Medicare Reimbursement for CPT Code 15944

This page covers a CPT procedure code (the AMA-licensed descriptor is not reproduced here). It shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount nationally and adjusted for your locality, broken out by non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$851.05	$851.05
ALASKA* (AK)	$1043.99	$1043.99
ALABAMA (AL)	$772.10	$772.10
ARKANSAS (AR)	$762.33	$762.33
ARIZONA (AZ)	$828.74	$828.74
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$998.34	$998.34
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1014.18	$1014.18
OXNARD-THOUSAND OAKS-VENTURA (CA)	$901.54	$901.54
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$910.26	$910.26
NAPA (CA)	$957.50	$957.50
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1000.89	$1000.89
VALLEJO (CA)	$953.82	$953.82
BAKERSFIELD (CA)	$864.96	$864.96
CHICO (CA)	$858.66	$858.66
FRESNO (CA)	$858.66	$858.66
HANFORD-CORCORAN (CA)	$858.66	$858.66
MADERA (CA)	$858.66	$858.66
MERCED (CA)	$858.66	$858.66
MODESTO (CA)	$858.66	$858.66
REDDING (CA)	$858.66	$858.66
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$882.89	$882.89
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$891.20	$891.20
SALINAS (CA)	$887.69	$887.69
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1024.62	$1024.62
SANTA CRUZ-WATSONVILLE (CA)	$904.40	$904.40
SANTA ROSA-PETALUMA (CA)	$912.87	$912.87
STOCKTON (CA)	$858.66	$858.66
VISALIA (CA)	$858.66	$858.66
YUBA CITY (CA)	$858.66	$858.66
EL CENTRO (CA)	$859.04	$859.04
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$901.46	$901.46
SAN LUIS OBISPO-PASO ROBLES (CA)	$874.61	$874.61
SANTA MARIA-SANTA BARBARA (CA)	$889.07	$889.07
REST OF CALIFORNIA (CA)	$858.66	$858.66
COLORADO (CO)	$863.19	$863.19
CONNECTICUT (CT)	$903.49	$903.49
DC + MD/VA SUBURBS (DC)	$947.42	$947.42
DELAWARE (DE)	$841.04	$841.04
FORT LAUDERDALE (FL)	$916.60	$916.60
MIAMI (FL)	$981.16	$981.16
REST OF FLORIDA (FL)	$872.54	$872.54
ATLANTA (GA)	$873.31	$873.31
REST OF GEORGIA (GA)	$825.44	$825.44
HAWAII, GUAM (HI)	$870.21	$870.21
IOWA (IA)	$774.22	$774.22
IDAHO (ID)	$781.79	$781.79
EAST ST. LOUIS (IL)	$897.60	$897.60
SUBURBAN CHICAGO (IL)	$921.92	$921.92
CHICAGO (IL)	$953.07	$953.07
REST OF ILLINOIS (IL)	$861.11	$861.11
INDIANA (IN)	$785.36	$785.36
KANSAS (KS)	$778.19	$778.19
KENTUCKY (KY)	$803.51	$803.51
NEW ORLEANS (LA)	$839.40	$839.40
REST OF LOUISIANA (LA)	$805.26	$805.26
METROPOLITAN BOSTON (MA)	$931.32	$931.32
REST OF MASSACHUSETTS (MA)	$861.93	$861.93
BALTIMORE/SURR. CNTYS (MD)	$902.41	$902.41
REST OF MARYLAND (MD)	$853.39	$853.39
SOUTHERN MAINE (ME)	$819.99	$819.99
REST OF MAINE (ME)	$792.99	$792.99
DETROIT (MI)	$889.63	$889.63
REST OF MICHIGAN (MI)	$828.49	$828.49
MINNESOTA (MN)	$808.90	$808.90
METROPOLITAN ST. LOUIS (MO)	$833.41	$833.41
METROPOLITAN KANSAS CITY (MO)	$826.71	$826.71
REST OF MISSOURI (MO)	$797.94	$797.94
MISSISSIPPI (MS)	$779.91	$779.91
MONTANA** (MT)	$850.90	$850.90
NORTH CAROLINA (NC)	$799.08	$799.08
NORTH DAKOTA** (ND)	$806.41	$806.41
NEBRASKA (NE)	$775.76	$775.76
NEW HAMPSHIRE (NH)	$856.86	$856.86
NORTHERN NJ (NJ)	$941.01	$941.01
REST OF NEW JERSEY (NJ)	$908.66	$908.66
NEW MEXICO (NM)	$835.39	$835.39
NEVADA** (NV)	$838.88	$838.88
MANHATTAN (NY)	$981.09	$981.09
NYC SUBURBS/LONG ISLAND (NY)	$1011.46	$1011.46
POUGHKPSIE/N NYC SUBURBS (NY)	$920.29	$920.29
QUEENS (NY)	$977.68	$977.68
REST OF NEW YORK (NY)	$810.20	$810.20
OHIO (OH)	$819.40	$819.40
OKLAHOMA (OK)	$794.63	$794.63
PORTLAND (OR)	$879.45	$879.45
REST OF OREGON (OR)	$827.25	$827.25
METROPOLITAN PHILADELPHIA (PA)	$888.05	$888.05
REST OF PENNSYLVANIA (PA)	$816.52	$816.52
PUERTO RICO (PR)	$854.01	$854.01
RHODE ISLAND (RI)	$862.87	$862.87
SOUTH CAROLINA (SC)	$811.61	$811.61
SOUTH DAKOTA** (SD)	$801.15	$801.15
TENNESSEE (TN)	$782.52	$782.52
BRAZORIA (TX)	$834.43	$834.43
DALLAS (TX)	$842.55	$842.55
GALVESTON (TX)	$838.77	$838.77
HOUSTON (TX)	$879.96	$879.96
BEAUMONT (TX)	$812.35	$812.35
FORT WORTH (TX)	$839.82	$839.82
AUSTIN (TX)	$864.80	$864.80
REST OF TEXAS (TX)	$824.86	$824.86
UTAH (UT)	$821.14	$821.14
VIRGINIA (VA)	$822.66	$822.66
VIRGIN ISLANDS (VI)	$854.01	$854.01
VERMONT (VT)	$810.22	$810.22
SEATTLE (KING CNTY) (WA)	$941.72	$941.72
REST OF WASHINGTON (WA)	$858.01	$858.01
WISCONSIN (WI)	$783.48	$783.48
WEST VIRGINIA (WV)	$834.88	$834.88
WYOMING** (WY)	$831.52	$831.52

