CPT code 715522026 Medicare rate & RVUs in Washington

Compare 71552 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20262 payment localities8.9K Medicare services in 2024

CMS doesn’t publish an office rate for 71552 in Washington.

—Office (non-facility)
—Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 5 sections
  1. Rate in Washington
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

Where 71552 pays more and less in Washington

71552 office and facility rates by payment locality
Payment localityOfficeFacility
King County, WAUnavailableUnavailable
Rest of WashingtonUnavailableUnavailable

How the 71552 rate is calculated

Each of 71552’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 · 71552

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.20

2.20 RVUs× 1.000 GPCI

Practice expense11.58

11.58 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

13.9500

Conversion factor

$33.4009

Medicare rate

$465.94

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

Payment rules and modifiers for 71552

The CMS indicators that decide how 71552 is paid alongside other services.

CMS payment indicators · 71552

Code 71552

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

71552 without 26 · national office

$465.94

71552-26 · Professional component

$103.88

Pays only the interpretation and report.

When to use modifier 26

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

Open CMS sourceHow we calculate rates

Did this answer your question about what 71552 pays in Washington?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 71552 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →