48
BEAUMONT (TX)	$874.04	$874.04
FORT WORTH (TX)	$897.29	$897.29
AUSTIN (TX)	$917.42	$917.42
REST OF TEXAS (TX)	$883.94	$883.94
UTAH (UT)	$880.70	$880.70
VIRGINIA (VA)	$877.54	$877.54
VIRGIN ISLANDS (VI)	$910.30	$910.30
VERMONT (VT)	$862.49	$862.49
SEATTLE (KING CNTY) (WA)	$988.60	$988.60
REST OF WASHINGTON (WA)	$910.71	$910.71
WISCONSIN (WI)	$835.46	$835.46
WEST VIRGINIA (WV)	$904.53	$904.53
WYOMING** (WY)	$885.77	$885.77

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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 payment for this procedure starts with three Relative Value Units (RVUs): physician work, practice expense, and malpractice risk. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, reflecting regional differences in cost of living and practice costs. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor (a dollar figure set each year) to produce the allowed amount. Practice-expense RVUs differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ, which is why the same code can have two different allowed amounts depending on place of service.

RVUs — work 15.29, practice expense 9.32 (non-facility) / 9.32 (facility), malpractice 2.58 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimated Medicare allowed amount only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the patient's annual Part B deductible is met; the patient or secondary insurer is responsible for the remainder.
Actual payment varies by locality GPCI values, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
This code's descriptor and clinical details are licensed by the AMA and are not reproduced here; billers should confirm the specific procedure description with their CPT manual.
Always verify current-year rates and locality-specific amounts with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

Why does the allowed amount differ between non-facility and facility settings?

The practice-expense RVU component is calculated differently for non-facility versus facility settings to reflect the overhead costs the billing provider actually incurs; facility settings assume the hospital or facility bears certain supply and equipment costs.

Is this the amount Medicare will actually pay?

No. This is a national estimate before locality adjustment. Medicare multiplies locality-adjusted RVUs by the conversion factor, then typically pays 80% of that result after the deductible, so the actual check amount will differ.

Why might my locality's amount differ from the national figure shown here?

Each Medicare locality has its own GPCI values for work, practice expense, and malpractice, which raise or lower the RVUs before the conversion factor is applied, producing a locality-specific allowed amount.

Does this estimate include sequestration or other federal payment reductions?

No. Federal sequestration and other across-the-board reductions are applied after the PFS calculation and are not reflected in this base estimate.

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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.