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CPT code 15620: Flap delay, face, neck, hand, foot, other sites2026 Medicare rate & RVUs in Puerto Rico

Reports staged delay or division and inset of a flap involving the face, scalp, neck, axilla, genitalia, hand, or foot.

CMS RVU26DEffective Oct 1, 2026One payment locality666 Medicare services in 2024

In Puerto Rico, Medicare pays $466.86 for 15620 in the office and $306.12 when it’s performed in a hospital or facility.

$466.86Office (non-facility)
$306.12Hospital or facility
+0.7%vs the national office rate ($463.60)

Check a contract rate as a % of Medicare · 15620 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 15620 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 15620 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 15620 covers

This code covers a staged operation that delays a flap’s blood supply or sections a previously created flap, with division and inset. The covered sites are the face, scalp, neck, axilla, genitalia, hands, and feet. Plastic and reconstructive surgeons commonly perform this work in an operating room as part of staged reconstruction, such as preparing local tissue for later movement or completing a flap stage.

Select the code by the flap’s anatomic site, distinguishing these locations from the trunk, arms or legs, and eyelids, nose, ears, or lips. The operative report should identify the flap and site and describe the delay or sectioning, division, and inset performed. This major surgery code has 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 50% reduction. Medicare does not pay an assistant at surgery for this code; 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 Puerto Rico compares for 15620

Across 109 of 109 payment localities, the office rate for 15620 runs from $408.81 in Arkansas to $610.38 in San Benito County, CA. Puerto Rico pays $466.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

15620 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$466.86
  2. Los Angeles, CA · California$521.03+$54.17
  3. Washington, DC area · District of Columbia$529.71+$62.85
  4. Miami, FL · Florida$506.43+$39.57
  5. Chicago, IL · Illinois$491.16+$24.30
  6. Manhattan, NY · New York$534.94+$68.08
  7. Alaska · Alaska$536.96+$70.10

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

Every other payment area

15620 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$414.95$275.83
ArkansasArkansas$408.81$272.24
ArizonaArizona$450.83$296.77
Bakersfield, CACalifornia$489.26$315.01
Chico, CACalifornia$487.60$313.35
El Centro, CACalifornia$487.70$313.45
Fresno, CACalifornia$487.60$313.35
Hanford, CACalifornia$487.60$313.35

15620 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.

$408.81

$548.99

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

View every state and territory as a table
15620 office rate range by state
State / territoryOffice rate rangeLocalities
AK$536.961
AL$414.951
AR$408.811
AZ$450.831
CA$487.60–$610.3829
CO$481.441
CT$494.911
DC$529.711
DE$458.401
FL$459.18–$506.433
GA$432.55–$473.022
GU$499.561
HI$499.561
IA$424.551
ID$427.641
IL$446.50–$491.164
IN$430.141
KS$423.091
KY$426.221
LA$425.76–$447.242
MA$478.69–$528.952
MD$467.10–$529.713
ME$430.52–$453.562
MI$438.09–$465.622
MN$459.301
MO$418.67–$448.193
MS$413.791
MT$463.571
NC$435.041
ND$452.101
NE$426.761
NH$474.381
NJ$500.00–$524.142
NM$440.771
NV$460.691
NY$441.75–$548.895
OH$435.751
OK$424.831
OR$456.56–$496.342
PA$436.14–$482.752
PR$466.861
RI$474.461
SC$436.231
SD$450.741
TN$425.331
TX$433.25–$480.328
UT$442.311
VA$452.44–$529.712
VI$466.861
VT$450.811
WA$477.63–$539.262
WI$436.681
WV$429.771
WY$458.571

See 15620 in every payment locality

How the 15620 rate is calculated

Each of 15620’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 · 15620

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.66

3.66 RVUs× 1.000 GPCI

Practice expense9.64

9.64 RVUs× 1.000 GPCI

Malpractice0.58

0.58 RVUs× 1.000 GPCI

Adjusted RVUs

13.8800

Conversion factor

$33.4009

Medicare rate

$463.60

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,526

Code
15620
Physician work
3.66
Practice expense
9.64
Malpractice
0.58

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 15620 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work3.66× 1.0003.6600
Practice expense9.64× 1.0119.7460
Malpractice0.58× 0.9850.5713
Total RVUs13.9773
Conversion factor× 33.4009

Office rate, Puerto Rico$466.86

Office: (3.66 × 1 + 9.64 × 1.011 + 0.58 × 0.985) × $33.4009 = $466.86

Facility: (3.66 × 1 + 4.88 × 1.011 + 0.58 × 0.985) × $33.4009 = $306.12

Open 15620 in the RVU calculator

Payment rules and modifiers for 15620

15620 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15620

Flap delay, face, neck, hand, foot, 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 · 15620

Flap delay, face, neck, hand, foot, 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

15620 without 51 · national office

$463.60

Flap delay, face, neck, hand, foot, other sites

15620-51 · Second procedure: 50%

$231.80

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 15620

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

Codes related to 15620
CodeHow it relatesOffice range, Puerto Rico
Same family
15600Flap delay, trunk siteSame flap-delay and sectioning family, for flap work on the trunk.$376.49
15610Flap delay, arms or legsSame flap-delay and sectioning family, for flap work on the arms or legs.$394.50
15630Flap staging, eyelid, nose, ear, or lipSame flap-delay and sectioning family, for eyelid, nose, ear, or lip sites.$473.19
Used instead
15650Pedicle flap transfer, distant donor-to-recipient transferDescribes transfer of a skin pedicle flap rather than the delay or sectioning service.$593.55

How 15620 has changed in Puerto Rico

15620 · Office / nonfacility

$466.86

Effective 2026-10-01

The base rate is $28.46 higher than on 2025-10-01, moving from $438.40 to $466.86 (6.5%).

