CPT code 15610: Flap delay, arms or legs2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $382.14 for 15610 in the office and $226.16 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 15610 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 15610 covers

This code covers a preparatory operation on a flap intended for later reconstruction of an arm or leg. The surgeon surgically alters or partially sections the planned flap so it can develop a more reliable blood supply before transfer. Plastic and reconstructive surgeons commonly perform this staged work in an operating room when a flap is planned for coverage of a traumatic or surgical defect. The later flap transfer is a distinct reconstructive step, not the delay procedure itself.

Report 15610 when the operative record supports flap preparation on an upper or lower extremity, rather than on another anatomic site. Document the flap location, the preparatory surgical work, and its role in the planned reconstruction. The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; 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 South Dakota compares for 15610

Across 109 of 109 payment localities, the office rate for 15610 runs from $343.02 in Arkansas to $524.49 in San Benito County, CA. South Dakota pays $382.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

15610 rates by state

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

See 15610 in every payment locality

How the 15610 rate is calculated

Each of 15610’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 15610

15610 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 15610

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

How 15610 has changed in South Dakota

Price 15610 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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