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CPT code 15572: Skin flap, arm or leg2026 Medicare rate & RVUs in New Mexico

Reports formation of a skin pedicle flap for coverage of an arm or leg defect, whether or not the flap is transferred during the session.

CMS RVU26DEffective Oct 1, 2026One payment locality594 Medicare services in 2024

In New Mexico, Medicare pays $901.05 for 15572 in the office and $658.47 when it’s performed in a hospital or facility.

$901.05Office (non-facility)
$658.47Hospital or facility
−3.6%vs the national office rate ($934.56)

Check a contract rate as a % of Medicare · 15572 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 15572 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 15572 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 15572 covers

A surgeon raises a skin flap while maintaining its vascular attachment, creating a direct or tubed pedicle for reconstruction of an arm or leg defect. The service may be used for soft-tissue coverage after limb trauma, excision, or tissue loss. Plastic and reconstructive surgeons commonly perform these procedures; hand or orthopedic surgeons may perform them when reconstructing limb defects.

Select this code when the flap service is for an arm or leg, and document the defect, flap design, donor and recipient sites, and whether transfer occurred. The CMS global period is 90 days: the day-before preoperative visit and related postoperative care through day 90 are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Medicare assistant-at-surgery payment is barred by statutory restriction; co-surgeon and team-surgery billing 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 New Mexico compares for 15572

Across 109 of 109 payment localities, the office rate for 15572 runs from $829.05 in Arkansas to $1,184.92 in San Benito County, CA. New Mexico pays $901.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

15572 in New Mexico vs other payment areas
  1. New Mexico · this page$901.05
  2. Los Angeles, CA · California$1,028.26+$127.21
  3. Washington, DC area · District of Columbia$1,056.21+$155.16
  4. Miami, FL · Florida$1,046.83+$145.78
  5. Chicago, IL · Illinois$1,015.72+$114.67
  6. Manhattan, NY · New York$1,078.57+$177.52
  7. Alaska · Alaska$1,108.49+$207.44

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

15572 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$840.78$609.31
ArkansasArkansas$829.05$601.81
ArizonaArizona$909.16$652.83
Bakersfield, CACalifornia$970.26$680.33
Chico, CACalifornia$965.31$675.38
El Centro, CACalifornia$965.60$675.67
Fresno, CACalifornia$965.31$675.38
Hanford, CACalifornia$965.31$675.38

15572 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.

$829.05

$1,108.49

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

View every state and territory as a table
15572 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,108.491
AL$840.781
AR$829.051
AZ$909.161
CA$965.31–$1,184.9229
CO$960.591
CT$995.551
DC$1,056.211
DE$923.711
FL$940.10–$1,046.833
GA$886.86–$956.102
GU$984.621
HI$984.621
IA$852.691
ID$859.891
IL$920.14–$1,015.724
IN$864.481
KS$852.971
KY$868.941
LA$869.29–$910.332
MA$956.84–$1,047.552
MD$939.59–$1,056.213
ME$868.65–$907.952
MI$894.63–$955.772
MN$909.011
MO$857.67–$908.463
MS$843.311
MT$934.441
NC$876.751
ND$899.641
NE$855.941
NH$949.601
NJ$1,003.69–$1,046.702
NM$901.051
NV$925.291
NY$889.79–$1,109.255
OH$887.521
OK$863.011
OR$914.91–$985.402
PA$886.54–$974.232
PR$939.681
RI$952.491
SC$884.241
SD$895.521
TN$857.641
TX$881.23–$960.198
UT$895.791
VA$907.99–$1,056.212
VI$939.681
VT$900.061
WA$953.74–$1,064.252
WI$870.941
WV$888.351
WY$919.271

See 15572 in every payment locality

How the 15572 rate is calculated

Each of 15572’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 · 15572

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.87

9.87 RVUs× 1.000 GPCI

Practice expense16.35

16.35 RVUs× 1.000 GPCI

Malpractice1.76

1.76 RVUs× 1.000 GPCI

Adjusted RVUs

27.9800

Conversion factor

$33.4009

Medicare rate

$934.56

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,521

Code
15572
Physician work
9.87
Practice expense
16.35
Malpractice
1.76

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 15572 in New Mexico
ComponentRVULocality factorAdjusted
Physician work9.87× 1.0009.8700
Practice expense16.35× 0.91714.9930
Malpractice1.76× 1.2012.1138
Total RVUs26.9767
Conversion factor× 33.4009

Office rate, New Mexico$901.05

Office: (9.87 × 1 + 16.35 × 0.917 + 1.76 × 1.201) × $33.4009 = $901.05

Facility: (9.87 × 1 + 8.43 × 0.917 + 1.76 × 1.201) × $33.4009 = $658.47

Open 15572 in the RVU calculator

Payment rules and modifiers for 15572

15572 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15572

Skin flap, arm or leg

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 · 15572

Skin flap, arm or leg

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

15572 without 51 · national office

$934.56

Skin flap, arm or leg

15572-51 · Second procedure: 50%

$467.28

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 15572

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

Codes related to 15572
CodeHow it relatesOffice range, New Mexico
Same family
15570Skin flap, trunk pedicleRelated pedicle flap service for the trunk.$946.33
15574Pedicle flap, face, neck, hands, feet, other sitesRelated pedicle flap service for other specified anatomical regions.$846.20
15576Pedicle flap, nose, ears, eyelids, or lipsRelated pedicle flap service for eyelids, nose, ears, lips, or intraoral sites.$764.71

How 15572 has changed in New Mexico

15572 · Office / nonfacility

$901.05

Effective 2026-10-01

The base rate is $71.37 higher than on 2025-10-01, moving from $829.68 to $901.05 (8.6%).

