Medicare Reimbursement for CPT 15783

CPT 15783 is a procedure code reported to Medicare for professional and facility billing purposes; the official AMA descriptor is not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for 2026, both nationally and adjustable by locality, and separately for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$441.56	$306.95
ALASKA* (AK)	$525.36	$382.00
ALABAMA (AL)	$399.88	$282.10
ARKANSAS (AR)	$394.61	$278.98
ARIZONA (AZ)	$430.70	$300.27
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$563.21	$373.42
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$574.04	$379.94
OXNARD-THOUSAND OAKS-VENTURA (CA)	$491.78	$332.67
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$494.52	$335.28
NAPA (CA)	$533.72	$356.31
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$563.70	$373.91
VALLEJO (CA)	$533.01	$355.60
BAKERSFIELD (CA)	$465.90	$318.37
CHICO (CA)	$464.56	$317.03
FRESNO (CA)	$464.56	$317.03
HANFORD-CORCORAN (CA)	$464.56	$317.03
MADERA (CA)	$464.56	$317.03
MERCED (CA)	$464.56	$317.03
MODESTO (CA)	$464.56	$317.03
REDDING (CA)	$464.56	$317.03
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$469.26	$321.73
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$486.29	$329.74
SALINAS (CA)	$484.44	$328.43
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$576.03	$381.93
SANTA CRUZ-WATSONVILLE (CA)	$498.88	$335.33
SANTA ROSA-PETALUMA (CA)	$503.86	$338.56
STOCKTON (CA)	$464.56	$317.03
VISALIA (CA)	$464.56	$317.03
YUBA CITY (CA)	$464.56	$317.03
EL CENTRO (CA)	$464.63	$317.10
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$494.87	$333.88
SAN LUIS OBISPO-PASO ROBLES (CA)	$476.75	$323.44
SANTA MARIA-SANTA BARBARA (CA)	$485.99	$329.04
REST OF CALIFORNIA (CA)	$464.56	$317.03
COLORADO (CO)	$458.29	$315.07
CONNECTICUT (CT)	$469.28	$324.31
DC + MD/VA SUBURBS (DC)	$501.41	$342.85
DELAWARE (DE)	$437.42	$304.43
FORT LAUDERDALE (FL)	$456.85	$320.50
MIAMI (FL)	$475.15	$335.02
REST OF FLORIDA (FL)	$436.31	$307.62
ATLANTA (GA)	$449.41	$312.66
REST OF GEORGIA (GA)	$413.69	$293.62
HAWAII, GUAM (HI)	$474.36	$321.32
IOWA (IA)	$408.80	$285.63
IDAHO (ID)	$411.31	$287.47
EAST ST. LOUIS (IL)	$433.44	$309.60
SUBURBAN CHICAGO (IL)	$461.31	$323.07
CHICAGO (IL)	$462.58	$327.30
REST OF ILLINOIS (IL)	$424.98	$302.08
INDIANA (IN)	$413.48	$288.70
KANSAS (KS)	$407.21	$285.53
KENTUCKY (KY)	$408.86	$289.20
NEW ORLEANS (LA)	$426.78	$300.12
REST OF LOUISIANA (LA)	$408.35	$289.22
METROPOLITAN BOSTON (MA)	$500.88	$340.16
REST OF MASSACHUSETTS (MA)	$455.97	$314.23
BALTIMORE/SURR. CNTYS (MD)	$467.96	$323.53
REST OF MARYLAND (MD)	$445.22	$309.00
SOUTHERN MAINE (ME)	$433.71	$300.31
REST OF MAINE (ME)	$413.45	$289.61
DETROIT (MI)	$441.49	$311.59
REST OF MICHIGAN (MI)	$418.74	$295.85
MINNESOTA (MN)	$439.67	$301.16
METROPOLITAN ST. LOUIS (MO)	$427.98	$299.83
METROPOLITAN KANSAS CITY (MO)	$423.93	$297.54
REST OF MISSOURI (MO)	$402.05	$286.02
MISSISSIPPI (MS)	$398.39	$282.50
MONTANA** (MT)	$441.53	$306.93
NORTH CAROLINA (NC)	$417.38	$291.79
NORTH DAKOTA** (ND)	$433.03	$298.42
NEBRASKA (NE)	$410.79	$286.55
NEW HAMPSHIRE (NH)	$451.39	$311.27
NORTHERN NJ (NJ)	$496.96	$340.81
REST OF NEW JERSEY (NJ)	$474.79	$327.80
NEW MEXICO (NM)	$420.91	$297.48
NEVADA** (NV)	$439.44	$304.70
MANHATTAN (NY)	$505.11	$348.70
NYC SUBURBS/LONG ISLAND (NY)	$516.66	$356.61
POUGHKPSIE/N NYC SUBURBS (NY)	$477.98	$330.59
QUEENS (NY)	$508.71	$349.61
REST OF NEW YORK (NY)	$423.12	$295.24
OHIO (OH)	$417.00	$294.11
OKLAHOMA (OK)	$408.01	$287.81
PORTLAND (OR)	$471.66	$322.11
REST OF OREGON (OR)	$436.16	$302.09
METROPOLITAN PHILADELPHIA (PA)	$458.54	$318.42
REST OF PENNSYLVANIA (PA)	$417.52	$293.95
PUERTO RICO (PR)	$444.46	$308.38
RHODE ISLAND (RI)	$452.10	$313.05
SOUTH CAROLINA (SC)	$417.85	$293.48
SOUTH DAKOTA** (SD)	$432.02	$297.42
TENNESSEE (TN)	$409.10	$286.75
BRAZORIA (TX)	$437.00	$303.60
DALLAS (TX)	$439.68	$305.61
GALVESTON (TX)	$438.25	$304.59
HOUSTON (TX)	$446.12	$312.46
BEAUMONT (TX)	$415.02	$292.53
FORT WORTH (TX)	$437.03	$304.31
AUSTIN (TX)	$456.66	$314.24
REST OF TEXAS (TX)	$425.70	$297.96
UTAH (UT)	$423.08	$296.55
VIRGINIA (VA)	$432.52	$300.20
VIRGIN ISLANDS (VI)	$444.46	$308.38
VERMONT (VT)	$431.63	$298.37
SEATTLE (KING CNTY) (WA)	$510.48	$345.32
REST OF WASHINGTON (WA)	$455.02	$313.28
WISCONSIN (WI)	$419.71	$290.76
WEST VIRGINIA (WV)	$410.60	$293.63
WYOMING** (WY)	$437.83	$303.22

