Medicare Reimbursement for CPT 15782

CPT 15782 is a procedure code defined by the American Medical Association; its full descriptor is not reproduced here due to licensing restrictions. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code at the national level and by locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$475.63	$320.31
ALASKA* (AK)	$562.07	$396.67
ALABAMA (AL)	$429.82	$293.92
ARKANSAS (AR)	$424.02	$290.60
ARIZONA (AZ)	$463.74	$313.25
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$610.93	$391.94
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$622.83	$398.87
OXNARD-THOUSAND OAKS-VENTURA (CA)	$531.89	$348.31
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$534.68	$350.94
NAPA (CA)	$578.37	$373.66
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$611.42	$392.43
VALLEJO (CA)	$577.66	$372.96
BAKERSFIELD (CA)	$503.16	$332.93
CHICO (CA)	$501.82	$331.60
FRESNO (CA)	$501.82	$331.60
HANFORD-CORCORAN (CA)	$501.82	$331.60
MADERA (CA)	$501.82	$331.60
MERCED (CA)	$501.82	$331.60
MODESTO (CA)	$501.82	$331.60
REDDING (CA)	$501.82	$331.60
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$506.52	$336.29
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$525.78	$345.15
SALINAS (CA)	$523.79	$343.78
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$624.83	$400.87
SANTA CRUZ-WATSONVILLE (CA)	$540.08	$351.37
SANTA ROSA-PETALUMA (CA)	$545.50	$354.77
STOCKTON (CA)	$501.82	$331.60
VISALIA (CA)	$501.82	$331.60
YUBA CITY (CA)	$501.82	$331.60
EL CENTRO (CA)	$501.89	$331.67
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$535.45	$349.70
SAN LUIS OBISPO-PASO ROBLES (CA)	$515.44	$338.53
SANTA MARIA-SANTA BARBARA (CA)	$525.58	$344.48
REST OF CALIFORNIA (CA)	$501.82	$331.60
COLORADO (CO)	$494.48	$329.23
CONNECTICUT (CT)	$505.92	$338.65
DC + MD/VA SUBURBS (DC)	$541.42	$358.46
DELAWARE (DE)	$471.10	$317.65
FORT LAUDERDALE (FL)	$491.35	$334.02
MIAMI (FL)	$510.57	$348.89
REST OF FLORIDA (FL)	$468.92	$320.44
ATLANTA (GA)	$484.02	$326.22
REST OF GEORGIA (GA)	$444.19	$305.65
HAWAII, GUAM (HI)	$512.96	$336.37
IOWA (IA)	$440.05	$297.94
IDAHO (ID)	$442.73	$299.84
EAST ST. LOUIS (IL)	$464.86	$321.97
SUBURBAN CHICAGO (IL)	$496.28	$336.77
CHICAGO (IL)	$496.82	$340.73
REST OF ILLINOIS (IL)	$456.17	$314.37
INDIANA (IN)	$445.13	$301.16
KANSAS (KS)	$438.11	$297.70
KENTUCKY (KY)	$439.26	$301.19
NEW ORLEANS (LA)	$458.90	$312.75
REST OF LOUISIANA (LA)	$438.61	$301.16
METROPOLITAN BOSTON (MA)	$541.41	$355.96
REST OF MASSACHUSETTS (MA)	$491.81	$328.26
BALTIMORE/SURR. CNTYS (MD)	$504.46	$337.81
REST OF MARYLAND (MD)	$479.70	$322.52
SOUTHERN MAINE (ME)	$467.48	$313.56
REST OF MAINE (ME)	$444.87	$301.98
DETROIT (MI)	$474.40	$324.52
REST OF MICHIGAN (MI)	$449.93	$308.13
MINNESOTA (MN)	$474.70	$314.88
METROPOLITAN ST. LOUIS (MO)	$460.46	$312.60
METROPOLITAN KANSAS CITY (MO)	$455.98	$310.14
REST OF MISSOURI (MO)	$431.56	$297.68
MISSISSIPPI (MS)	$427.87	$294.14
MONTANA** (MT)	$475.60	$320.29
NORTH CAROLINA (NC)	$449.23	$304.32
NORTH DAKOTA** (ND)	$467.10	$311.78
NEBRASKA (NE)	$442.31	$298.96
NEW HAMPSHIRE (NH)	$486.82	$325.13
NORTHERN NJ (NJ)	$536.38	$356.21
REST OF NEW JERSEY (NJ)	$511.94	$342.33
NEW MEXICO (NM)	$452.23	$309.81
NEVADA** (NV)	$473.55	$318.08
MANHATTAN (NY)	$544.60	$364.12
NYC SUBURBS/LONG ISLAND (NY)	$557.04	$372.37
POUGHKPSIE/N NYC SUBURBS (NY)	$515.23	$345.16
QUEENS (NY)	$548.86	$365.28
REST OF NEW YORK (NY)	$455.53	$307.98
OHIO (OH)	$448.20	$306.39
OKLAHOMA (OK)	$438.55	$299.85
PORTLAND (OR)	$509.41	$336.86
REST OF OREGON (OR)	$470.10	$315.40
METROPOLITAN PHILADELPHIA (PA)	$493.99	$332.30
REST OF PENNSYLVANIA (PA)	$448.87	$306.30
PUERTO RICO (PR)	$478.90	$321.87
RHODE ISLAND (RI)	$487.27	$326.84
SOUTH CAROLINA (SC)	$449.41	$305.90
SOUTH DAKOTA** (SD)	$466.09	$310.78
TENNESSEE (TN)	$440.16	$298.98
BRAZORIA (TX)	$470.78	$316.86
DALLAS (TX)	$473.62	$318.93
GALVESTON (TX)	$472.10	$317.87
HOUSTON (TX)	$479.97	$325.74
BEAUMONT (TX)	$446.11	$304.78
FORT WORTH (TX)	$470.64	$317.50
AUSTIN (TX)	$492.65	$328.32
REST OF TEXAS (TX)	$458.09	$310.69
UTAH (UT)	$455.17	$309.17
VIRGINIA (VA)	$466.02	$313.35
VIRGIN ISLANDS (VI)	$478.90	$321.87
VERMONT (VT)	$465.37	$311.61
SEATTLE (KING CNTY) (WA)	$552.11	$361.54
REST OF WASHINGTON (WA)	$490.86	$327.31
WISCONSIN (WI)	$452.39	$303.60
WEST VIRGINIA (WV)	$440.34	$305.37
WYOMING** (WY)	$471.89	$316.58

