Medicare Reimbursement for CPT 15941

CPT 15941 is a physician procedure code; this page explains how CMS calculates its Medicare Physician Fee Schedule (PFS) allowed amount. Estimates are shown nationally and can vary by locality, and separately for non-facility (office) and facility (hospital/ASC) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$866.09	$866.09
ALASKA* (AK)	$1059.56	$1059.56
ALABAMA (AL)	$785.12	$785.12
ARKANSAS (AR)	$775.10	$775.10
ARIZONA (AZ)	$843.27	$843.27
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1019.85	$1019.85
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1036.18	$1036.18
OXNARD-THOUSAND OAKS-VENTURA (CA)	$919.46	$919.46
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$928.19	$928.19
NAPA (CA)	$977.57	$977.57
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1022.40	$1022.40
VALLEJO (CA)	$973.89	$973.89
BAKERSFIELD (CA)	$881.51	$881.51
CHICO (CA)	$875.22	$875.22
FRESNO (CA)	$875.22	$875.22
HANFORD-CORCORAN (CA)	$875.22	$875.22
MADERA (CA)	$875.22	$875.22
MERCED (CA)	$875.22	$875.22
MODESTO (CA)	$875.22	$875.22
REDDING (CA)	$875.22	$875.22
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$899.44	$899.44
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$908.81	$908.81
SALINAS (CA)	$905.24	$905.24
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1046.63	$1046.63
SANTA CRUZ-WATSONVILLE (CA)	$922.86	$922.86
SANTA ROSA-PETALUMA (CA)	$931.53	$931.53
STOCKTON (CA)	$875.22	$875.22
VISALIA (CA)	$875.22	$875.22
YUBA CITY (CA)	$875.22	$875.22
EL CENTRO (CA)	$875.59	$875.59
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$919.60	$919.60
SAN LUIS OBISPO-PASO ROBLES (CA)	$891.85	$891.85
SANTA MARIA-SANTA BARBARA (CA)	$906.74	$906.74
REST OF CALIFORNIA (CA)	$875.22	$875.22
COLORADO (CO)	$879.23	$879.23
CONNECTICUT (CT)	$919.73	$919.73
DC + MD/VA SUBURBS (DC)	$965.25	$965.25
DELAWARE (DE)	$855.87	$855.87
FORT LAUDERDALE (FL)	$931.84	$931.84
MIAMI (FL)	$996.85	$996.85
REST OF FLORIDA (FL)	$886.87	$886.87
ATLANTA (GA)	$888.59	$888.59
REST OF GEORGIA (GA)	$838.74	$838.74
HAWAII, GUAM (HI)	$887.44	$887.44
IOWA (IA)	$787.89	$787.89
IDAHO (ID)	$795.54	$795.54
EAST ST. LOUIS (IL)	$911.35	$911.35
SUBURBAN CHICAGO (IL)	$937.37	$937.37
CHICAGO (IL)	$968.17	$968.17
REST OF ILLINOIS (IL)	$874.75	$874.75
INDIANA (IN)	$799.22	$799.22
KANSAS (KS)	$791.68	$791.68
KENTUCKY (KY)	$816.76	$816.76
NEW ORLEANS (LA)	$853.49	$853.49
REST OF LOUISIANA (LA)	$818.45	$818.45
METROPOLITAN BOSTON (MA)	$949.42	$949.42
REST OF MASSACHUSETTS (MA)	$877.80	$877.80
BALTIMORE/SURR. CNTYS (MD)	$918.60	$918.60
REST OF MARYLAND (MD)	$868.61	$868.61
SOUTHERN MAINE (ME)	$834.87	$834.87
REST OF MAINE (ME)	$806.74	$806.74
DETROIT (MI)	$904.10	$904.10
REST OF MICHIGAN (MI)	$842.13	$842.13
MINNESOTA (MN)	$824.40	$824.40
METROPOLITAN ST. LOUIS (MO)	$847.67	$847.67
METROPOLITAN KANSAS CITY (MO)	$840.76	$840.76
REST OF MISSOURI (MO)	$810.76	$810.76
MISSISSIPPI (MS)	$792.71	$792.71
MONTANA** (MT)	$865.94	$865.94
NORTH CAROLINA (NC)	$813.04	$813.04
NORTH DAKOTA** (ND)	$821.45	$821.45
NEBRASKA (NE)	$789.56	$789.56
NEW HAMPSHIRE (NH)	$872.55	$872.55
NORTHERN NJ (NJ)	$958.54	$958.54
REST OF NEW JERSEY (NJ)	$925.13	$925.13
NEW MEXICO (NM)	$849.09	$849.09
NEVADA** (NV)	$853.92	$853.92
MANHATTAN (NY)	$998.65	$998.65
NYC SUBURBS/LONG ISLAND (NY)	$1029.46	$1029.46
POUGHKPSIE/N NYC SUBURBS (NY)	$936.80	$936.80
QUEENS (NY)	$995.56	$995.56
REST OF NEW YORK (NY)	$824.43	$824.43
OHIO (OH)	$833.04	$833.04
OKLAHOMA (OK)	$807.94	$807.94
PORTLAND (OR)	$896.25	$896.25
REST OF OREGON (OR)	$842.22	$842.22
METROPOLITAN PHILADELPHIA (PA)	$903.72	$903.72
REST OF PENNSYLVANIA (PA)	$830.24	$830.24
PUERTO RICO (PR)	$869.21	$869.21
RHODE ISLAND (RI)	$878.41	$878.41
SOUTH CAROLINA (SC)	$825.42	$825.42
SOUTH DAKOTA** (SD)	$816.18	$816.18
TENNESSEE (TN)	$796.09	$796.09
BRAZORIA (TX)	$849.30	$849.30
DALLAS (TX)	$857.50	$857.50
GALVESTON (TX)	$853.68	$853.68
HOUSTON (TX)	$894.87	$894.87
BEAUMONT (TX)	$825.94	$825.94
FORT WORTH (TX)	$854.61	$854.61
AUSTIN (TX)	$880.76	$880.76
REST OF TEXAS (TX)	$839.07	$839.07
UTAH (UT)	$835.21	$835.21
VIRGINIA (VA)	$837.42	$837.42
VIRGIN ISLANDS (VI)	$869.21	$869.21
VERMONT (VT)	$825.09	$825.09
SEATTLE (KING CNTY) (WA)	$960.34	$960.34
REST OF WASHINGTON (WA)	$873.88	$873.88
WISCONSIN (WI)	$797.84	$797.84
WEST VIRGINIA (WV)	$847.81	$847.81
WYOMING** (WY)	$846.55	$846.55