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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: 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) — work, practice expense (PE), and malpractice (MP) — assigned to the code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is furnished, to reflect local cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar allowed amount. Non-facility and facility amounts differ primarily because the PE RVU is higher in non-facility settings (e.g., physician office) and lower in facility settings (e.g., hospital), where the facility itself bears some overhead costs.

RVUs — work 4.3, practice expense 8.49 (non-facility) / 4.46 (facility), malpractice 0.43 — × 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 beneficiary or secondary payer is responsible for the remainder.
Actual payment can vary by locality GPCI values, applicable modifiers, claim-level adjustments, sequestration, and annual budget-neutrality changes to RVUs or the conversion factor.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the facility amount differ from the non-facility amount?

The practice expense RVU is lower in the facility setting because the facility (e.g., hospital) absorbs certain overhead and resource costs that a physician's office would otherwise bear.

Does this amount include the patient's share?

No. The figures shown represent the Medicare-allowed amount. Medicare generally pays 80% of this amount after the deductible, with the patient or secondary insurer responsible for the remaining 20%.

Will my locality's payment match the national amount shown?

Not necessarily. The national amount uses a standardized GPCI; your actual locality-specific payment depends on the GPCI values for where the service was furnished.

What causes this amount to change year to year?

Annual updates to RVUs, GPCIs, the conversion factor, and budget-neutrality adjustments mandated by CMS can all change the allowed amount from one year to the next.

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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.