Medicare Reimbursement for CPT Code 15933

CPT 15933 is a surgical procedure code reimbursed under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare allowed amount nationally and can vary by locality, with separate figures for non-facility and facility settings. Because practice expense inputs are identical for both settings here, the non-facility and facility allowed amounts are the same.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$823.00	$823.00
ALASKA* (AK)	$997.80	$997.80
ALABAMA (AL)	$740.70	$740.70
ARKANSAS (AR)	$730.57	$730.57
ARIZONA (AZ)	$799.37	$799.37
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$952.46	$952.46
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$966.97	$966.97
OXNARD-THOUSAND OAKS-VENTURA (CA)	$864.26	$864.26
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$873.22	$873.22
NAPA (CA)	$915.24	$915.24
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$955.47	$955.47
VALLEJO (CA)	$910.90	$910.90
BAKERSFIELD (CA)	$829.38	$829.38
CHICO (CA)	$822.15	$822.15
FRESNO (CA)	$822.15	$822.15
HANFORD-CORCORAN (CA)	$822.15	$822.15
MADERA (CA)	$822.15	$822.15
MERCED (CA)	$822.15	$822.15
MODESTO (CA)	$822.15	$822.15
REDDING (CA)	$822.15	$822.15
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$850.59	$850.59
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$852.95	$852.95
SALINAS (CA)	$849.63	$849.63
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$979.27	$979.27
SANTA CRUZ-WATSONVILLE (CA)	$865.46	$865.46
SANTA ROSA-PETALUMA (CA)	$873.47	$873.47
STOCKTON (CA)	$822.15	$822.15
VISALIA (CA)	$822.15	$822.15
YUBA CITY (CA)	$822.15	$822.15
EL CENTRO (CA)	$822.59	$822.59
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$862.77	$862.77
SAN LUIS OBISPO-PASO ROBLES (CA)	$837.24	$837.24
SANTA MARIA-SANTA BARBARA (CA)	$850.94	$850.94
REST OF CALIFORNIA (CA)	$822.15	$822.15
COLORADO (CO)	$830.68	$830.68
CONNECTICUT (CT)	$876.28	$876.28
DC + MD/VA SUBURBS (DC)	$916.19	$916.19
DELAWARE (DE)	$811.76	$811.76
FORT LAUDERDALE (FL)	$899.08	$899.08
MIAMI (FL)	$972.73	$972.73
REST OF FLORIDA (FL)	$852.07	$852.07
ATLANTA (GA)	$847.56	$847.56
REST OF GEORGIA (GA)	$802.08	$802.08
HAWAII, GUAM (HI)	$833.83	$833.83
IOWA (IA)	$739.79	$739.79
IDAHO (ID)	$748.27	$748.27
EAST ST. LOUIS (IL)	$884.67	$884.67
SUBURBAN CHICAGO (IL)	$903.49	$903.49
CHICAGO (IL)	$942.06	$942.06
REST OF ILLINOIS (IL)	$842.29	$842.29
INDIANA (IN)	$751.88	$751.88
KANSAS (KS)	$745.40	$745.40
KENTUCKY (KY)	$776.51	$776.51
NEW ORLEANS (LA)	$814.32	$814.32
REST OF LOUISIANA (LA)	$778.91	$778.91
METROPOLITAN BOSTON (MA)	$897.09	$897.09
REST OF MASSACHUSETTS (MA)	$829.77	$829.77
BALTIMORE/SURR. CNTYS (MD)	$875.74	$875.74
REST OF MARYLAND (MD)	$823.79	$823.79
SOUTHERN MAINE (ME)	$787.18	$787.18
REST OF MAINE (ME)	$761.46	$761.46
DETROIT (MI)	$871.43	$871.43
REST OF MICHIGAN (MI)	$803.88	$803.88
MINNESOTA (MN)	$770.87	$770.87
METROPOLITAN ST. LOUIS (MO)	$806.33	$806.33
METROPOLITAN KANSAS CITY (MO)	$799.55	$799.55
REST OF MISSOURI (MO)	$772.25	$772.25
MISSISSIPPI (MS)	$751.10	$751.10
MONTANA** (MT)	$822.82	$822.82
NORTH CAROLINA (NC)	$767.53	$767.53
NORTH DAKOTA** (ND)	$770.42	$770.42
NEBRASKA (NE)	$740.91	$740.91
NEW HAMPSHIRE (NH)	$826.33	$826.33
NORTHERN NJ (NJ)	$909.34	$909.34
REST OF NEW JERSEY (NJ)	$879.22	$879.22
NEW MEXICO (NM)	$811.65	$811.65
NEVADA** (NV)	$808.57	$808.57
MANHATTAN (NY)	$956.28	$956.28
NYC SUBURBS/LONG ISLAND (NY)	$989.74	$989.74
POUGHKPSIE/N NYC SUBURBS (NY)	$892.19	$892.19
QUEENS (NY)	$950.55	$950.55
REST OF NEW YORK (NY)	$779.16	$779.16
OHIO (OH)	$793.17	$793.17
OKLAHOMA (OK)	$765.70	$765.70
PORTLAND (OR)	$845.44	$845.44
REST OF OREGON (OR)	$795.31	$795.31
METROPOLITAN PHILADELPHIA (PA)	$861.38	$861.38
REST OF PENNSYLVANIA (PA)	$789.34	$789.34
PUERTO RICO (PR)	$825.53	$825.53
RHODE ISLAND (RI)	$832.31	$832.31
SOUTH CAROLINA (SC)	$783.04	$783.04
SOUTH DAKOTA** (SD)	$764.23	$764.23
TENNESSEE (TN)	$750.07	$750.07
BRAZORIA (TX)	$803.43	$803.43
DALLAS (TX)	$812.48	$812.48
GALVESTON (TX)	$808.38	$808.38
HOUSTON (TX)	$856.89	$856.89
BEAUMONT (TX)	$785.12	$785.12
FORT WORTH (TX)	$810.12	$810.12
AUSTIN (TX)	$834.04	$834.04
REST OF TEXAS (TX)	$796.51	$796.51
UTAH (UT)	$792.91	$792.91
VIRGINIA (VA)	$791.01	$791.01
VIRGIN ISLANDS (VI)	$825.53	$825.53
VERMONT (VT)	$775.76	$775.76
SEATTLE (KING CNTY) (WA)	$905.66	$905.66
REST OF WASHINGTON (WA)	$825.43	$825.43
WISCONSIN (WI)	$747.00	$747.00
WEST VIRGINIA (WV)	$815.16	$815.16
WYOMING** (WY)	$799.98	$799.98