Look up another code or locality →

Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit 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 — assigned to each code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality to reflect local cost differences, then the adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Practice-expense RVUs differ between non-facility and facility settings because overhead costs (equipment, supplies, staff time) are typically higher when the service is performed in a physician office versus a facility that already bills its own overhead. The national rate shown uses a GPCI of 1.00 for all components, while locality-specific rates apply the actual GPCI values for that area.

RVUs — work 4.33, practice expense 9.48 (non-facility) / 4.83 (facility), malpractice 0.43 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

All figures are estimates based on the published PFS formula, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the patient meets their deductible; the patient or secondary payer is responsible for the remainder.
Actual payment can be affected by modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments.
Rates vary by locality based on GPCI values; confirm the applicable locality before billing.
Verify current rates and coverage policy with your Medicare Administrative Contractor (MAC), as fee schedules are updated annually and can be revised mid-year.

Frequently asked

Why is the facility amount lower than the non-facility amount for this code?

The facility rate uses a lower practice-expense RVU because the facility (e.g., hospital) is separately reimbursed for overhead costs like equipment and supplies, while the non-facility rate assumes the billing provider bears those costs.

Does this amount reflect what Medicare will actually pay?

No. It's an estimate of the allowed amount. Medicare generally pays 80% of this amount after the deductible, and the final payment can be reduced or adjusted by modifiers, sequestration, or other factors.

Why do rates differ by locality?

Medicare adjusts the work, practice expense, and malpractice RVUs using locality-specific Geographic Practice Cost Indices (GPCIs) to account for regional differences in cost of living and practice costs.

Where can I find the official descriptor for CPT 15782?

CPT descriptors are copyrighted by the American Medical Association. Refer to your CPT codebook or a licensed coding reference for the exact language.

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.