Medicare Reimbursement for CPT 15771

CPT 15771 is a procedure code defined by the American Medical Association; this page does not reproduce its official descriptor. It shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and by locality, broken out for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$662.67	$473.62
ALASKA* (AK)	$779.94	$578.61
ALABAMA (AL)	$594.53	$429.12
ARKANSAS (AR)	$586.00	$423.61
ARIZONA (AZ)	$644.28	$461.09
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$824.88	$558.32
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$839.90	$567.29
OXNARD-THOUSAND OAKS-VENTURA (CA)	$726.57	$503.12
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$731.51	$507.86
NAPA (CA)	$784.25	$535.09
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$826.28	$559.72
VALLEJO (CA)	$782.24	$533.07
BAKERSFIELD (CA)	$689.41	$482.21
CHICO (CA)	$685.97	$478.78
FRESNO (CA)	$685.97	$478.78
HANFORD-CORCORAN (CA)	$685.97	$478.78
MADERA (CA)	$685.97	$478.78
MERCED (CA)	$685.97	$478.78
MODESTO (CA)	$685.97	$478.78
REDDING (CA)	$685.97	$478.78
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$699.22	$492.02
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$717.10	$497.24
SALINAS (CA)	$714.40	$495.29
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$845.61	$573.00
SANTA CRUZ-WATSONVILLE (CA)	$734.75	$505.05
SANTA ROSA-PETALUMA (CA)	$741.95	$509.80
STOCKTON (CA)	$685.97	$478.78
VISALIA (CA)	$685.97	$478.78
YUBA CITY (CA)	$685.97	$478.78
EL CENTRO (CA)	$686.18	$478.98
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$729.32	$503.21
SAN LUIS OBISPO-PASO ROBLES (CA)	$703.28	$487.95
SANTA MARIA-SANTA BARBARA (CA)	$716.56	$496.13
REST OF CALIFORNIA (CA)	$685.97	$478.78
COLORADO (CO)	$682.06	$480.92
CONNECTICUT (CT)	$706.67	$503.07
DC + MD/VA SUBURBS (DC)	$750.79	$528.09
DELAWARE (DE)	$654.79	$468.01
FORT LAUDERDALE (FL)	$701.10	$509.59
MIAMI (FL)	$741.99	$545.19
REST OF FLORIDA (FL)	$665.63	$484.90
ATLANTA (GA)	$678.03	$485.95
REST OF GEORGIA (GA)	$627.09	$458.46
HAWAII, GUAM (HI)	$700.52	$485.57
IOWA (IA)	$603.69	$430.71
IDAHO (ID)	$608.82	$434.90
EAST ST. LOUIS (IL)	$672.13	$498.21
SUBURBAN CHICAGO (IL)	$706.79	$512.64
CHICAGO (IL)	$719.42	$529.43
REST OF ILLINOIS (IL)	$650.79	$478.19
INDIANA (IN)	$612.18	$436.93
KANSAS (KS)	$603.66	$432.76
KENTUCKY (KY)	$614.51	$446.44
NEW ORLEANS (LA)	$644.51	$466.62
REST OF LOUISIANA (LA)	$614.66	$447.35
METROPOLITAN BOSTON (MA)	$745.22	$519.49
REST OF MASSACHUSETTS (MA)	$679.17	$480.10
BALTIMORE/SURR. CNTYS (MD)	$705.30	$502.45
REST OF MARYLAND (MD)	$666.33	$475.01
SOUTHERN MAINE (ME)	$643.89	$456.54
REST OF MAINE (ME)	$614.95	$441.02
DETROIT (MI)	$676.77	$494.34
REST OF MICHIGAN (MI)	$632.96	$460.36
MINNESOTA (MN)	$645.42	$450.89
METROPOLITAN ST. LOUIS (MO)	$643.44	$463.46
METROPOLITAN KANSAS CITY (MO)	$637.18	$459.66
REST OF MISSOURI (MO)	$606.06	$443.10
MISSISSIPPI (MS)	$596.01	$433.24
MONTANA** (MT)	$662.59	$473.54
NORTH CAROLINA (NC)	$620.88	$444.49
NORTH DAKOTA** (ND)	$638.27	$449.22
NEBRASKA (NE)	$606.13	$431.64
NEW HAMPSHIRE (NH)	$674.04	$477.24
NORTHERN NJ (NJ)	$743.67	$524.37
REST OF NEW JERSEY (NJ)	$712.45	$506.01
NEW MEXICO (NM)	$637.53	$464.17
NEVADA** (NV)	$656.22	$466.98
MANHATTAN (NY)	$765.97	$546.30
NYC SUBURBS/LONG ISLAND (NY)	$787.97	$563.19
POUGHKPSIE/N NYC SUBURBS (NY)	$719.40	$512.39
QUEENS (NY)	$768.11	$544.65
REST OF NEW YORK (NY)	$630.35	$450.75
OHIO (OH)	$627.99	$455.38
OKLAHOMA (OK)	$610.45	$441.63
PORTLAND (OR)	$700.34	$490.30
REST OF OREGON (OR)	$648.86	$460.57
METROPOLITAN PHILADELPHIA (PA)	$691.05	$494.25
REST OF PENNSYLVANIA (PA)	$627.41	$453.86
PUERTO RICO (PR)	$666.48	$475.36
RHODE ISLAND (RI)	$675.68	$480.39
SOUTH CAROLINA (SC)	$625.92	$451.24
SOUTH DAKOTA** (SD)	$635.39	$446.35
TENNESSEE (TN)	$607.03	$435.18
BRAZORIA (TX)	$651.77	$464.42
DALLAS (TX)	$657.20	$468.91
GALVESTON (TX)	$654.54	$466.82
HOUSTON (TX)	$677.06	$489.33
BEAUMONT (TX)	$623.53	$451.50
FORT WORTH (TX)	$653.71	$467.31
AUSTIN (TX)	$681.77	$481.76
REST OF TEXAS (TX)	$638.16	$458.75
UTAH (UT)	$634.33	$456.63
VIRGINIA (VA)	$643.75	$457.92
VIRGIN ISLANDS (VI)	$666.48	$475.36
VERMONT (VT)	$638.35	$451.20
SEATTLE (KING CNTY) (WA)	$757.47	$525.51
REST OF WASHINGTON (WA)	$677.03	$477.97
WISCONSIN (WI)	$617.34	$436.23
WEST VIRGINIA (WV)	$627.66	$463.37
WYOMING** (WY)	$651.99	$462.94

