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CPT code 15574: Pedicle flap, face, neck, hands, feet, other sites2026 Medicare rate & RVUs in Connecticut

Reports formation of a direct or tubed pedicle flap for reconstruction involving specified facial, neck, axillary, genital, hand, or foot sites.

CMS RVU26DEffective Oct 1, 2026One payment locality2.2K Medicare services in 2024

In Connecticut, Medicare pays $929.79 for 15574 in the office and $675.82 when it’s performed in a hospital or facility.

$929.79Office (non-facility)
$675.82Hospital or facility
+6.2%vs the national office rate ($875.44)

Check a contract rate as a % of Medicare · 15574 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 15574 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 15574 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 15574 covers

A surgeon forms a skin flap that stays attached to its blood supply while it is brought toward a defect, either directly or as a tubed pedicle. This reconstruction may follow trauma, burn injury, or tissue removal, and is used for defects involving the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet. Plastic and reconstructive surgeons typically perform the procedure in an operating room.

Select this code when the documented flap and operative site fit the listed anatomic group; nearby flap codes divide other body regions into separate groups. The operative report should describe the flap design, the relevant anatomy, and the formation or transfer performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted, 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 Connecticut compares for 15574

Across 109 of 109 payment localities, the office rate for 15574 runs from $783.54 in Arkansas to $1,100.42 in San Benito County, CA. Connecticut pays $929.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

15574 in Connecticut vs other payment areas
  1. Connecticut · this page$929.79
  2. Los Angeles, CA · California$959.65+$29.86
  3. Washington, DC area · District of Columbia$984.75+$54.96
  4. Miami, FL · Florida$973.09+$43.30
  5. Chicago, IL · Illinois$946.43+$16.64
  6. Manhattan, NY · New York$1,004.79+$75.00
  7. Alaska · Alaska$1,057.62+$127.83

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

Every other payment area

15574 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$793.76$587.43
ArkansasArkansas$783.54$580.98
ArizonaArizona$853.32$624.82
Bakersfield, CACalifornia$907.77$649.32
Chico, CACalifornia$903.34$644.89
El Centro, CACalifornia$903.60$645.15
Fresno, CACalifornia$903.34$644.89
Hanford, CACalifornia$903.34$644.89

15574 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.

$783.54

$1,057.62

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

View every state and territory as a table
15574 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,057.621
AL$793.761
AR$783.541
AZ$853.321
CA$903.34–$1,100.4229
CO$898.891
CT$929.791
DC$984.751
DE$866.311
FL$880.20–$973.093
GA$833.85–$894.372
GU$919.131
HI$919.131
IA$804.171
ID$810.431
IL$862.80–$946.434
IN$814.431
KS$804.401
KY$818.261
LA$818.56–$854.312
MA$895.86–$976.442
MD$880.44–$984.753
ME$818.04–$852.302
MI$840.62–$893.842
MN$853.261
MO$808.43–$852.693
MS$795.941
MT$875.341
NC$825.101
ND$845.081
NE$807.001
NH$888.561
NJ$938.12–$977.012
NM$846.201
NV$867.381
NY$836.46–$1,031.495
OH$834.441
OK$813.111
OR$858.36–$920.762
PA$833.60–$911.092
PR$879.911
RI$892.241
SC$831.601
SD$841.501
TN$808.461
TX$828.97–$897.918
UT$841.671
VA$852.32–$984.752
VI$879.911
VT$845.431
WA$892.98–$991.552
WI$820.081
WV$835.111
WY$862.151

See 15574 in every payment locality

How the 15574 rate is calculated

Each of 15574’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 · 15574

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.43

10.43 RVUs× 1.000 GPCI

Practice expense14.25

14.25 RVUs× 1.000 GPCI

Malpractice1.53

1.53 RVUs× 1.000 GPCI

Adjusted RVUs

26.2100

Conversion factor

$33.4009

Medicare rate

$875.44

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,522

Code
15574
Physician work
10.43
Practice expense
14.25
Malpractice
1.53

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 15574 in Connecticut
ComponentRVULocality factorAdjusted
Physician work10.43× 1.02010.6386
Practice expense14.25× 1.07715.3472
Malpractice1.53× 1.2101.8513
Total RVUs27.8371
Conversion factor× 33.4009

Office rate, Connecticut$929.79

Office: (10.43 × 1.02 + 14.25 × 1.077 + 1.53 × 1.21) × $33.4009 = $929.79

Facility: (10.43 × 1.02 + 7.19 × 1.077 + 1.53 × 1.21) × $33.4009 = $675.82

Open 15574 in the RVU calculator

Payment rules and modifiers for 15574

15574 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15574

Pedicle flap, face, neck, hands, feet, other sites

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 · 15574

Pedicle flap, face, neck, hands, feet, other sites

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

15574 without 51 · national office

$875.44

Pedicle flap, face, neck, hands, feet, other sites

15574-51 · Second procedure: 50%

$437.72

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 15574

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

Codes related to 15574
CodeHow it relatesOffice range, Connecticut
Same family
15570Skin flap, trunk pediclePedicle flap formation for the trunk.$1,046.78
15572Skin flap, arm or legPedicle flap formation for the arms or legs.$995.55
15576Pedicle flap, nose, ears, eyelids, or lipsPedicle flap formation for eyelids, nose, ears, or lips.$843.41

How 15574 has changed in Connecticut

15574 · Office / nonfacility

$929.79

Effective 2026-10-01

The base rate is $31.65 higher than on 2025-10-01, moving from $898.14 to $929.79 (3.5%).