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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 starts with three Relative Value Units (RVUs) assigned to the code: physician work, practice expense (PE), and malpractice (MP). Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality to reflect local cost differences, then the adjusted RVUs are summed and multiplied by the annual national conversion factor (a dollar-per-RVU rate set by CMS) to produce the allowed amount. Practice-expense RVUs typically differ between non-facility (e.g., physician office) and facility (e.g., hospital, ASC) settings because overhead costs differ; for this code, the non-facility and facility PE RVUs are the same, so the national non-facility and facility amounts shown here are equal. Work and malpractice RVUs do not change by setting.

RVUs — work 12.1, practice expense 11.58 (non-facility) / 11.58 (facility), malpractice 2.25 — × 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 payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Locality-specific GPCIs mean the real allowed amount can differ from the national figure shown here.
Always confirm current-year rates and locality pricing with your Medicare Administrative Contractor (MAC).

Frequently asked

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

The allowed amount depends on the practice-expense RVU assigned for each setting. For this code, CMS has set the non-facility and facility PE RVUs equal, so the calculated amounts match.

Why might my locality's reimbursement differ from the national amount shown?

The national amount uses a GPCI value of 1.0 for all three components. Actual locality amounts apply that area's specific work, PE, and MP GPCI factors, which can raise or lower the final payment.

Does this amount reflect what the patient or secondary insurer owes?

No. The figure shown is the Medicare-allowed amount. After the deductible is met, Medicare generally pays 80% of this amount, and the remaining 20% (plus any unmet deductible) is the patient's or secondary payer's responsibility.

Will this amount change during the year?

The conversion factor and RVUs are set annually by CMS but can be affected by mid-year legislative or budget-neutrality adjustments, so billers should verify current rates periodically.

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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.