Medicare Reimbursement for CPT 20150

CPT 20150 is a physician procedure code reported to Medicare for payment purposes; the exact clinical description is licensed by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both at the national level and adjusted for your locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$920.86	$920.86
ALASKA* (AK)	$1137.29	$1137.29
ALABAMA (AL)	$834.31	$834.31
ARKANSAS (AR)	$823.70	$823.70
ARIZONA (AZ)	$895.69	$895.69
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1046.78	$1046.78
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1061.97	$1061.97
OXNARD-THOUSAND OAKS-VENTURA (CA)	$957.55	$957.55
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$968.31	$968.31
NAPA (CA)	$1008.70	$1008.70
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1050.24	$1050.24
VALLEJO (CA)	$1003.71	$1003.71
BAKERSFIELD (CA)	$922.67	$922.67
CHICO (CA)	$914.27	$914.27
FRESNO (CA)	$914.27	$914.27
HANFORD-CORCORAN (CA)	$914.27	$914.27
MADERA (CA)	$914.27	$914.27
MERCED (CA)	$914.27	$914.27
MODESTO (CA)	$914.27	$914.27
REDDING (CA)	$914.27	$914.27
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$947.05	$947.05
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$946.09	$946.09
SALINAS (CA)	$942.33	$942.33
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1076.13	$1076.13
SANTA CRUZ-WATSONVILLE (CA)	$956.50	$956.50
SANTA ROSA-PETALUMA (CA)	$965.22	$965.22
STOCKTON (CA)	$914.27	$914.27
VISALIA (CA)	$914.27	$914.27
YUBA CITY (CA)	$914.27	$914.27
EL CENTRO (CA)	$914.78	$914.78
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$955.00	$955.00
SAN LUIS OBISPO-PASO ROBLES (CA)	$928.84	$928.84
SANTA MARIA-SANTA BARBARA (CA)	$943.26	$943.26
REST OF CALIFORNIA (CA)	$914.27	$914.27
COLORADO (CO)	$925.99	$925.99
CONNECTICUT (CT)	$977.94	$977.94
DC + MD/VA SUBURBS (DC)	$1018.60	$1018.60
DELAWARE (DE)	$908.91	$908.91
FORT LAUDERDALE (FL)	$1007.58	$1007.58
MIAMI (FL)	$1090.51	$1090.51
REST OF FLORIDA (FL)	$957.20	$957.20
ATLANTA (GA)	$948.20	$948.20
REST OF GEORGIA (GA)	$903.84	$903.84
HAWAII, GUAM (HI)	$924.37	$924.37
IOWA (IA)	$830.65	$830.65
IDAHO (ID)	$840.08	$840.08
EAST ST. LOUIS (IL)	$997.07	$997.07
SUBURBAN CHICAGO (IL)	$1012.02	$1012.02
CHICAGO (IL)	$1057.84	$1057.84
REST OF ILLINOIS (IL)	$948.75	$948.75
INDIANA (IN)	$843.78	$843.78
KANSAS (KS)	$837.82	$837.82
KENTUCKY (KY)	$874.61	$874.61
NEW ORLEANS (LA)	$914.74	$914.74
REST OF LOUISIANA (LA)	$877.64	$877.64
METROPOLITAN BOSTON (MA)	$995.05	$995.05
REST OF MASSACHUSETTS (MA)	$925.82	$925.82
BALTIMORE/SURR. CNTYS (MD)	$977.42	$977.42
REST OF MARYLAND (MD)	$921.38	$921.38
SOUTHERN MAINE (ME)	$880.22	$880.22
REST OF MAINE (ME)	$855.26	$855.26
DETROIT (MI)	$978.89	$978.89
REST OF MICHIGAN (MI)	$904.54	$904.54
MINNESOTA (MN)	$858.97	$858.97
METROPOLITAN ST. LOUIS (MO)	$904.81	$904.81
METROPOLITAN KANSAS CITY (MO)	$897.86	$897.86
REST OF MISSOURI (MO)	$871.48	$871.48
MISSISSIPPI (MS)	$847.20	$847.20
MONTANA** (MT)	$920.66	$920.66
NORTH CAROLINA (NC)	$861.39	$861.39
NORTH DAKOTA** (ND)	$860.35	$860.35
NEBRASKA (NE)	$831.42	$831.42
NEW HAMPSHIRE (NH)	$922.01	$922.01
NORTHERN NJ (NJ)	$1012.24	$1012.24
REST OF NEW JERSEY (NJ)	$981.12	$981.12
NEW MEXICO (NM)	$913.23	$913.23
NEVADA** (NV)	$904.19	$904.19
