Billing code 15876Medicare rate & RVUs

Compare 15876 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $0.00 for 15876 nationally in the office and $0.00 in a hospital or facility.

Medicare rate · 15876

Code 15876

Work RVUs
0
Total RVUs
0.00
Global days
000

National rate · 2026

$0.00

Office setting, before claim adjustments.

See every locality for 15876 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 6 sections
  1. Medicare rate
  2. By payment locality
  3. Rate map
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 15876 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$0.00 to $0.00

$0.00$0.50$0.00
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

15876 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$0.00$0.00
Alaska*$0.00$0.00
Arizona$0.00$0.00
Arkansas$0.00$0.00
Atlanta$0.00$0.00
Austin$0.00$0.00
Bakersfield$0.00$0.00
Baltimore/Surr. Cntys$0.00$0.00
Beaumont$0.00$0.00
Brazoria$0.00$0.00

15876 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$0.00

$0.00

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
15876 office rate range by state
State / territoryOffice rate rangeLocalities
AK$0.001
AL$0.001
AR$0.001
AZ$0.001
CA$0.0029
CO$0.001
CT$0.001
DC$0.001
DE$0.001
FL$0.003
GA$0.002
GU$0.001
HI$0.001
IA$0.001
ID$0.001
IL$0.004
IN$0.001
KS$0.001
KY$0.001
LA$0.002
MA$0.002
MD$0.003
ME$0.002
MI$0.002
MN$0.001
MO$0.003
MS$0.001
MT$0.001
NC$0.001
ND$0.001
NE$0.001
NH$0.001
NJ$0.002
NM$0.001
NV$0.001
NY$0.005
OH$0.001
OK$0.001
OR$0.002
PA$0.002
PR$0.001
RI$0.001
SC$0.001
SD$0.001
TN$0.001
TX$0.008
UT$0.001
VA$0.002
VI$0.001
VT$0.001
WA$0.002
WI$0.001
WV$0.001
WY$0.001

How the 15876 rate is calculated

Each of 15876’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 15876

RVUs × geographic indexes × conversion factor

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 15876

The CMS indicators that decide how 15876 is paid alongside other services.

CMS payment indicators · 15876

Code 15876

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

15876 without 51 · national office

$0.00

15876-51 · Second procedure: 50%

$0.00

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 15876PPRRVU2026_Oct_nonQPP.csv, line 1,589 (RVU26D)

Open CMS sourceHow we calculate rates

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