Medicare Reimbursement for CPT 15833

CPT 15833 is a surgical procedure code reported to Medicare and other payers; the specific service it describes is defined by the AMA's CPT code set and is not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both nationally and adjusted by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$797.95	$797.95
ALASKA* (AK)	$981.44	$981.44
ALABAMA (AL)	$724.45	$724.45
ARKANSAS (AR)	$715.36	$715.36
ARIZONA (AZ)	$777.11	$777.11
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$932.32	$932.32
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$946.96	$946.96
OXNARD-THOUSAND OAKS-VENTURA (CA)	$843.36	$843.36
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$851.68	$851.68
NAPA (CA)	$894.73	$894.73
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$934.77	$934.77
VALLEJO (CA)	$891.21	$891.21
BAKERSFIELD (CA)	$809.74	$809.74
CHICO (CA)	$803.73	$803.73
FRESNO (CA)	$803.73	$803.73
HANFORD-CORCORAN (CA)	$803.73	$803.73
MADERA (CA)	$803.73	$803.73
MERCED (CA)	$803.73	$803.73
MODESTO (CA)	$803.73	$803.73
REDDING (CA)	$803.73	$803.73
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$826.88	$826.88
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$833.78	$833.78
SALINAS (CA)	$830.49	$830.49
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$956.95	$956.95
SANTA CRUZ-WATSONVILLE (CA)	$845.58	$845.58
SANTA ROSA-PETALUMA (CA)	$853.47	$853.47
STOCKTON (CA)	$803.73	$803.73
VISALIA (CA)	$803.73	$803.73
YUBA CITY (CA)	$803.73	$803.73
EL CENTRO (CA)	$804.09	$804.09
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$843.06	$843.06
SAN LUIS OBISPO-PASO ROBLES (CA)	$818.29	$818.29
SANTA MARIA-SANTA BARBARA (CA)	$831.70	$831.70
REST OF CALIFORNIA (CA)	$803.73	$803.73
COLORADO (CO)	$808.55	$808.55
CONNECTICUT (CT)	$846.86	$846.86
DC + MD/VA SUBURBS (DC)	$887.27	$887.27
DELAWARE (DE)	$788.57	$788.57
FORT LAUDERDALE (FL)	$860.37	$860.37
MIAMI (FL)	$921.63	$921.63
REST OF FLORIDA (FL)	$819.17	$819.17
ATLANTA (GA)	$818.96	$818.96
REST OF GEORGIA (GA)	$775.16	$775.16
HAWAII, GUAM (HI)	$814.11	$814.11
IOWA (IA)	$725.86	$725.86
IDAHO (ID)	$733.01	$733.01
EAST ST. LOUIS (IL)	$843.67	$843.67
SUBURBAN CHICAGO (IL)	$865.24	$865.24
CHICAGO (IL)	$895.35	$895.35
REST OF ILLINOIS (IL)	$808.91	$808.91
INDIANA (IN)	$736.31	$736.31
KANSAS (KS)	$729.82	$729.82
KENTUCKY (KY)	$754.25	$754.25
NEW ORLEANS (LA)	$787.73	$787.73
REST OF LOUISIANA (LA)	$755.98	$755.98
METROPOLITAN BOSTON (MA)	$871.64	$871.64
REST OF MASSACHUSETTS (MA)	$807.52	$807.52
BALTIMORE/SURR. CNTYS (MD)	$845.89	$845.89
REST OF MARYLAND (MD)	$800.00	$800.00
SOUTHERN MAINE (ME)	$768.40	$768.40
REST OF MAINE (ME)	$743.71	$743.71
DETROIT (MI)	$835.36	$835.36
REST OF MICHIGAN (MI)	$777.75	$777.75
MINNESOTA (MN)	$757.21	$757.21
METROPOLITAN ST. LOUIS (MO)	$781.83	$781.83
METROPOLITAN KANSAS CITY (MO)	$775.64	$775.64
REST OF MISSOURI (MO)	$749.34	$749.34
MISSISSIPPI (MS)	$732.13	$732.13
MONTANA** (MT)	$797.80	$797.80
NORTH CAROLINA (NC)	$749.33	$749.33
NORTH DAKOTA** (ND)	$755.29	$755.29
NEBRASKA (NE)	$727.20	$727.20
NEW HAMPSHIRE (NH)	$802.86	$802.86
NORTHERN NJ (NJ)	$881.43	$881.43
REST OF NEW JERSEY (NJ)	$851.57	$851.57
NEW MEXICO (NM)	$784.27	$784.27
NEVADA** (NV)	$786.29	$786.29
MANHATTAN (NY)	$919.69	$919.69
NYC SUBURBS/LONG ISLAND (NY)	$948.30	$948.30
POUGHKPSIE/N NYC SUBURBS (NY)	$862.64	$862.64
QUEENS (NY)	$916.13	$916.13
REST OF NEW YORK (NY)	$759.69	$759.69
OHIO (OH)	$769.06	$769.06
OKLAHOMA (OK)	$745.69	$745.69
PORTLAND (OR)	$823.36	$823.36
REST OF OREGON (OR)	$775.26	$775.26
METROPOLITAN PHILADELPHIA (PA)	$832.67	$832.67
REST OF PENNSYLVANIA (PA)	$766.23	$766.23
PUERTO RICO (PR)	$800.60	$800.60
RHODE ISLAND (RI)	$808.73	$808.73
SOUTH CAROLINA (SC)	$761.44	$761.44
SOUTH DAKOTA** (SD)	$750.26	$750.26
TENNESSEE (TN)	$733.88	$733.88
BRAZORIA (TX)	$782.20	$782.20
DALLAS (TX)	$789.88	$789.88
GALVESTON (TX)	$786.32	$786.32
HOUSTON (TX)	$825.68	$825.68
BEAUMONT (TX)	$762.37	$762.37
FORT WORTH (TX)	$787.43	$787.43
AUSTIN (TX)	$810.18	$810.18
REST OF TEXAS (TX)	$773.71	$773.71
UTAH (UT)	$770.30	$770.30
VIRGINIA (VA)	$771.08	$771.08
VIRGIN ISLANDS (VI)	$800.60	$800.60
VERMONT (VT)	$759.09	$759.09
SEATTLE (KING CNTY) (WA)	$881.06	$881.06
REST OF WASHINGTON (WA)	$803.77	$803.77
WISCONSIN (WI)	$734.03	$734.03
WEST VIRGINIA (WV)	$784.53	$784.53
WYOMING** (WY)	$779.28	$779.28

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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's fee schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense (PE), and malpractice (MP) — assigned to the code. Each RVU component is adjusted by a Geographic Practice Cost Index (GPCI) specific to the locality where the service is performed, to account for regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility rates can differ because the practice-expense RVU is typically higher in non-facility settings, where the physician's practice bears more of the overhead cost; when the two PE RVUs are equal, as shown here, the resulting allowed amounts are the same.

RVUs — work 11.6, practice expense 10.14 (non-facility) / 10.14 (facility), malpractice 2.15 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This amount 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, place of service, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual payment.
Allowed amounts vary by Medicare Administrative Contractor (MAC) locality; verify current rates with your MAC before billing.
Figures are based on the 2026 Medicare Physician Fee Schedule and are subject to mid-year or annual updates.

Frequently asked

Why are the non-facility and facility amounts the same for this code?

When the practice-expense RVU is identical for both settings, the calculated allowed amount comes out the same, since work and malpractice RVUs don't change by setting.

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

Not necessarily. The national amount uses a national average GPCI of 1.0 equivalent, while your actual locality applies its own GPCIs, which can raise or lower the final amount.

Does this page tell me if CPT 15833 is covered by Medicare?

No. This page only reflects the fee schedule amount used if the service is covered and billed; coverage and medical necessity are determined separately by Medicare policy.

Why might my remittance advice show a different amount than what's listed here?

Modifiers, secondary payer adjustments, sequestration, multiple-procedure payment reductions, and annual fee schedule updates can all cause the paid amount to differ from the base PFS estimate.

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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.