MANHATTAN (NY)	$1066.17	$1066.17
NYC SUBURBS/LONG ISLAND (NY)	$1102.92	$1102.92
POUGHKPSIE/N NYC SUBURBS (NY)	$996.04	$996.04
QUEENS (NY)	$1058.27	$1058.27
REST OF NEW YORK (NY)	$873.67	$873.67
OHIO (OH)	$892.21	$892.21
OKLAHOMA (OK)	$861.91	$861.91
PORTLAND (OR)	$940.06	$940.06
REST OF OREGON (OR)	$889.25	$889.25
METROPOLITAN PHILADELPHIA (PA)	$963.06	$963.06
REST OF PENNSYLVANIA (PA)	$887.49	$887.49
PUERTO RICO (PR)	$923.06	$923.06
RHODE ISLAND (RI)	$930.16	$930.16
SOUTH CAROLINA (SC)	$879.84	$879.84
SOUTH DAKOTA** (SD)	$853.22	$853.22
TENNESSEE (TN)	$842.88	$842.88
BRAZORIA (TX)	$899.25	$899.25
DALLAS (TX)	$909.36	$909.36
GALVESTON (TX)	$904.81	$904.81
HOUSTON (TX)	$960.64	$960.64
BEAUMONT (TX)	$883.15	$883.15
FORT WORTH (TX)	$907.30	$907.30
AUSTIN (TX)	$929.85	$929.85
REST OF TEXAS (TX)	$893.71	$893.71
UTAH (UT)	$890.15	$890.15
VIRGINIA (VA)	$885.15	$885.15
VIRGIN ISLANDS (VI)	$923.06	$923.06
VERMONT (VT)	$867.15	$867.15
SEATTLE (KING CNTY) (WA)	$1003.12	$1003.12
REST OF WASHINGTON (WA)	$920.71	$920.71
WISCONSIN (WI)	$836.14	$836.14
WEST VIRGINIA (WV)	$920.40	$920.40
WYOMING** (WY)	$894.38	$894.38

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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 Physician Fee Schedule assigns each code three Relative Value Units (RVUs): 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 performed, then the adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often have different practice-expense RVUs, which is why the same code can show two different allowed amounts. For this code, the non-facility and facility amounts shown are currently the same, meaning the practice-expense RVU component does not differ between settings.

RVUs — work 14.38, practice expense 10.14 (non-facility) / 10.14 (facility), malpractice 3.05 — × 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.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Locality-adjusted GPCI values and the conversion factor are updated annually and may differ from the figures shown if CMS issues mid-year corrections.
Always confirm current rates and coverage policy with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

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

When the practice-expense RVU is identical in both settings, the calculated allowed amount comes out the same, even though non-facility and facility rates are generally calculated separately.

Does this amount reflect what my practice will actually be paid?

No. It's a PFS estimate before adjustments for deductible status, secondary insurance, modifiers, or locality-specific corrections your MAC may apply.

Why does the amount change depending on where the code is performed?

Medicare's fee schedule accounts for differences in overhead and resource costs between office/non-facility settings and hospital/facility settings, which is reflected in the practice-expense RVU.

Why can't you show the CPT code description?

CPT code descriptors are copyrighted and licensed by the American Medical Association, so we reference the procedure generically rather than reproducing the official language.

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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.