Now available: AI Scribe & Transcription — clinical notes that write themselves.See it in action →
PlatformAI ScribePricingSpecialtiesFree ToolsBlogSupport
CPT · Medicare fee · 2026

Medicare Reimbursement for CPT 15832

CPT 15832 is a procedure code reported to Medicare for physician and outpatient billing; the specific clinical descriptor is licensed by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for 2026, both nationally and adjusted for locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

LocalityNon-facilityFacility
National (unadjusted)$842.37$842.37
ALASKA* (AK)$1038.66$1038.66
ALABAMA (AL)$765.03$765.03
ARKANSAS (AR)$755.49$755.49
ARIZONA (AZ)$820.32$820.32
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)$978.27$978.27
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)$993.38$993.38
OXNARD-THOUSAND OAKS-VENTURA (CA)$887.17$887.17
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)$896.18$896.18
NAPA (CA)$939.67$939.67
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)$980.95$980.95
VALLEJO (CA)$935.81$935.81
BAKERSFIELD (CA)$852.62$852.62
CHICO (CA)$846.03$846.03
FRESNO (CA)$846.03$846.03
HANFORD-CORCORAN (CA)$846.03$846.03
MADERA (CA)$846.03$846.03
MERCED (CA)$846.03$846.03
MODESTO (CA)$846.03$846.03
REDDING (CA)$846.03$846.03
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)$871.44$871.44
SACRAMENTO-ROSEVILLE-FOLSOM (CA)$877.10$877.10
SALINAS (CA)$873.63$873.63
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)$1004.34$1004.34
SANTA CRUZ-WATSONVILLE (CA)$888.77$888.77
SANTA ROSA-PETALUMA (CA)$897.02$897.02
STOCKTON (CA)$846.03$846.03
VISALIA (CA)$846.03$846.03
YUBA CITY (CA)$846.03$846.03
EL CENTRO (CA)$846.43$846.43
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)$886.45$886.45
SAN LUIS OBISPO-PASO ROBLES (CA)$860.87$860.87
SANTA MARIA-SANTA BARBARA (CA)$874.79$874.79
REST OF CALIFORNIA (CA)$846.03$846.03
COLORADO (CO)$852.21$852.21
CONNECTICUT (CT)$893.86$893.86
DC + MD/VA SUBURBS (DC)$935.29$935.29
DELAWARE (DE)$832.36$832.36
FORT LAUDERDALE (FL)$910.55$910.55
MIAMI (FL)$977.04$977.04
REST OF FLORIDA (FL)$866.84$866.84
ATLANTA (GA)$864.99$864.99
REST OF GEORGIA (GA)$820.24$820.24
HAWAII, GUAM (HI)$856.45$856.45
IOWA (IA)$765.51$765.51
IDAHO (ID)$773.23$773.23
EAST ST. LOUIS (IL)$894.70$894.70
SUBURBAN CHICAGO (IL)$915.47$915.47
CHICAGO (IL)$949.11$949.11
REST OF ILLINOIS (IL)$856.73$856.73
INDIANA (IN)$776.67$776.67
KANSAS (KS)$770.15$770.15
KENTUCKY (KY)$797.37$797.37
NEW ORLEANS (LA)$832.73$832.73
REST OF LOUISIANA (LA)$799.38$799.38
METROPOLITAN BOSTON (MA)$917.79$917.79
REST OF MASSACHUSETTS (MA)$851.35$851.35
BALTIMORE/SURR. CNTYS (MD)$892.94$892.94
REST OF MARYLAND (MD)$844.23$844.23
SOUTHERN MAINE (ME)$810.18$810.18
REST OF MAINE (ME)$784.97$784.97
DETROIT (MI)$884.37$884.37
REST OF MICHIGAN (MI)$822.52$822.52
MINNESOTA (MN)$796.88$796.88
METROPOLITAN ST. LOUIS (MO)$825.97$825.97
METROPOLITAN KANSAS CITY (MO)$819.51$819.51
REST OF MISSOURI (MO)$792.71$792.71
MISSISSIPPI (MS)$773.84$773.84
MONTANA** (MT)$842.21$842.21
NORTH CAROLINA (NC)$790.80$790.80
NORTH DAKOTA** (ND)$795.55$795.55
NEBRASKA (NE)$766.77$766.77
NEW HAMPSHIRE (NH)$846.66$846.66
NORTHERN NJ (NJ)$929.30$929.30
REST OF NEW JERSEY (NJ)$898.50$898.50
NEW MEXICO (NM)$829.58$829.58
NEVADA** (NV)$829.55$829.55
MANHATTAN (NY)$971.24$971.24
NYC SUBURBS/LONG ISLAND (NY)$1001.92$1001.92
POUGHKPSIE/N NYC SUBURBS (NY)$910.54$910.54
QUEENS (NY)$966.79$966.79
REST OF NEW YORK (NY)$801.71$801.71
OHIO (OH)$812.98$812.98
OKLAHOMA (OK)$787.87$787.87
PORTLAND (OR)$867.19$867.19
REST OF OREGON (OR)$817.58$817.58
METROPOLITAN PHILADELPHIA (PA)$879.26$879.26
REST OF PENNSYLVANIA (PA)$809.74$809.74
PUERTO RICO (PR)$844.98$844.98
RHODE ISLAND (RI)$853.20$853.20
SOUTH CAROLINA (SC)$804.32$804.32
SOUTH DAKOTA** (SD)$790.03$790.03
TENNESSEE (TN)$774.48$774.48
BRAZORIA (TX)$825.27$825.27
DALLAS (TX)$833.56$833.56
GALVESTON (TX)$829.75$829.75
HOUSTON (TX)$872.94$872.94
BEAUMONT (TX)$805.72$805.72
FORT WORTH (TX)$831.14$831.14
AUSTIN (TX)$854.23$854.23
REST OF TEXAS (TX)$817.13$817.13
UTAH (UT)$813.63$813.63
VIRGINIA (VA)$813.33$813.33
VIRGIN ISLANDS (VI)$844.98$844.98
VERMONT (VT)$799.98$799.98
SEATTLE (KING CNTY) (WA)$927.19$927.19
REST OF WASHINGTON (WA)$847.26$847.26
WISCONSIN (WI)$773.33$773.33
WEST VIRGINIA (WV)$831.15$831.15
WYOMING** (WY)$821.88$821.88