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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 PFS payments are built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, then the adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings can have different practice-expense RVUs, reflecting different overhead costs, though for this code they are the same. The resulting national amount is a baseline; actual locality-specific payments differ based on each area's GPCI values.

RVUs — work 11.48, practice expense 10.51 (non-facility) / 10.51 (facility), malpractice 2.65 — × 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 insurer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Locality-specific GPCIs mean the actual allowed amount may differ from the national figure shown here.
Confirm current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why do facility and non-facility amounts sometimes differ?

They differ when the practice-expense RVU differs between settings, reflecting the fact that overhead costs (equipment, supplies, staff) are typically lower when a procedure is performed in a facility because the facility bills separately for those costs. For this code, the practice-expense RVU is the same in both settings, so the amounts match.

Why does the amount I'm paid differ from the national figure?

The national amount uses an average geographic adjustment. Your actual payment is calculated using the GPCIs for your specific Medicare locality, which can raise or lower the amount compared to the national figure.

Does this figure include the patient's coinsurance?

No. The amount shown is the total Medicare-allowed amount. Medicare generally pays 80% of this after the deductible is met, with the remaining 20% owed by the patient or a secondary payer.

Will this rate change during the year?

The conversion factor and RVUs are set annually but can be affected by legislative or regulatory adjustments, including budget-neutrality changes, so amounts may be updated mid-year in some cases.

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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.