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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, and malpractice. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is billed, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Practice-expense RVUs typically differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ, which is why the two amounts can diverge — for some codes, like this one, they may come out equal. The conversion factor is set annually by CMS and applies uniformly nationwide, while GPCIs vary by locality.

RVUs — work 12.13, practice expense 11.1 (non-facility) / 11.1 (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 patient or secondary insurer is generally responsible for the remainder.
Actual payment can vary by locality, facility vs. non-facility status, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
Always verify the final allowed amount and any site-of-service or modifier rules with your Medicare Administrative Contractor (MAC).

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 resulting PFS amount comes out the same for non-facility and facility claims. This isn't universal — many codes have different RVUs (and thus different payments) by setting.

What do work, practice expense, and malpractice RVUs represent?

Work RVUs reflect physician time, skill, and effort; practice expense RVUs reflect overhead costs like staff and supplies (which vary by setting); malpractice RVUs reflect liability insurance costs. All three are summed, geographically adjusted, and converted to a dollar amount.

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

GPCIs adjust each RVU component based on local costs of labor, rent, and malpractice insurance, so the same code can pay more or less depending on where the service is furnished.

Does the conversion factor change every year?

Yes. CMS updates the conversion factor annually, and it can shift due to legislative adjustments, budget-neutrality requirements, and other policy changes, which affects payment for all PFS codes including this one.

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.