Medicare Reimbursement for CPT 23615

CPT 23615 is a physician procedure code reported under Medicare Part B. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code, both at the national level and adjusted by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$823.67	$823.67
ALASKA* (AK)	$1008.66	$1008.66
ALABAMA (AL)	$745.07	$745.07
ARKANSAS (AR)	$735.39	$735.39
ARIZONA (AZ)	$801.15	$801.15
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$953.30	$953.30
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$967.86	$967.86
OXNARD-THOUSAND OAKS-VENTURA (CA)	$865.41	$865.41
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$874.37	$874.37
NAPA (CA)	$916.10	$916.10
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$956.13	$956.13
VALLEJO (CA)	$912.03	$912.03
BAKERSFIELD (CA)	$831.40	$831.40
CHICO (CA)	$824.53	$824.53
FRESNO (CA)	$824.53	$824.53
HANFORD-CORCORAN (CA)	$824.53	$824.53
MADERA (CA)	$824.53	$824.53
MERCED (CA)	$824.53	$824.53
MODESTO (CA)	$824.53	$824.53
REDDING (CA)	$824.53	$824.53
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$851.29	$851.29
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$854.92	$854.92
SALINAS (CA)	$851.55	$851.55
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$979.42	$979.42
SANTA CRUZ-WATSONVILLE (CA)	$866.59	$866.59
SANTA ROSA-PETALUMA (CA)	$874.62	$874.62
STOCKTON (CA)	$824.53	$824.53
VISALIA (CA)	$824.53	$824.53
YUBA CITY (CA)	$824.53	$824.53
EL CENTRO (CA)	$824.94	$824.94
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$864.23	$864.23
SAN LUIS OBISPO-PASO ROBLES (CA)	$839.15	$839.15
SANTA MARIA-SANTA BARBARA (CA)	$852.73	$852.73
REST OF CALIFORNIA (CA)	$824.53	$824.53
COLORADO (CO)	$832.02	$832.02
CONNECTICUT (CT)	$875.32	$875.32
DC + MD/VA SUBURBS (DC)	$915.21	$915.21
DELAWARE (DE)	$813.19	$813.19
FORT LAUDERDALE (FL)	$895.29	$895.29
MIAMI (FL)	$964.77	$964.77
REST OF FLORIDA (FL)	$850.54	$850.54
ATLANTA (GA)	$847.02	$847.02
REST OF GEORGIA (GA)	$802.91	$802.91
HAWAII, GUAM (HI)	$835.24	$835.24
IOWA (IA)	$744.61	$744.61
IDAHO (ID)	$752.63	$752.63
EAST ST. LOUIS (IL)	$880.80	$880.80
SUBURBAN CHICAGO (IL)	$899.86	$899.86
CHICAGO (IL)	$935.87	$935.87
REST OF ILLINOIS (IL)	$840.91	$840.91
INDIANA (IN)	$756.10	$756.10
KANSAS (KS)	$749.77	$749.77
KENTUCKY (KY)	$778.85	$778.85
NEW ORLEANS (LA)	$814.92	$814.92
REST OF LOUISIANA (LA)	$781.07	$781.07
METROPOLITAN BOSTON (MA)	$896.90	$896.90
REST OF MASSACHUSETTS (MA)	$831.21	$831.21
BALTIMORE/SURR. CNTYS (MD)	$874.61	$874.61
REST OF MARYLAND (MD)	$824.93	$824.93
SOUTHERN MAINE (ME)	$789.92	$789.92
REST OF MAINE (ME)	$765.03	$765.03
DETROIT (MI)	$868.82	$868.82
REST OF MICHIGAN (MI)	$804.81	$804.81
MINNESOTA (MN)	$774.98	$774.98
METROPOLITAN ST. LOUIS (MO)	$807.51	$807.51
METROPOLITAN KANSAS CITY (MO)	$801.01	$801.01
REST OF MISSOURI (MO)	$774.58	$774.58
MISSISSIPPI (MS)	$754.70	$754.70
MONTANA** (MT)	$823.50	$823.50
NORTH CAROLINA (NC)	$770.86	$770.86
NORTH DAKOTA** (ND)	$774.26	$774.26
NEBRASKA (NE)	$745.75	$745.75
NEW HAMPSHIRE (NH)	$827.21	$827.21
NORTHERN NJ (NJ)	$908.96	$908.96
REST OF NEW JERSEY (NJ)	$879.03	$879.03
NEW MEXICO (NM)	$812.16	$812.16
NEVADA** (NV)	$810.12	$810.12
MANHATTAN (NY)	$953.12	$953.12
NYC SUBURBS/LONG ISLAND (NY)	$984.84	$984.84
POUGHKPSIE/N NYC SUBURBS (NY)	$891.45	$891.45
QUEENS (NY)	$947.94	$947.94
REST OF NEW YORK (NY)	$781.96	$781.96
OHIO (OH)	$794.75	$794.75
OKLAHOMA (OK)	$768.74	$768.74
PORTLAND (OR)	$846.53	$846.53
REST OF OREGON (OR)	$797.61	$797.61
METROPOLITAN PHILADELPHIA (PA)	$860.87	$860.87
REST OF PENNSYLVANIA (PA)	$791.21	$791.21
PUERTO RICO (PR)	$826.16	$826.16
RHODE ISLAND (RI)	$833.51	$833.51
SOUTH CAROLINA (SC)	$785.35	$785.35
SOUTH DAKOTA** (SD)	$768.44	$768.44
TENNESSEE (TN)	$754.22	$754.22
BRAZORIA (TX)	$805.51	$805.51
DALLAS (TX)	$814.10	$814.10
GALVESTON (TX)	$810.18	$810.18
HOUSTON (TX)	$855.76	$855.76
BEAUMONT (TX)	$787.16	$787.16
FORT WORTH (TX)	$811.78	$811.78
AUSTIN (TX)	$834.71	$834.71
REST OF TEXAS (TX)	$798.26	$798.26
UTAH (UT)	$794.78	$794.78
VIRGINIA (VA)	$793.43	$793.43
VIRGIN ISLANDS (VI)	$826.16	$826.16
VERMONT (VT)	$779.18	$779.18
SEATTLE (KING CNTY) (WA)	$905.66	$905.66
REST OF WASHINGTON (WA)	$827.02	$827.02
WISCONSIN (WI)	$751.83	$751.83
WEST VIRGINIA (WV)	$814.97	$814.97
WYOMING** (WY)	$802.04	$802.04

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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: Policy. 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) — work, practice expense (PE), and malpractice (MP) — assigned to the code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, to reflect local cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility rates can differ because the PE RVU reflects whether the practice or the facility bears the overhead costs of the service.

RVUs — work 11.99, practice expense 10.18 (non-facility) / 10.18 (facility), malpractice 2.49 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This amount is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the Part B deductible is met; the patient or secondary insurer is responsible for the remainder.
Modifiers, sequestration, multiple-procedure reductions, and annual budget-neutrality adjustments can change the actual paid amount.
Local Medicare Administrative Contractor (MAC) policies and coverage determinations may affect whether or how this code is reimbursed.
Always verify current-year rates and locality-specific amounts directly with your MAC before billing.

Frequently asked

Why does the reimbursement amount differ between non-facility and facility settings?

The practice expense RVU differs because, in a facility setting, the facility (not the billing physician) incurs certain overhead costs such as equipment and staff, which lowers the PE RVU applied to the physician's payment.

Does this figure represent what Medicare will actually pay?

No. It represents the Medicare-allowed amount before the patient's deductible and coinsurance are applied. Medicare generally pays 80% of this amount once the deductible is met.

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

Geographic Practice Cost Indices (GPCIs) adjust the RVUs to reflect differences in local costs for work, practice expense, and malpractice insurance, which can raise or lower the amount compared to the national average.

Can modifiers change this amount?

Yes. Modifiers such as those indicating bilateral procedures, multiple procedures, or reduced services can increase or decrease the final payment relative to the base PFS amount shown here.

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.