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: 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

The Medicare PFS amount for a code is built from three Relative Value Units (RVUs): physician work, practice expense, and malpractice. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific Medicare locality where the service is performed, reflecting local 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, since overhead costs differ depending on where the service is rendered.

RVUs — work 12.53, practice expense 10.33 (non-facility) / 10.33 (facility), malpractice 2.36 — × 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 insurer is responsible for the remainder.
  • Modifiers, place of service, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
  • Locality-adjusted amounts vary by Medicare Administrative Contractor (MAC) jurisdiction and should be verified against official CMS or MAC fee schedule files before billing or appealing a denial.

Frequently asked

Why does the amount differ between non-facility and facility settings?

Practice-expense RVUs account for overhead such as equipment, staff, and supplies. When a service is performed in a facility (e.g., hospital), Medicare assumes the facility bears more of that overhead, so the physician's practice-expense RVU—and often the payment—is lower than for the same service performed in a non-facility setting like an office.

Does this amount reflect what my specific locality will be paid?

No. The national amount is based on national average GPCIs. Actual payment in a specific locality will differ based on that locality's GPCI values, so you should check the locality-adjusted figures shown on this page.

Why might my remittance advice show a different amount than this estimate?

Differences can result from applied modifiers, multiple procedure payment reductions, sequestration, secondary payer adjustments, or mid-year/annual updates to RVUs, GPCIs, or the conversion factor that are not reflected in a static estimate.

Can I use this figure to predict patient cost-sharing?

It can give a rough estimate, since Medicare generally pays 80% of the allowed amount after the deductible, but actual patient responsibility depends on deductible status, secondary coverage, and any applicable adjustments.

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.

Bill accurately, get paid faster

Join providers across the country delivering modern virtual care with CareNiva. Free to start, ready in minutes.

100% Satisfaction Guaranteed — try it risk-free