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CPT code 15570: Skin flap, trunk pedicle2026 Medicare rate & RVUs in Puerto Rico

Reports creation of a direct or tubed skin pedicle flap on the trunk, with or without transfer, for reconstructive coverage of a defect.

CMS RVU26DEffective Oct 1, 2026One payment locality209 Medicare services in 2024

In Puerto Rico, Medicare pays $986.73 for 15570 in the office and $674.71 when it’s performed in a hospital or facility.

$986.73Office (non-facility)
$674.71Hospital or facility
+0.6%vs the national office rate ($981.32)

Check a contract rate as a % of Medicare · 15570 nationwide

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

We’ll open 15570 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 15570 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 15570 covers

This service covers creating a skin flap that remains attached to its blood supply through a pedicle, with or without moving it to the recipient site. It is used for trunk reconstruction, such as coverage of a defect on the chest, back, or abdomen. Plastic and reconstructive surgeons commonly perform the procedure in a hospital or outpatient surgical setting when local tissue can be used to cover the defect while maintaining vascular attachment.

Select the code by the flap method and the trunk location, rather than by defect size alone; document the donor and recipient sites and how the flap is formed and transferred. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for 15570

Across 109 of 109 payment localities, the office rate for 15570 runs from $866.95 in Arkansas to $1,244.50 in San Benito County, CA. Puerto Rico pays $986.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

15570 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$986.73
  2. Los Angeles, CA · California$1,079.21+$92.48
  3. Washington, DC area · District of Columbia$1,110.46+$123.73
  4. Miami, FL · Florida$1,106.83+$120.10
  5. Chicago, IL · Illinois$1,072.63+$85.90
  6. Manhattan, NY · New York$1,135.91+$149.18
  7. Alaska · Alaska$1,155.51+$168.78

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

15570 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$879.66$609.61
ArkansasArkansas$866.95$601.84
ArizonaArizona$953.69$654.63
Bakersfield, CACalifornia$1,017.57$679.31
Chico, CACalifornia$1,012.05$673.80
El Centro, CACalifornia$1,012.38$674.13
Fresno, CACalifornia$1,012.05$673.80
Hanford, CACalifornia$1,012.05$673.80

15570 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$866.95

$1,155.51

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

View every state and territory as a table
15570 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,155.511
AL$879.661
AR$866.951
AZ$953.691
CA$1,012.05–$1,244.5029
CO$1,008.031
CT$1,046.781
DC$1,110.461
DE$969.281
FL$989.12–$1,106.833
GA$931.17–$1,005.002
GU$1,033.141
HI$1,033.141
IA$891.721
ID$899.691
IL$968.06–$1,072.634
IN$904.631
KS$892.431
KY$911.011
LA$911.54–$955.992
MA$1,004.02–$1,100.642
MD$986.18–$1,110.463
ME$909.59–$951.552
MI$939.21–$1,006.532
MN$951.421
MO$899.20–$953.493
MS$883.001
MT$981.191
NC$918.301
ND$941.841
NE$895.121
NH$996.891
NJ$1,054.65–$1,099.982
NM$946.331
NV$970.801
NY$932.45–$1,169.655
OH$931.171
OK$904.171
OR$959.25–$1,034.282
PA$929.90–$1,024.012
PR$986.731
RI$999.681
SC$927.081
SD$937.181
TN$897.541
TX$924.17–$1,008.198
UT$939.591
VA$951.87–$1,110.462
VI$986.731
VT$942.661
WA$1,000.63–$1,118.002
WI$910.861
WV$933.661
WY$964.041

See 15570 in every payment locality

How the 15570 rate is calculated

Each of 15570’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 · 15570

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.95

9.95 RVUs× 1.000 GPCI

Practice expense17.44

17.44 RVUs× 1.000 GPCI

Malpractice1.99

1.99 RVUs× 1.000 GPCI

Adjusted RVUs

29.3800

Conversion factor

$33.4009

Medicare rate

$981.32

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,520

Code
15570
Physician work
9.95
Practice expense
17.44
Malpractice
1.99

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 15570 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work9.95× 1.0009.9500
Practice expense17.44× 1.01117.6318
Malpractice1.99× 0.9851.9602
Total RVUs29.5420
Conversion factor× 33.4009

Office rate, Puerto Rico$986.73

Office: (9.95 × 1 + 17.44 × 1.011 + 1.99 × 0.985) × $33.4009 = $986.73

Facility: (9.95 × 1 + 8.2 × 1.011 + 1.99 × 0.985) × $33.4009 = $674.71

Open 15570 in the RVU calculator

Payment rules and modifiers for 15570

15570 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15570

Skin flap, trunk pedicle

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 15570

Skin flap, trunk pedicle

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

15570 without 51 · national office

$981.32

Skin flap, trunk pedicle

15570-51 · Second procedure: 50%

$490.66

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

Codes related to 15570

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 15570
CodeHow it relatesOffice range, Puerto Rico
Same family
15572Skin flap, arm or legSame pedicle-flap family, for reconstruction involving an arm or leg.$939.68
15574Pedicle flap, face, neck, hands, feet, other sitesSame pedicle-flap family, for specified head, neck, axillary, genital, hand, or foot sites.$879.91
15576Pedicle flap, nose, ears, eyelids, or lipsSame pedicle-flap family, for eyelid, nose, ear, or lip sites.$799.01
Used instead
14000Tissue transfer, trunk, defect up to 10 sq cmDescribes adjacent tissue transfer on the trunk rather than formation of a pedicle flap.$671.46
15734Trunk flap, muscle, skin, or fascia flapDescribes a trunk muscle or myocutaneous flap, a different reconstructive flap method.No office rate

