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CPT 81503

Priced under CLFS

81503 · PFS Q2 2015 · Historical

Status X is not separately payable under the PFS.

View applicable payment rules
View CMS source and method

Not at a published national rate. CPT 81503 carries status X (statutory exclusion) in the Q2 2015 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0.

PFS status evidence

Physician relative value file (Q2 2015) · rvu15b.zip (PPRRVU15_V0213_Current.csv row 13,173)
Inspect PFS status evidence
Code
81503
Release
Q2 2015, revision 1
Result
Priced under CLFS

Citations

  • Establishes the PFS status (X) and the resulting pathway for this code: priced under clfs.

    Physician relative value file (PPRRVU)

    Q2 2015 · revision 1

    Latest revision of this release

    Release period: April 1 – June 30, 2015

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    Record details PPRRVU15_V0213_Current.csv in rvu15b.zip (row 13,173)
    hcpcs (col 1)
    81503
    modifier (col 2)
    blank
    status_code (col 4)
    X

    SHA-256: 61c24302bb17747bddd4aa44ef136d9628930f35dd595e299d9a5370bd394705

    Original source file

Compact facts

Why is there no national PFS amount for 81503?

Its status indicator is X (statutory exclusion). The statutory definition of physician services does not include this item. Status X is not separately payable under the PFS.

Payment considerations Copy link

Review the applicable inputs and payment rules. Each link opens the supporting detail on this page.

Other fee-schedule routing Applies
Other payment indicators (9)

Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Contractor pricing: Does not apply.

Payment rules

Global period: what 81503's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Can you bill it with another code? Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and 81503.

See every current NCCI pair for 81503 →

Common payment questions Copy link

Why would a Medicare claim for 81503 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is X (statutory exclusion)—The statutory definition of physician services does not include this item. See status indicators

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

History

Rate history by release Copy link

National non-facility amount for 81503 across quarterly releases.

Release Status Non-facility Facility
Q4 2026 takes effect Oct 1, 2026 X — —
Q3 2026 Jul 1, 2026 – Sep 30, 2026 X — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 X — —
When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Usage & related

How often 81503 is billed Copy link

Across Original Medicare in CY2024, 81503 ranked #2,767 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.

Beneficiaries
1,553
Office + facility patients combined
Services
1,582
Times it was billed
Allowed
$1.4M
Total Medicare allowed dollars
Compare: ↑ #2,766 more popular · 73722 ↓ #2,769 less popular · 94016

2024 Medicare fee-for-service national totals. They exclude Medicare Advantage, Medicaid and commercial volume, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q2 2015 fee schedule above.

Did this answer your question about CPT 81503?

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Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q2 2015 release (effective April 2015). National baselines use GPCI 1.000 and exclude sequestration. Status and payment instructions determine whether a national amount is established; blank RVUs stay blank. Releases are immutable: historical evidence remains tied to the specified release. Our methodology covers the depth: sourcing, parsing, versioning, and how we cross-check claims before they ship.

Physician relative value file (Q2 2015) · rvu15b.zip (PPRRVU15_V0213_Current.csv row 13,173)

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This citation identifies the source release, so its evidence remains reproducible after a newer release lands.

CPT 81503 National PFS baseline: No national PFS rate (Q2 2015; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/cpt/81503/2015/B