Medicare Reimbursement for CPT 15756

CPT 15756 is a procedure code billed to Medicare under the Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code at the national level and adjusted for your locality, broken out by non-facility and facility settings. Because the official CPT descriptor is proprietary to the AMA, this page refers to the code generically rather than reproducing its text.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1961.97	$1961.97
ALASKA* (AK)	$2511.73	$2511.73
ALABAMA (AL)	$1806.32	$1806.32
ARKANSAS (AR)	$1787.29	$1787.29
ARIZONA (AZ)	$1916.21	$1916.21
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$2193.62	$2193.62
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$2224.15	$2224.15
OXNARD-THOUSAND OAKS-VENTURA (CA)	$2023.80	$2023.80
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$2048.07	$2048.07
NAPA (CA)	$2119.73	$2119.73
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$2200.31	$2200.31
VALLEJO (CA)	$2110.09	$2110.09
BAKERSFIELD (CA)	$1961.87	$1961.87
CHICO (CA)	$1945.10	$1945.10
FRESNO (CA)	$1945.10	$1945.10
HANFORD-CORCORAN (CA)	$1945.10	$1945.10
MADERA (CA)	$1945.10	$1945.10
MERCED (CA)	$1945.10	$1945.10
MODESTO (CA)	$1945.10	$1945.10
REDDING (CA)	$1945.10	$1945.10
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$2008.67	$2008.67
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$2005.63	$2005.63
SALINAS (CA)	$1997.36	$1997.36
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$2251.49	$2251.49
SANTA CRUZ-WATSONVILLE (CA)	$2016.81	$2016.81
SANTA ROSA-PETALUMA (CA)	$2034.95	$2034.95
STOCKTON (CA)	$1945.10	$1945.10
VISALIA (CA)	$1945.10	$1945.10
YUBA CITY (CA)	$1945.10	$1945.10
EL CENTRO (CA)	$1946.09	$1946.09
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$2018.14	$2018.14
SAN LUIS OBISPO-PASO ROBLES (CA)	$1969.28	$1969.28
SANTA MARIA-SANTA BARBARA (CA)	$1997.69	$1997.69
REST OF CALIFORNIA (CA)	$1945.10	$1945.10
COLORADO (CO)	$1969.30	$1969.30
CONNECTICUT (CT)	$2070.63	$2070.63
DC + MD/VA SUBURBS (DC)	$2149.23	$2149.23
DELAWARE (DE)	$1941.37	$1941.37
FORT LAUDERDALE (FL)	$2128.24	$2128.24
MIAMI (FL)	$2285.82	$2285.82
REST OF FLORIDA (FL)	$2036.19	$2036.19
ATLANTA (GA)	$2014.12	$2014.12
REST OF GEORGIA (GA)	$1939.03	$1939.03
HAWAII, GUAM (HI)	$1956.16	$1956.16
IOWA (IA)	$1795.56	$1795.56
IDAHO (ID)	$1813.32	$1813.32
EAST ST. LOUIS (IL)	$2116.48	$2116.48
SUBURBAN CHICAGO (IL)	$2137.44	$2137.44
CHICAGO (IL)	$2227.97	$2227.97
REST OF ILLINOIS (IL)	$2023.82	$2023.82
INDIANA (IN)	$1819.81	$1819.81
KANSAS (KS)	$1810.42	$1810.42
KENTUCKY (KY)	$1882.85	$1882.85
NEW ORLEANS (LA)	$1955.56	$1955.56
REST OF LOUISIANA (LA)	$1889.06	$1889.06
METROPOLITAN BOSTON (MA)	$2098.71	$2098.71
REST OF MASSACHUSETTS (MA)	$1971.08	$1971.08
BALTIMORE/SURR. CNTYS (MD)	$2068.88	$2068.88
REST OF MARYLAND (MD)	$1964.61	$1964.61
SOUTHERN MAINE (ME)	$1884.32	$1884.32
REST OF MAINE (ME)	$1842.63	$1842.63
DETROIT (MI)	$2077.25	$2077.25
REST OF MICHIGAN (MI)	$1938.44	$1938.44
MINNESOTA (MN)	$1839.77	$1839.77
METROPOLITAN ST. LOUIS (MO)	$1935.38	$1935.38
METROPOLITAN KANSAS CITY (MO)	$1923.15	$1923.15
REST OF MISSOURI (MO)	$1879.28	$1879.28
MISSISSIPPI (MS)	$1832.48	$1832.48
MONTANA** (MT)	$1961.58	$1961.58
NORTH CAROLINA (NC)	$1853.29	$1853.29
NORTH DAKOTA** (ND)	$1845.11	$1845.11
NEBRASKA (NE)	$1796.32	$1796.32
NEW HAMPSHIRE (NH)	$1960.43	$1960.43
NORTHERN NJ (NJ)	$2141.08	$2141.08
REST OF NEW JERSEY (NJ)	$2080.89	$2080.89
NEW MEXICO (NM)	$1954.85	$1954.85
NEVADA** (NV)	$1929.68	$1929.68
MANHATTAN (NY)	$2245.32	$2245.32
NYC SUBURBS/LONG ISLAND (NY)	$2313.81	$2313.81
POUGHKPSIE/N NYC SUBURBS (NY)	$2110.82	$2110.82
QUEENS (NY)	$2228.23	$2228.23
REST OF NEW YORK (NY)	$1875.43	$1875.43
OHIO (OH)	$1914.64	$1914.64
OKLAHOMA (OK)	$1857.95	$1857.95
PORTLAND (OR)	$1993.25	$1993.25
REST OF OREGON (OR)	$1901.29	$1901.29
METROPOLITAN PHILADELPHIA (PA)	$2044.64	$2044.64
REST OF PENNSYLVANIA (PA)	$1905.05	$1905.05
PUERTO RICO (PR)	$1965.20	$1965.20
RHODE ISLAND (RI)	$1982.13	$1982.13
SOUTH CAROLINA (SC)	$1889.74	$1889.74
SOUTH DAKOTA** (SD)	$1831.34	$1831.34
TENNESSEE (TN)	$1819.73	$1819.73
BRAZORIA (TX)	$1923.25	$1923.25
DALLAS (TX)	$1942.61	$1942.61
GALVESTON (TX)	$1933.82	$1933.82
HOUSTON (TX)	$2041.63	$2041.63
BEAUMONT (TX)	$1897.41	$1897.41
FORT WORTH (TX)	$1939.55	$1939.55
AUSTIN (TX)	$1974.55	$1974.55
REST OF TEXAS (TX)	$1914.22	$1914.22
UTAH (UT)	$1908.17	$1908.17
VIRGINIA (VA)	$1894.57	$1894.57
VIRGIN ISLANDS (VI)	$1965.20	$1965.20
VERMONT (VT)	$1859.16	$1859.16
SEATTLE (KING CNTY) (WA)	$2113.73	$2113.73
REST OF WASHINGTON (WA)	$1960.38	$1960.38
WISCONSIN (WI)	$1802.22	$1802.22
WEST VIRGINIA (WV)	$1973.12	$1973.12
WYOMING** (WY)	$1910.82	$1910.82

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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 assigns each code three relative value units (RVUs): physician work, practice expense, and malpractice. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) values for the specific locality where the service is performed, reflecting local cost-of-living and practice-cost differences. The locality-adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Non-facility and facility rates differ mainly in the practice-expense RVU, since facility settings (like hospitals) assume the facility — not the physician's practice — absorbs certain overhead costs.

RVUs — work 36.02, practice expense 16.83 (non-facility) / 16.83 (facility), malpractice 5.89 — × 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 Part B deductible; the patient or secondary insurer is generally responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, multiple-procedure or bilateral adjustments, sequestration, and annual budget-neutrality adjustments.
Fee schedule amounts update annually and may be revised mid-year; always confirm current rates with your Medicare Administrative Contractor (MAC).
This code may be subject to additional payment policies (e.g., global surgery periods, bundling edits) not reflected in the base fee schedule amount.

Frequently asked

Why is the facility amount different from the non-facility amount?

The facility rate generally uses a lower practice-expense RVU because overhead costs like equipment, supplies, and staff are assumed to be covered by the facility rather than the billing physician's practice.

Why might my locality's payment differ from the national rate?

Medicare adjusts work, practice-expense, and malpractice RVUs using locality-specific GPCI values before applying the conversion factor, so allowed amounts vary across geographic areas.

Does this amount reflect what Medicare will actually pay?

No — this is the Medicare-allowed amount under the fee schedule. Actual payment is typically 80% of this amount after the deductible is met, and may be further affected by modifiers, sequestration, or claim-specific adjustments.

How often do these amounts change?

The Physician Fee Schedule, including RVUs, GPCIs, and the conversion factor, is updated annually (and occasionally mid-year), so amounts shown here reflect the specified fee schedule year only.

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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.