Medicare Reimbursement for CPT 15841

CPT 15841 is a procedure code reported to Medicare and other payers for a specific surgical or medical service. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code nationally and, where available, adjusted for local geographic cost differences, with separate non-facility and facility figures.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1580.86	$1580.86
ALASKA* (AK)	$1970.93	$1970.93
ALABAMA (AL)	$1440.44	$1440.44
ARKANSAS (AR)	$1423.18	$1423.18
ARIZONA (AZ)	$1540.32	$1540.32
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1807.45	$1807.45
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1834.21	$1834.21
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1650.30	$1650.30
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1668.33	$1668.33
NAPA (CA)	$1740.33	$1740.33
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1812.80	$1812.80
VALLEJO (CA)	$1732.62	$1732.62
BAKERSFIELD (CA)	$1590.84	$1590.84
CHICO (CA)	$1577.67	$1577.67
FRESNO (CA)	$1577.67	$1577.67
HANFORD-CORCORAN (CA)	$1577.67	$1577.67
MADERA (CA)	$1577.67	$1577.67
MERCED (CA)	$1577.67	$1577.67
MODESTO (CA)	$1577.67	$1577.67
REDDING (CA)	$1577.67	$1577.67
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1628.38	$1628.38
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1632.42	$1632.42
SALINAS (CA)	$1625.88	$1625.88
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1856.08	$1856.08
SANTA CRUZ-WATSONVILLE (CA)	$1649.73	$1649.73
SANTA ROSA-PETALUMA (CA)	$1664.85	$1664.85
STOCKTON (CA)	$1577.67	$1577.67
VISALIA (CA)	$1577.67	$1577.67
YUBA CITY (CA)	$1577.67	$1577.67
EL CENTRO (CA)	$1578.45	$1578.45
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1647.33	$1647.33
SAN LUIS OBISPO-PASO ROBLES (CA)	$1602.48	$1602.48
SANTA MARIA-SANTA BARBARA (CA)	$1627.38	$1627.38
REST OF CALIFORNIA (CA)	$1577.67	$1577.67
COLORADO (CO)	$1593.51	$1593.51
CONNECTICUT (CT)	$1675.27	$1675.27
DC + MD/VA SUBURBS (DC)	$1747.08	$1747.08
DELAWARE (DE)	$1562.28	$1562.28
FORT LAUDERDALE (FL)	$1715.48	$1715.48
MIAMI (FL)	$1845.07	$1845.07
REST OF FLORIDA (FL)	$1634.60	$1634.60
ATLANTA (GA)	$1624.26	$1624.26
REST OF GEORGIA (GA)	$1548.74	$1548.74
HAWAII, GUAM (HI)	$1593.71	$1593.71
IOWA (IA)	$1436.94	$1436.94
IDAHO (ID)	$1451.78	$1451.78
EAST ST. LOUIS (IL)	$1694.21	$1694.21
SUBURBAN CHICAGO (IL)	$1723.82	$1723.82
CHICAGO (IL)	$1793.40	$1793.40
REST OF ILLINOIS (IL)	$1619.22	$1619.22
INDIANA (IN)	$1457.87	$1457.87
KANSAS (KS)	$1447.43	$1447.43
KENTUCKY (KY)	$1503.43	$1503.43
NEW ORLEANS (LA)	$1568.21	$1568.21
REST OF LOUISIANA (LA)	$1507.88	$1507.88
METROPOLITAN BOSTON (MA)	$1710.23	$1710.23
REST OF MASSACHUSETTS (MA)	$1593.06	$1593.06
BALTIMORE/SURR. CNTYS (MD)	$1673.82	$1673.82
REST OF MARYLAND (MD)	$1583.35	$1583.35
SOUTHERN MAINE (ME)	$1517.62	$1517.62
REST OF MAINE (ME)	$1475.22	$1475.22
DETROIT (MI)	$1668.58	$1668.58
REST OF MICHIGAN (MI)	$1550.95	$1550.95
MINNESOTA (MN)	$1486.85	$1486.85
METROPOLITAN ST. LOUIS (MO)	$1553.48	$1553.48
METROPOLITAN KANSAS CITY (MO)	$1542.04	$1542.04
REST OF MISSOURI (MO)	$1497.13	$1497.13
MISSISSIPPI (MS)	$1459.58	$1459.58
MONTANA** (MT)	$1580.55	$1580.55
NORTH CAROLINA (NC)	$1485.40	$1485.40
NORTH DAKOTA** (ND)	$1487.42	$1487.42
NEBRASKA (NE)	$1438.57	$1438.57
NEW HAMPSHIRE (NH)	$1584.86	$1584.86
NORTHERN NJ (NJ)	$1737.23	$1737.23
REST OF NEW JERSEY (NJ)	$1683.08	$1683.08
NEW MEXICO (NM)	$1564.58	$1564.58
NEVADA** (NV)	$1555.17	$1555.17
MANHATTAN (NY)	$1820.72	$1820.72
NYC SUBURBS/LONG ISLAND (NY)	$1878.94	$1878.94
POUGHKPSIE/N NYC SUBURBS (NY)	$1706.82	$1706.82
QUEENS (NY)	$1809.61	$1809.61
REST OF NEW YORK (NY)	$1505.28	$1505.28
OHIO (OH)	$1531.91	$1531.91
OKLAHOMA (OK)	$1484.03	$1484.03
PORTLAND (OR)	$1618.20	$1618.20
REST OF OREGON (OR)	$1531.83	$1531.83
METROPOLITAN PHILADELPHIA (PA)	$1650.13	$1650.13
REST OF PENNSYLVANIA (PA)	$1524.88	$1524.88
PUERTO RICO (PR)	$1584.85	$1584.85
RHODE ISLAND (RI)	$1599.00	$1599.00
SOUTH CAROLINA (SC)	$1513.40	$1513.40
SOUTH DAKOTA** (SD)	$1476.41	$1476.41
TENNESSEE (TN)	$1455.50	$1455.50
BRAZORIA (TX)	$1547.83	$1547.83
DALLAS (TX)	$1563.83	$1563.83
GALVESTON (TX)	$1556.54	$1556.54
HOUSTON (TX)	$1642.75	$1642.75
BEAUMONT (TX)	$1517.75	$1517.75
FORT WORTH (TX)	$1560.11	$1560.11
AUSTIN (TX)	$1598.10	$1598.10
REST OF TEXAS (TX)	$1536.17	$1536.17
UTAH (UT)	$1530.19	$1530.19
VIRGINIA (VA)	$1524.80	$1524.80
VIRGIN ISLANDS (VI)	$1584.85	$1584.85
VERMONT (VT)	$1497.38	$1497.38
SEATTLE (KING CNTY) (WA)	$1725.41	$1725.41
REST OF WASHINGTON (WA)	$1584.86	$1584.86
WISCONSIN (WI)	$1447.76	$1447.76
WEST VIRGINIA (WV)	$1573.06	$1573.06
WYOMING** (WY)	$1539.96	$1539.96

