Medicare Reimbursement for CPT 15750

CPT 15750 is a procedure code defined by the American Medical Association; its specific clinical descriptor is not reproduced here due to licensing restrictions. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both nationally and adjusted for locality, under non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$839.70	$839.70
ALASKA* (AK)	$1036.73	$1036.73
ALABAMA (AL)	$762.74	$762.74
ARKANSAS (AR)	$753.25	$753.25
ARIZONA (AZ)	$817.70	$817.70
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$972.03	$972.03
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$986.91	$986.91
OXNARD-THOUSAND OAKS-VENTURA (CA)	$882.70	$882.70
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$891.81	$891.81
NAPA (CA)	$934.13	$934.13
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$974.75	$974.75
VALLEJO (CA)	$930.21	$930.21
BAKERSFIELD (CA)	$848.76	$848.76
CHICO (CA)	$842.07	$842.07
FRESNO (CA)	$842.07	$842.07
HANFORD-CORCORAN (CA)	$842.07	$842.07
MADERA (CA)	$842.07	$842.07
MERCED (CA)	$842.07	$842.07
MODESTO (CA)	$842.07	$842.07
REDDING (CA)	$842.07	$842.07
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$867.90	$867.90
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$872.69	$872.69
SALINAS (CA)	$869.23	$869.23
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$998.05	$998.05
SANTA CRUZ-WATSONVILLE (CA)	$883.90	$883.90
SANTA ROSA-PETALUMA (CA)	$892.08	$892.08
STOCKTON (CA)	$842.07	$842.07
VISALIA (CA)	$842.07	$842.07
YUBA CITY (CA)	$842.07	$842.07
EL CENTRO (CA)	$842.47	$842.47
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$881.77	$881.77
SAN LUIS OBISPO-PASO ROBLES (CA)	$856.57	$856.57
SANTA MARIA-SANTA BARBARA (CA)	$870.32	$870.32
REST OF CALIFORNIA (CA)	$842.07	$842.07
COLORADO (CO)	$848.80	$848.80
CONNECTICUT (CT)	$890.95	$890.95
DC + MD/VA SUBURBS (DC)	$931.60	$931.60
DELAWARE (DE)	$829.66	$829.66
FORT LAUDERDALE (FL)	$908.86	$908.86
MIAMI (FL)	$976.10	$976.10
REST OF FLORIDA (FL)	$865.18	$865.18
ATLANTA (GA)	$862.48	$862.48
REST OF GEORGIA (GA)	$818.66	$818.66
HAWAII, GUAM (HI)	$852.17	$852.17
IOWA (IA)	$762.69	$762.69
IDAHO (ID)	$770.47	$770.47
EAST ST. LOUIS (IL)	$894.00	$894.00
SUBURBAN CHICAGO (IL)	$913.65	$913.65
CHICAGO (IL)	$948.15	$948.15
REST OF ILLINOIS (IL)	$855.48	$855.48
INDIANA (IN)	$773.87	$773.87
KANSAS (KS)	$767.55	$767.55
KENTUCKY (KY)	$795.44	$795.44
NEW ORLEANS (LA)	$830.70	$830.70
REST OF LOUISIANA (LA)	$797.54	$797.54
METROPOLITAN BOSTON (MA)	$913.64	$913.64
REST OF MASSACHUSETTS (MA)	$848.06	$848.06
BALTIMORE/SURR. CNTYS (MD)	$890.08	$890.08
REST OF MARYLAND (MD)	$841.40	$841.40
SOUTHERN MAINE (ME)	$807.08	$807.08
REST OF MAINE (ME)	$782.41	$782.41
DETROIT (MI)	$882.88	$882.88
REST OF MICHIGAN (MI)	$820.69	$820.69
MINNESOTA (MN)	$793.05	$793.05
METROPOLITAN ST. LOUIS (MO)	$823.67	$823.67
METROPOLITAN KANSAS CITY (MO)	$817.28	$817.28
REST OF MISSOURI (MO)	$791.06	$791.06
MISSISSIPPI (MS)	$771.88	$771.88
MONTANA** (MT)	$839.54	$839.54
NORTH CAROLINA (NC)	$788.16	$788.16
NORTH DAKOTA** (ND)	$792.08	$792.08
NEBRASKA (NE)	$763.86	$763.86
NEW HAMPSHIRE (NH)	$843.51	$843.51