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

    $898.14changed to$929.79

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.70 changed to 10.43
    • Practice expense RVU 13.69 changed to 14.25
    • Malpractice RVU 1.57 changed to 1.53
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $950.44changed to$898.14

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 14.30 changed to 13.69
    • Malpractice RVU 1.67 changed to 1.57

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $934.93changed to$950.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $953.18changed to$934.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 13.97 changed to 14.30
    • Malpractice RVU 1.60 changed to 1.67
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $967.52changed to$953.18

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 13.77 changed to 13.97
    • Malpractice RVU 1.63 changed to 1.60
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $966.18changed to$967.52

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 13.68 changed to 13.77
    • Malpractice RVU 1.45 changed to 1.63

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1000.79changed to$966.18

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.46 changed to 13.68
    • Malpractice RVU 1.59 changed to 1.45
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1009.78changed to$1000.79

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.42 changed to 13.46
    • Malpractice RVU 1.73 changed to 1.59
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1011.82changed to$1009.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.51 changed to 13.42
    • Malpractice RVU 1.72 changed to 1.73

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1013.62changed to$1011.82

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.57 changed to 13.51
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1013.67changed to$1013.62

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.58 changed to 13.57
    • Malpractice RVU 1.73 changed to 1.72
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1015.51changed to$1013.67

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.59 changed to 13.58
    • Malpractice RVU 1.68 changed to 1.73

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1010.46changed to$1015.51

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1007.53changed to$1010.46

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.46 changed to 13.59
    • Malpractice RVU 1.74 changed to 1.68
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1010.07changed to$1007.53

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.85 changed to 13.46
    • Malpractice RVU 1.82 changed to 1.74
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1010.07

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$929.79$675.82RVU26D
2026-07-01$929.79$675.82RVU26C
2026-04-01$929.79$675.82RVU26B
2026-01-01$929.79$675.82RVU26A
2025-10-01$898.14$753.80RVU25D
2025-07-01$898.14$753.80RVU25C
2025-04-01$898.14$753.80RVU25B
2025-01-01$898.14$753.80RVU25A
2024-10-01$950.44$789.19RVU24D
2024-07-01$950.44$789.19RVU24C
2024-04-01$950.44$789.19RVU24B
2024-03-09$950.44$789.19RVU24AR
2024-01-01$934.93$776.31RVU24A
2023-10-01$953.18$790.73RVU23D
2023-07-01$953.18$790.73RVU23C
2023-04-01$953.18$790.73RVU23B
2023-01-01$953.18$790.73RVU23A
2022-10-01$967.52$799.83RVU22D
2022-07-01$967.52$799.83RVU22C
2022-04-01$967.52$799.83RVU22B
2022-01-01$967.52$799.83RVU22A
2021-10-01$966.18$797.48RVU21D
2021-07-01$966.18$797.48RVU21C
2021-04-01$966.18$797.48RVU21B
2021-01-01$966.18$797.48RVU21A
2020-10-01$1,000.79$834.90RVU20D
2020-07-01$1,000.79$834.90RVU20C
2020-04-01$1,000.79$834.90RVU20B
2020-01-01$1,000.79$834.90RVU20A
2019-10-01$1,009.78$847.07RVU19D
2019-07-01$1,009.78$847.07RVU19C
2019-04-01$1,009.78$847.07RVU19B
2019-01-01$1,009.78$847.07RVU19A
2018-10-01$1,011.82$851.29RVU18D
2018-07-01$1,011.82$851.29RVU18C
2018-04-01$1,011.82$851.29RVU18B
2018-01-01$1,011.82$851.29RVU18AR1
2017-10-01$1,013.62$855.28RVU17D
2017-07-01$1,013.62$855.28RVU17C
2017-04-01$1,013.62$855.28RVU17B
2017-01-01$1,013.62$855.28RVU17A
2016-10-01$1,013.67$854.73RVU16D
2016-07-01$1,013.67$854.73RVU16C
2016-04-01$1,013.67$854.73RVU16B
2016-01-01$1,013.67$854.73RVU16A
2015-10-01$1,015.51$856.00RVU15D
2015-07-01$1,015.51$856.00RVU15C
2015-04-01$1,010.46$851.74RVU15B
2015-01-01$1,010.46$851.74RVU15A
2014-10-01$1,007.53$851.61RVU14D
2014-07-01$1,007.53$851.61RVU14C
2014-04-01$1,007.53$851.61RVU14B
2014-01-01$1,007.53$851.61RVU14A
2013-10-01$1,010.07$843.15RVU13D
2013-07-01$1,010.07$843.15RVU13C
2013-04-01$1,010.07$843.15RVU13B
2013-01-01$1,010.07$843.15RVU13AR

Price 15574 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

15574 billing questions

How is 15574 distinguished from 15572?

15574 covers the specified face, neck, axilla, genital, hand, and foot sites. 15572 is the sibling code for pedicle flap formation involving the arms or legs.

When is 15576 used instead?

Use 15576 for the eyelids, nose, ears, or lips. Those sites are assigned to a separate anatomic group from the sites covered by 15574.

Can modifier 50 be appended for a flap involving paired sites?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

What postoperative care is included in the global period?

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

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

Assistant-at-surgery payment is statutorily restricted. CMS does not permit co-surgeons or team surgery for this code.

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 15574PPRRVU2026_Oct_nonQPP.csv, line 1,522 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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