How 15570 has changed in Puerto Rico

15570 · Office / nonfacility

$986.73

Effective 2026-10-01

The base rate is $99.44 higher than on 2025-10-01, moving from $887.29 to $986.73 (11.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $887.29changed to$986.73

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.21 changed to 9.95
    • Practice expense RVU 15.18 changed to 17.44
    • Malpractice RVU 1.97 changed to 1.99
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $910.40changed to$887.29

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 15.08 changed to 15.18
    • Malpractice RVU 1.99 changed to 1.97

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $895.55changed to$910.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $926.45changed to$895.55

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 1.96 changed to 1.99
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $923.43changed to$926.45

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $940.33changed to$923.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.93 changed to 15.08
    • Malpractice RVU 1.94 changed to 1.96
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $942.21changed to$940.33

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.85 changed to 14.93
    • Malpractice RVU 1.85 changed to 1.94

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $949.55changed to$942.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 14.15 changed to 14.85
    • Malpractice RVU 1.86 changed to 1.85
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $941.32changed to$949.55

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.99 changed to 14.15
    • Malpractice RVU 1.84 changed to 1.86
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $941.75changed to$941.32

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 14.05 changed to 13.99
    • Malpractice RVU 1.82 changed to 1.84

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $838.60changed to$941.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.99 changed to 14.05
    • Malpractice RVU 1.84 changed to 1.82
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $736.44changed to$838.60

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.92 changed to 13.99
    • Malpractice RVU 1.86 changed to 1.84
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $738.47changed to$736.44

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 1.80 changed to 1.86

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $734.79changed to$738.47

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $724.83changed to$734.79

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.71 changed to 13.92
    • Malpractice RVU 1.98 changed to 1.80
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $715.77changed to$724.83

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 15.21 changed to 13.71
    • Malpractice RVU 2.07 changed to 1.98
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $715.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$986.73$674.71RVU26D
2026-07-01$986.73$674.71RVU26C
2026-04-01$986.73$674.71RVU26B
2026-01-01$986.73$674.71RVU26A
2025-10-01$887.29$714.33RVU25D
2025-07-01$887.29$714.33RVU25C
2025-04-01$887.29$714.33RVU25B
2025-01-01$887.29$714.33RVU25A
2024-10-01$910.40$730.06RVU24D
2024-07-01$910.40$730.06RVU24C
2024-04-01$910.40$730.06RVU24B
2024-03-09$910.40$730.06RVU24AR
2024-01-01$895.55$718.15RVU24A
2023-10-01$926.45$741.31RVU23D
2023-07-01$923.43$739.76RVU23C
2023-04-01$923.43$739.76RVU23B
2023-01-01$923.43$739.76RVU23A
2022-10-01$940.33$749.87RVU22D
2022-07-01$940.33$749.87RVU22C
2022-04-01$940.33$749.87RVU22B
2022-01-01$940.33$749.87RVU22A
2021-10-01$942.21$749.12RVU21D
2021-07-01$942.21$749.12RVU21C
2021-04-01$942.21$749.12RVU21B
2021-01-01$942.21$749.12RVU21A
2020-10-01$949.55$765.84RVU20D
2020-07-01$949.55$765.84RVU20C
2020-04-01$949.55$765.84RVU20B
2020-01-01$949.55$765.84RVU20A
2019-10-01$941.32$760.96RVU19D
2019-07-01$941.32$760.96RVU19C
2019-04-01$941.32$760.96RVU19B
2019-01-01$941.32$760.96RVU19A
2018-10-01$941.75$763.03RVU18D
2018-07-01$941.75$763.03RVU18C
2018-04-01$941.75$763.03RVU18B
2018-01-01$941.75$763.03RVU18AR1
2017-10-01$838.60$688.99RVU17D
2017-07-01$838.60$688.99RVU17C
2017-04-01$838.60$688.99RVU17B
2017-01-01$838.60$688.99RVU17A
2016-10-01$736.44$614.02RVU16D
2016-07-01$736.44$614.02RVU16C
2016-04-01$736.44$614.02RVU16B
2016-01-01$736.44$614.02RVU16A
2015-10-01$738.47$615.60RVU15D
2015-07-01$738.47$615.60RVU15C
2015-04-01$734.79$612.54RVU15B
2015-01-01$734.79$612.54RVU15A
2014-10-01$724.83$607.33RVU14D
2014-07-01$724.83$607.33RVU14C
2014-04-01$724.83$607.33RVU14B
2014-01-01$724.83$607.33RVU14A
2013-10-01$715.77$592.13RVU13D
2013-07-01$715.77$592.13RVU13C
2013-04-01$715.77$592.13RVU13B
2013-01-01$715.77$592.13RVU13AR

Price 15570 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

15570 billing questions

When should I report 15570 rather than an adjacent tissue transfer code?

Report 15570 when the surgeon forms a direct or tubed skin pedicle flap for a trunk defect. Adjacent tissue transfer codes describe local tissue rearrangement rather than this pedicle-flap method.

How is 15570 different from 15572?

The recipient area determines the site-specific code: 15570 is for the trunk, while 15572 is for an arm or leg.

Can I report modifier 50 for a flap on each side of the trunk?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

Does the 90-day global period include related postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be paid for this procedure?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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 15570PPRRVU2026_Oct_nonQPP.csv, line 1,520 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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