Medicare Reimbursement for CPT 15839

This page covers CPT code 15839, a procedure code reported to Medicare for billing purposes. It shows the Medicare Physician Fee Schedule (PFS) allowed amount for 2026, 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)	$958.94	$682.05
ALASKA* (AK)	$1136.92	$842.03
ALABAMA (AL)	$861.91	$619.62
ARKANSAS (AR)	$849.78	$611.93
ARIZONA (AZ)	$932.53	$664.22
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1180.87	$790.45
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1201.87	$802.59
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1044.76	$717.47
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1052.40	$724.84
NAPA (CA)	$1124.45	$759.51
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1183.06	$792.64
VALLEJO (CA)	$1121.29	$756.35
BAKERSFIELD (CA)	$993.27	$689.79
CHICO (CA)	$987.88	$684.40
FRESNO (CA)	$987.88	$684.40
HANFORD-CORCORAN (CA)	$987.88	$684.40
MADERA (CA)	$987.88	$684.40
MERCED (CA)	$987.88	$684.40
MODESTO (CA)	$987.88	$684.40
REDDING (CA)	$987.88	$684.40
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1008.66	$705.18
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1031.39	$709.36
SALINAS (CA)	$1027.47	$706.55
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1210.83	$811.55
SANTA CRUZ-WATSONVILLE (CA)	$1054.99	$718.56
SANTA ROSA-PETALUMA (CA)	$1065.25	$725.22
STOCKTON (CA)	$987.88	$684.40
VISALIA (CA)	$987.88	$684.40
YUBA CITY (CA)	$987.88	$684.40
EL CENTRO (CA)	$988.20	$684.73
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1047.96	$716.79
SAN LUIS OBISPO-PASO ROBLES (CA)	$1011.63	$696.25
SANTA MARIA-SANTA BARBARA (CA)	$1030.31	$707.45
REST OF CALIFORNIA (CA)	$987.88	$684.40
COLORADO (CO)	$984.28	$689.67
CONNECTICUT (CT)	$1021.86	$723.64
DC + MD/VA SUBURBS (DC)	$1083.03	$756.85
DELAWARE (DE)	$947.51	$673.94
FORT LAUDERDALE (FL)	$1018.21	$737.72
MIAMI (FL)	$1080.16	$791.91
REST OF FLORIDA (FL)	$967.06	$702.35
ATLANTA (GA)	$981.76	$700.44
REST OF GEORGIA (GA)	$911.65	$664.66
HAWAII, GUAM (HI)	$1007.49	$692.66
IOWA (IA)	$873.11	$619.75
IDAHO (ID)	$880.77	$626.03
EAST ST. LOUIS (IL)	$980.11	$725.37
SUBURBAN CHICAGO (IL)	$1026.02	$741.65
CHICAGO (IL)	$1047.58	$769.30
REST OF ILLINOIS (IL)	$947.17	$694.37
INDIANA (IN)	$885.48	$628.80
KANSAS (KS)	$873.93	$623.62
KENTUCKY (KY)	$892.14	$645.98
NEW ORLEANS (LA)	$935.11	$674.56
REST OF LOUISIANA (LA)	$892.70	$647.65
METROPOLITAN BOSTON (MA)	$1073.05	$742.44
REST OF MASSACHUSETTS (MA)	$980.61	$689.04
BALTIMORE/SURR. CNTYS (MD)	$1020.02	$722.91
REST OF MARYLAND (MD)	$963.70	$683.49
SOUTHERN MAINE (ME)	$930.18	$655.78
REST OF MAINE (ME)	$890.38	$635.63
DETROIT (MI)	$983.83	$716.62
REST OF MICHIGAN (MI)	$919.19	$666.39
MINNESOTA (MN)	$929.58	$644.66
METROPOLITAN ST. LOUIS (MO)	$932.55	$668.95
METROPOLITAN KANSAS CITY (MO)	$923.76	$663.75
REST OF MISSOURI (MO)	$881.03	$642.34
MISSISSIPPI (MS)	$865.32	$626.92
MONTANA** (MT)	$958.81	$681.92
NORTH CAROLINA (NC)	$898.65	$640.31
NORTH DAKOTA** (ND)	$920.65	$643.75
NEBRASKA (NE)	$876.30	$620.73
NEW HAMPSHIRE (NH)	$973.53	$685.29
NORTHERN NJ (NJ)	$1073.26	$752.07
REST OF NEW JERSEY (NJ)	$1029.70	$727.33
NEW MEXICO (NM)	$926.04	$672.13
NEVADA** (NV)	$948.73	$671.56
MANHATTAN (NY)	$1108.10	$786.35
NYC SUBURBS/LONG ISLAND (NY)	$1140.49	$811.26
POUGHKPSIE/N NYC SUBURBS (NY)	$1040.35	$737.15
QUEENS (NY)	$1109.87	$782.58
REST OF NEW YORK (NY)	$912.17	$649.12
OHIO (OH)	$911.39	$658.59
OKLAHOMA (OK)	$885.45	$638.19
PORTLAND (OR)	$1009.23	$701.60
REST OF OREGON (OR)	$937.58	$661.80
METROPOLITAN PHILADELPHIA (PA)	$1000.19	$711.94
REST OF PENNSYLVANIA (PA)	$910.09	$655.91
PUERTO RICO (PR)	$964.05	$684.11
RHODE ISLAND (RI)	$976.71	$690.68
SOUTH CAROLINA (SC)	$907.28	$651.43
SOUTH DAKOTA** (SD)	$916.14	$639.24
TENNESSEE (TN)	$878.82	$627.12
BRAZORIA (TX)	$942.52	$668.12
DALLAS (TX)	$950.65	$674.87
GALVESTON (TX)	$946.72	$671.77
HOUSTON (TX)	$982.05	$707.09
BEAUMONT (TX)	$904.64	$652.67
FORT WORTH (TX)	$945.97	$672.95
AUSTIN (TX)	$984.32	$691.36
REST OF TEXAS (TX)	$924.51	$661.74
UTAH (UT)	$919.22	$658.94
VIRGINIA (VA)	$930.60	$658.41
VIRGIN ISLANDS (VI)	$964.05	$684.11
VERMONT (VT)	$921.57	$647.45
SEATTLE (KING CNTY) (WA)	$1089.65	$749.90
REST OF WASHINGTON (WA)	$977.26	$685.69
WISCONSIN (WI)	$891.13	$625.86
WEST VIRGINIA (WV)	$914.35	$673.73
WYOMING** (WY)	$942.18	$665.29

Look up another code or locality →

Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 2 units 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 — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to the service locality. These locality-adjusted RVUs are summed and multiplied by the annual conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings use different practice-expense RVUs, since overhead costs differ by site of service, which is why the two allowed amounts for the same code can differ significantly.

RVUs — work 10.24, practice expense 16.54 (non-facility) / 8.25 (facility), malpractice 1.93 — × 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.
Actual payment can vary by locality, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

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 Medicare assumes the facility (e.g., hospital) is absorbing certain overhead and equipment costs, whereas the non-facility rate assumes the billing provider bears those costs.

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

Not necessarily. The national amount uses a GPCI of 1.0 everywhere; actual locality-specific payment depends on that area's work, practice expense, and malpractice GPICs, which can raise or lower the final rate.

Does this amount reflect what Medicare will actually pay?

It reflects the allowed amount before patient responsibility. Medicare generally pays 80% of this figure after the deductible, and additional adjustments like modifiers or sequestration may apply.

Why isn't the CPT code description shown here?

CPT code descriptors are copyrighted by the American Medical Association and cannot be reproduced without a license, so this page refers to the code generically.

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.