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

    $829.68changed to$901.05

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.12 changed to 9.87
    • Practice expense RVU 14.78 changed to 16.35
    • Malpractice RVU 1.80 changed to 1.76
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $849.80changed to$829.68

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 14.66 changed to 14.78
    • Malpractice RVU 1.79 changed to 1.80

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $835.93changed to$849.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $856.61changed to$835.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.55 changed to 14.66
    • Malpractice RVU 1.74 changed to 1.79
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $856.42changed to$856.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.10 changed to 14.55
    • Malpractice RVU 1.71 changed to 1.74
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $859.58changed to$856.42

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.00 changed to 14.10
    • Malpractice RVU 1.69 changed to 1.71

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $880.90changed to$859.58

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.49 changed to 14.00
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $889.89changed to$880.90

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.48 changed to 13.49
    • Malpractice RVU 1.73 changed to 1.69
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $890.69changed to$889.89

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.52 changed to 13.48
    • Malpractice RVU 1.74 changed to 1.73

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $884.34changed to$890.69

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 1.73 changed to 1.74
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $874.51changed to$884.34

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.38 changed to 13.52
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $875.82changed to$874.51

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.40 changed to 13.38
    • Malpractice RVU 1.67 changed to 1.73

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $871.47changed to$875.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $863.87changed to$871.47

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.20 changed to 13.40
    • Malpractice RVU 1.74 changed to 1.67
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $854.83changed to$863.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.40 changed to 13.20
    • Malpractice RVU 1.82 changed to 1.74
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $854.83

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$901.05$658.47RVU26D
2026-07-01$901.05$658.47RVU26C
2026-04-01$901.05$658.47RVU26B
2026-01-01$901.05$658.47RVU26A
2025-10-01$829.68$701.63RVU25D
2025-07-01$829.68$701.63RVU25C
2025-04-01$829.68$701.63RVU25B
2025-01-01$829.68$701.63RVU25A
2024-10-01$849.80$716.21RVU24D
2024-07-01$849.80$716.21RVU24C
2024-04-01$849.80$716.21RVU24B
2024-03-09$849.80$716.21RVU24AR
2024-01-01$835.93$704.52RVU24A
2023-10-01$856.61$721.50RVU23D
2023-07-01$856.61$721.50RVU23C
2023-04-01$856.61$721.50RVU23B
2023-01-01$856.61$721.50RVU23A
2022-10-01$856.42$720.91RVU22D
2022-07-01$856.42$720.91RVU22C
2022-04-01$856.42$720.91RVU22B
2022-01-01$856.42$720.91RVU22A
2021-10-01$859.58$723.26RVU21D
2021-07-01$859.58$723.26RVU21C
2021-04-01$859.58$723.26RVU21B
2021-01-01$859.58$723.26RVU21A
2020-10-01$880.90$748.84RVU20D
2020-07-01$880.90$748.84RVU20C
2020-04-01$880.90$748.84RVU20B
2020-01-01$880.90$748.84RVU20A
2019-10-01$889.89$758.12RVU19D
2019-07-01$889.89$758.12RVU19C
2019-04-01$889.89$758.12RVU19B
2019-01-01$889.89$758.12RVU19A
2018-10-01$890.69$760.72RVU18D
2018-07-01$890.69$760.72RVU18C
2018-04-01$890.69$760.72RVU18B
2018-01-01$890.69$760.72RVU18AR1
2017-10-01$884.34$757.23RVU17D
2017-07-01$884.34$757.23RVU17C
2017-04-01$884.34$757.23RVU17B
2017-01-01$884.34$757.23RVU17A
2016-10-01$874.51$749.15RVU16D
2016-07-01$874.51$749.15RVU16C
2016-04-01$874.51$749.15RVU16B
2016-01-01$874.51$749.15RVU16A
2015-10-01$875.82$749.68RVU15D
2015-07-01$875.82$749.68RVU15C
2015-04-01$871.47$745.95RVU15B
2015-01-01$871.47$745.95RVU15A
2014-10-01$863.87$740.55RVU14D
2014-07-01$863.87$740.55RVU14C
2014-04-01$863.87$740.55RVU14B
2014-01-01$863.87$740.55RVU14A
2013-10-01$854.83$723.31RVU13D
2013-07-01$854.83$723.31RVU13C
2013-04-01$854.83$723.31RVU13B
2013-01-01$854.83$723.31RVU13AR

Price 15572 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

15572 billing questions

How do I distinguish this code from 15570 or 15574?

Choose by the anatomical region involved: this code is for an arm or leg, while 15570 is for the trunk and 15574 covers other specified regions.

Can this code be reported when the flap is formed but not transferred?

Yes. The service includes flap formation whether or not transfer takes place during that session.

What should the operative report document?

Document the limb defect, flap design and vascular attachment, donor and recipient sites, and whether the flap was transferred.

How does the 90-day global period affect related care?

The day-before preoperative visit and related postoperative care through day 90 are included in the global period.

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

Medicare assistant-at-surgery payment is barred by statutory restriction. Co-surgeon and team-surgery billing are not permitted.

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 15572PPRRVU2026_Oct_nonQPP.csv, line 1,521 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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