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

In Tennessee, Medicare pays $808.46 for 15574 in the office and $594.11 when it’s performed in a hospital or facility.

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.

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 Tennessee 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. Tennessee pays $808.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

15574 rates by state

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

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.

Payment rules and modifiers for 15574

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

What modifiers do to the payment

When to use modifier 51

Codes related to 15574

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

How 15574 has changed in Tennessee

Price 15574 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

• Adams
• Adamsville
• Alamo
• Alcoa
• Alexandria
• Algood
• Allardt
• Altamont

Browse all communities in Tennessee

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

Open CMS sourceHow we calculate rates