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. 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 — assigned to this code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings use different practice-expense RVUs because overhead costs differ, which is why two separate national and locality amounts are shown.

RVUs — work 6.56, practice expense 12.05 (non-facility) / 6.39 (facility), malpractice 1.23 — × 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 annual Part B deductible is met; the patient or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Locality-specific GPCIs mean actual payment varies by where the service is furnished.
Always confirm current rates and claim-specific details with your Medicare Administrative Contractor (MAC).

Frequently asked

Why do the non-facility and facility amounts differ for the same code?

Facility and non-facility payments use different practice-expense RVUs because the cost of overhead (staff, equipment, supplies) differs depending on whether the service is performed in a setting like a hospital (facility) versus a physician office (non-facility).

Why does the allowed amount change by locality?

Each locality has its own Geographic Practice Cost Indices (GPCIs) for work, practice expense, and malpractice, which adjust the RVUs to reflect local cost-of-living and practice cost differences before the conversion factor is applied.

Does this amount reflect what Medicare will actually pay?

No. It is an estimate based on the standard PFS formula. Actual payment can be affected by modifiers, deductible status, sequestration, secondary coverage, and annual budget-neutrality adjustments.

Where can I find the official CPT descriptor for 15771?

CPT descriptors are copyrighted by the American Medical Association. Refer to your CPT codebook or a licensed AMA data source for the official description.

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.