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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 — 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, reflecting differences in local costs. The locality-adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the dollar amount. Non-facility and facility rates differ mainly because the practice-expense RVU is higher when the physician's office bears the overhead, versus lower when the service is performed in a hospital or facility setting that absorbs those costs.

RVUs — work 25.34, practice expense 17.28 (non-facility) / 17.28 (facility), malpractice 4.71 — × 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 patient meets their deductible; the patient or secondary insurer is responsible for the remainder.
Actual payment can vary by locality GPCI, applicable modifiers, claim-level adjustments, sequestration, and annual budget-neutrality adjustments to the conversion factor.
Always confirm the current, locality-specific allowed amount with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the amount differ by locality?

Medicare applies Geographic Practice Cost Indices (GPCIs) to the work, practice-expense, and malpractice RVUs to reflect regional differences in wages, rents, and other costs, so the same code can have different allowed amounts in different areas.

Why are the non-facility and facility amounts the same or different?

The non-facility rate assumes the physician's practice incurs the overhead (equipment, staff, supplies), while the facility rate assumes a hospital or ambulatory surgical center bears those costs; when the underlying practice-expense RVUs match, the two amounts can be equal.

Does this page show what Medicare will actually pay?

No. It shows the estimated allowed amount under the Physician Fee Schedule. Actual payment depends on the beneficiary's deductible status, coinsurance, modifiers used, and any claim-specific adjustments.

Where can I verify the exact rate for my location?

Your Medicare Administrative Contractor (MAC) or the CMS Physician Fee Schedule Look-Up Tool can provide the current locality-specific rate for this code.

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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.