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

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 New Mexico, Medicare pays $846.20 for 15574 in the office and $629.97 when it’s performed in a hospital or facility.

$846.20Office (non-facility)
$629.97Hospital or facility
−3.3%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 New Mexico
  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 New Mexico 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. New Mexico pays $846.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

15574 in New Mexico vs other payment areas
  1. New Mexico · this page$846.20
  2. Los Angeles, CA · California$959.65+$113.45
  3. Washington, DC area · District of Columbia$984.75+$138.55
  4. Miami, FL · Florida$973.09+$126.89
  5. Chicago, IL · Illinois$946.43+$100.23
  6. Manhattan, NY · New York$1,004.79+$158.59
  7. Alaska · Alaska$1,057.62+$211.42

Other areas in New Mexico 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 New Mexico 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

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 15574 in New Mexico
ComponentRVULocality factorAdjusted
Physician work10.43× 1.00010.4300
Practice expense14.25× 0.91713.0673
Malpractice1.53× 1.2011.8375
Total RVUs25.3348
Conversion factor× 33.4009

Office rate, New Mexico$846.20

Office: (10.43 × 1 + 14.25 × 0.917 + 1.53 × 1.201) × $33.4009 = $846.20

Facility: (10.43 × 1 + 7.19 × 0.917 + 1.53 × 1.201) × $33.4009 = $629.97

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, New Mexico
Same family
15570Skin flap, trunk pediclePedicle flap formation for the trunk.$946.33
15572Skin flap, arm or legPedicle flap formation for the arms or legs.$901.05
15576Pedicle flap, nose, ears, eyelids, or lipsPedicle flap formation for eyelids, nose, ears, or lips.$764.71

How 15574 has changed in New Mexico

15574 · Office / nonfacility

$846.20

Effective 2026-10-01

The base rate is $38.49 higher than on 2025-10-01, moving from $807.71 to $846.20 (4.8%).

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

    $807.71changed to$846.20

    • 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
    • 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

    $853.55changed to$807.71

    • 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

    $839.61changed to$853.55

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $852.99changed to$839.61

    • 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
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $863.03changed to$852.99

    • 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
    • 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

    $860.04changed to$863.03

    • 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

    $896.49changed to$860.04

    • 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
    • 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

    $908.80changed to$896.49

    • 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
    • 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

    $910.34changed to$908.80

    • 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

    $906.38changed to$910.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.57 changed to 13.51
    • 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

    $901.86changed to$906.38

    • 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
    • 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

    $903.36changed to$901.86

    • 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

    $898.86changed to$903.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $893.20changed to$898.86

    • 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 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $888.58changed to$893.20

    • 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 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: $888.58

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$846.20$629.97RVU26D
2026-07-01$846.20$629.97RVU26C
2026-04-01$846.20$629.97RVU26B
2026-01-01$846.20$629.97RVU26A
2025-10-01$807.71$687.58RVU25D
2025-07-01$807.71$687.58RVU25C
2025-04-01$807.71$687.58RVU25B
2025-01-01$807.71$687.58RVU25A
2024-10-01$853.55$719.35RVU24D
2024-07-01$853.55$719.35RVU24C
2024-04-01$853.55$719.35RVU24B
2024-03-09$853.55$719.35RVU24AR
2024-01-01$839.61$707.61RVU24A
2023-10-01$852.99$720.02RVU23D
2023-07-01$852.99$720.02RVU23C
2023-04-01$852.99$720.02RVU23B
2023-01-01$852.99$720.02RVU23A
2022-10-01$863.03$728.15RVU22D
2022-07-01$863.03$728.15RVU22C
2022-04-01$863.03$728.15RVU22B
2022-01-01$863.03$728.15RVU22A
2021-10-01$860.04$724.36RVU21D
2021-07-01$860.04$724.36RVU21C
2021-04-01$860.04$724.36RVU21B
2021-01-01$860.04$724.36RVU21A
2020-10-01$896.49$761.16RVU20D
2020-07-01$896.49$761.16RVU20C
2020-04-01$896.49$761.16RVU20B
2020-01-01$896.49$761.16RVU20A
2019-10-01$908.80$774.04RVU19D
2019-07-01$908.80$774.04RVU19C
2019-04-01$908.80$774.04RVU19B
2019-01-01$908.80$774.04RVU19A
2018-10-01$910.34$777.39RVU18D
2018-07-01$910.34$777.39RVU18C
2018-04-01$910.34$777.39RVU18B
2018-01-01$910.34$777.39RVU18AR1
2017-10-01$906.38$775.96RVU17D
2017-07-01$906.38$775.96RVU17C
2017-04-01$906.38$775.96RVU17B
2017-01-01$906.38$775.96RVU17A
2016-10-01$901.86$771.56RVU16D
2016-07-01$901.86$771.56RVU16C
2016-04-01$901.86$771.56RVU16B
2016-01-01$901.86$771.56RVU16A
2015-10-01$903.36$772.59RVU15D
2015-07-01$903.36$772.59RVU15C
2015-04-01$898.86$768.74RVU15B
2015-01-01$898.86$768.74RVU15A
2014-10-01$893.20$764.94RVU14D
2014-07-01$893.20$764.94RVU14C
2014-04-01$893.20$764.94RVU14B
2014-01-01$893.20$764.94RVU14A
2013-10-01$888.58$750.83RVU13D
2013-07-01$888.58$750.83RVU13C
2013-04-01$888.58$750.83RVU13B
2013-01-01$888.58$750.83RVU13AR

Price 15574 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

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 New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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