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

    $438.40changed to$466.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.75 changed to 3.66
    • Practice expense RVU 9.15 changed to 9.64
    • Malpractice RVU 0.60 changed to 0.58
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $451.50changed to$438.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.17 changed to 9.15
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $444.13changed to$451.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $457.94changed to$444.13

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.12 changed to 9.17
    • Malpractice RVU 0.58 changed to 0.59
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $455.78changed to$457.94

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $462.10changed to$455.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.94 changed to 9.12
    • Malpractice RVU 0.60 changed to 0.58
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $461.02changed to$462.10

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.82 changed to 8.94
    • Malpractice RVU 0.58 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $456.88changed to$461.02

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.29 changed to 8.82
    • Malpractice RVU 0.56 changed to 0.58
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $453.06changed to$456.88

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.18 changed to 8.29
    • Malpractice RVU 0.59 changed to 0.56
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $448.94changed to$453.06

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.08 changed to 8.18

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $396.32changed to$448.94

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.07 changed to 8.08
    • Malpractice RVU 0.60 changed to 0.59
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $345.53changed to$396.32

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.12 changed to 8.07
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $346.41changed to$345.53

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.11 changed to 8.12
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $344.69changed to$346.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $339.52changed to$344.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.05 changed to 8.11
    • Malpractice RVU 0.58 changed to 0.59
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $339.21changed to$339.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.95 changed to 8.05
    • Malpractice RVU 0.61 changed to 0.58
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $339.21

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$466.86$306.12RVU26D
2026-07-01$466.86$306.12RVU26C
2026-04-01$466.86$306.12RVU26B
2026-01-01$466.86$306.12RVU26A
2025-10-01$438.40$323.42RVU25D
2025-07-01$438.40$323.42RVU25C
2025-04-01$438.40$323.42RVU25B
2025-01-01$438.40$323.42RVU25A
2024-10-01$451.50$329.48RVU24D
2024-07-01$451.50$329.48RVU24C
2024-04-01$451.50$329.48RVU24B
2024-03-09$451.50$329.48RVU24AR
2024-01-01$444.13$324.11RVU24A
2023-10-01$457.94$332.24RVU23D
2023-07-01$455.78$331.08RVU23C
2023-04-01$455.78$331.08RVU23B
2023-01-01$455.78$331.08RVU23A
2022-10-01$462.10$333.38RVU22D
2022-07-01$462.10$333.38RVU22C
2022-04-01$462.10$333.38RVU22B
2022-01-01$462.10$333.38RVU22A
2021-10-01$461.02$331.94RVU21D
2021-07-01$461.02$331.94RVU21C
2021-04-01$461.02$331.94RVU21B
2021-01-01$461.02$331.94RVU21A
2020-10-01$456.88$335.38RVU20D
2020-07-01$456.88$335.38RVU20C
2020-04-01$456.88$335.38RVU20B
2020-01-01$456.88$335.38RVU20A
2019-10-01$453.06$335.11RVU19D
2019-07-01$453.06$335.11RVU19C
2019-04-01$453.06$335.11RVU19B
2019-01-01$453.06$335.11RVU19A
2018-10-01$448.94$335.11RVU18D
2018-07-01$448.94$335.11RVU18C
2018-04-01$448.94$335.11RVU18B
2018-01-01$448.94$335.11RVU18AR1
2017-10-01$396.32$301.09RVU17D
2017-07-01$396.32$301.09RVU17C
2017-04-01$396.32$301.09RVU17B
2017-01-01$396.32$301.09RVU17A
2016-10-01$345.53$266.77RVU16D
2016-07-01$345.53$266.77RVU16C
2016-04-01$345.53$266.77RVU16B
2016-01-01$345.53$266.77RVU16A
2015-10-01$346.41$267.12RVU15D
2015-07-01$346.41$267.12RVU15C
2015-04-01$344.69$265.79RVU15B
2015-01-01$344.69$265.79RVU15A
2014-10-01$339.52$263.17RVU14D
2014-07-01$339.52$263.17RVU14C
2014-04-01$339.52$263.17RVU14B
2014-01-01$339.52$263.17RVU14A
2013-10-01$339.21$259.16RVU13D
2013-07-01$339.21$259.16RVU13C
2013-04-01$339.21$259.16RVU13B
2013-01-01$339.21$259.16RVU13AR

Price 15620 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

15620 billing questions

When is 15620 used instead of 15630?

Use 15620 for flap work involving the face, scalp, neck, axilla, genitalia, hands, or feet. Eyelid, nose, ear, or lip flap work falls under 15630.

How does 15620 differ from 15610?

The distinction is the flap site: 15620 covers the face, scalp, neck, axilla, genitalia, hands, and feet; 15610 covers the arms or legs.

Is flap transfer included in 15620?

15620 describes flap delay or sectioning with division and inset at the listed sites. Code 15650 describes transfer of a skin pedicle flap and represents a different service.

What postoperative care is included?

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

How is 15620 paid with other procedures in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 15620. Co-surgeons and team surgery 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 15620PPRRVU2026_Oct_nonQPP.csv, line 1,526 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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