NORTHERN NJ (NJ)	$925.72	$925.72
REST OF NEW JERSEY (NJ)	$895.40	$895.40
NEW MEXICO (NM)	$827.81	$827.81
NEVADA** (NV)	$826.65	$826.65
MANHATTAN (NY)	$968.34	$968.34
NYC SUBURBS/LONG ISLAND (NY)	$999.18	$999.18
POUGHKPSIE/N NYC SUBURBS (NY)	$907.58	$907.58
QUEENS (NY)	$963.55	$963.55
REST OF NEW YORK (NY)	$799.02	$799.02
OHIO (OH)	$810.99	$810.99
OKLAHOMA (OK)	$785.73	$785.73
PORTLAND (OR)	$863.38	$863.38
REST OF OREGON (OR)	$814.54	$814.54
METROPOLITAN PHILADELPHIA (PA)	$876.60	$876.60
REST OF PENNSYLVANIA (PA)	$807.63	$807.63
PUERTO RICO (PR)	$842.21	$842.21
RHODE ISLAND (RI)	$850.20	$850.20
SOUTH CAROLINA (SC)	$802.04	$802.04
SOUTH DAKOTA** (SD)	$786.47	$786.47
TENNESSEE (TN)	$771.88	$771.88
BRAZORIA (TX)	$822.40	$822.40
DALLAS (TX)	$830.77	$830.77
GALVESTON (TX)	$826.93	$826.93
HOUSTON (TX)	$870.86	$870.86
BEAUMONT (TX)	$803.65	$803.65
FORT WORTH (TX)	$828.43	$828.43
AUSTIN (TX)	$850.97	$850.97
REST OF TEXAS (TX)	$814.72	$814.72
UTAH (UT)	$811.28	$811.28
VIRGINIA (VA)	$810.40	$810.40
VIRGIN ISLANDS (VI)	$842.21	$842.21
VERMONT (VT)	$796.73	$796.73
SEATTLE (KING CNTY) (WA)	$922.72	$922.72
REST OF WASHINGTON (WA)	$843.91	$843.91
WISCONSIN (WI)	$770.06	$770.06
WEST VIRGINIA (WV)	$830.06	$830.06
WYOMING** (WY)	$818.86	$818.86

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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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is furnished, to reflect regional cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often have different practice-expense RVUs, which is why the two amounts can differ for the same code.

RVUs — work 12.64, practice expense 10.1 (non-facility) / 10.1 (facility), malpractice 2.4 — × 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 the annual Part B deductible; the beneficiary or secondary payer is responsible for the remainder.
Modifiers, place of service, multiple-procedure reductions, and sequestration can change the actual paid amount.
Annual budget-neutrality adjustments and conversion factor updates can shift amounts year to year.
Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why is the CPT descriptor not shown on this page?

CPT code descriptors are copyrighted and licensed by the American Medical Association, so this reference tool displays only the code number and its computed fee schedule data, not the official descriptor text.

Why might the non-facility and facility amounts be the same or different?

The two amounts can differ when the practice-expense RVU assigned to the service varies by setting; if the PE RVU is identical for both, the resulting allowed amounts will match.

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

No. It's a national/locality estimate based on standard PFS inputs; actual payment depends on your specific MAC, contract terms, modifiers used, and any applicable adjustments.

How often does the conversion factor change?

The conversion factor is typically updated annually by CMS and can also be affected by legislative or budget-neutrality adjustments during the year.

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.