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CPT code 15650: Pedicle flap transfer, distant donor-to-recipient transfer2026 Medicare rate & RVUs in New Mexico

Reports transfer of an attached skin flap from a distant donor site to a recipient site, such as abdominal tissue brought to an arm for coverage.

CMS RVU26DEffective Oct 1, 2026One payment locality64 Medicare services in 2024

In New Mexico, Medicare pays $561.74 for 15650 in the office and $372.15 when it’s performed in a hospital or facility.

$561.74Office (non-facility)
$372.15Hospital or facility
−4.7%vs the national office rate ($589.53)

Check a contract rate as a % of Medicare · 15650 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 15650 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 15650 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 15650 covers

This service covers moving a skin-bearing flap from a donor site to a recipient site while it remains connected to its blood supply through a pedicle. A classic example is transferring abdominal tissue to an arm or hand for coverage after substantial tissue loss. Plastic and reconstructive surgeons typically perform the transfer in an operating room. The code describes the transfer stage, not merely raising the flap or a later procedure to divide its connection.

Report the code when the operative note supports transfer of a pedicled flap between donor and recipient sites; document both sites and the transfer performed. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For other procedures in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. 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 New Mexico compares for 15650

Across 109 of 109 payment localities, the office rate for 15650 runs from $518.31 in Arkansas to $772.20 in San Benito County, CA. New Mexico pays $561.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

15650 in New Mexico vs other payment areas
  1. New Mexico · this page$561.74
  2. Los Angeles, CA · California$660.27+$98.53
  3. Washington, DC area · District of Columbia$673.31+$111.57
  4. Miami, FL · Florida$650.57+$88.83
  5. Chicago, IL · Illinois$630.27+$68.53
  6. Manhattan, NY · New York$682.13+$120.39
  7. Alaska · Alaska$680.47+$118.73

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

Every other payment area

15650 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$526.27$345.36
ArkansasArkansas$518.31$340.71
ArizonaArizona$572.78$372.44
Bakersfield, CACalifornia$620.01$393.41
Chico, CACalifornia$617.58$390.98
El Centro, CACalifornia$617.72$391.12
Fresno, CACalifornia$617.58$390.98
Hanford, CACalifornia$617.58$390.98

15650 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.

$518.31

$694.89

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

View every state and territory as a table
15650 office rate range by state
State / territoryOffice rate rangeLocalities
AK$680.471
AL$526.271
AR$518.311
AZ$572.781
CA$617.58–$772.2029
CO$610.961
CT$629.931
DC$673.311
DE$582.511
FL$586.32–$650.573
GA$551.35–$602.322
GU$632.801
HI$632.801
IA$537.571
ID$541.801
IL$570.64–$630.274
IN$545.011
KS$536.221
KY$542.081
LA$541.71–$569.572
MA$607.59–$671.302
MD$593.56–$673.313
ME$546.13–$575.162
MI$558.03–$595.282
MN$580.821
MO$532.86–$570.143
MS$525.631
MT$589.471
NC$551.891
ND$572.261
NE$540.251
NH$602.501
NJ$635.83–$666.112
NM$561.741
NV$585.081
NY$560.64–$700.945
OH$554.511
OK$539.691
OR$579.27–$629.542
PA$554.71–$614.542
PR$593.551
RI$602.711
SC$554.381
SD$570.231
TN$539.201
TX$551.00–$610.028
UT$562.251
VA$574.10–$673.312
VI$593.551
VT$571.121
WA$606.07–$683.942
WI$552.401
WV$548.981
WY$581.971

See 15650 in every payment locality

How the 15650 rate is calculated

Each of 15650’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 · 15650

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.65

4.65 RVUs× 1.000 GPCI

Practice expense12.13

12.13 RVUs× 1.000 GPCI

Malpractice0.87

0.87 RVUs× 1.000 GPCI

Adjusted RVUs

17.6500

Conversion factor

$33.4009

Medicare rate

$589.53

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

1,528

Code
15650
Physician work
4.65
Practice expense
12.13
Malpractice
0.87

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 15650 in New Mexico
ComponentRVULocality factorAdjusted
Physician work4.65× 1.0004.6500
Practice expense12.13× 0.91711.1232
Malpractice0.87× 1.2011.0449
Total RVUs16.8181
Conversion factor× 33.4009

Office rate, New Mexico$561.74

Office: (4.65 × 1 + 12.13 × 0.917 + 0.87 × 1.201) × $33.4009 = $561.74

Facility: (4.65 × 1 + 5.94 × 0.917 + 0.87 × 1.201) × $33.4009 = $372.15

Open 15650 in the RVU calculator

Payment rules and modifiers for 15650

15650 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15650

Pedicle flap transfer, distant donor-to-recipient transfer

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)0Not paid without supporting documentation.
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 · 15650

Pedicle flap transfer, distant donor-to-recipient transfer

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

15650 without 51 · national office

$589.53

Pedicle flap transfer, distant donor-to-recipient transfer

15650-51 · Second procedure: 50%

$294.77

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 15650

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

Codes related to 15650
CodeHow it relatesOffice range, New Mexico
Used instead
15570Skin flap, trunk pedicleForms a direct or tubed pedicle flap for the trunk rather than reporting this transfer stage.$946.33
15574Pedicle flap, face, neck, hands, feet, other sitesForms a direct or tubed pedicle flap at specified non-trunk sites instead of reporting this transfer.$846.20
15740Island flap, subcutaneous vascular pedicleDescribes an island pedicle flap, a local flap approach distinct from distant pedicle transfer.$1,011.71

How 15650 has changed in New Mexico

15650 · Office / nonfacility

$561.74

Effective 2026-10-01

The base rate is $58.14 higher than on 2025-10-01, moving from $503.60 to $561.74 (11.5%).

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

    $503.60changed to$561.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.77 changed to 4.65
    • Practice expense RVU 10.77 changed to 12.13
    • 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

    $516.91changed to$503.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.70 changed to 10.77
    • Malpractice RVU 0.89 changed to 0.87

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $508.47changed to$516.91

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $520.54changed to$508.47

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.64 changed to 10.70
    • Malpractice RVU 0.85 changed to 0.89
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $494.37changed to$520.54

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.67 changed to 10.64
    • Malpractice RVU 0.73 changed to 0.85
    • 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

    $489.49changed to$494.37

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.37 changed to 9.67
    • Malpractice RVU 0.74 changed to 0.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $499.20changed to$489.49

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.01 changed to 9.37
    • Malpractice RVU 0.73 changed to 0.74
    • 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

    $504.69changed to$499.20

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.97 changed to 9.01
    • Malpractice RVU 0.78 changed to 0.73
    • 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

    $498.05changed to$504.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.80 changed to 8.97
    • Malpractice RVU 0.77 changed to 0.78

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $496.44changed to$498.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.83 changed to 8.80
    • Malpractice RVU 0.78 changed to 0.77
    • 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

    $490.62changed to$496.44

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.76 changed to 8.83
    • Malpractice RVU 0.76 changed to 0.78
    • 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

    $496.02changed to$490.62

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.87 changed to 8.76

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $493.55changed to$496.02

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $487.94changed to$493.55

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.76 changed to 8.87
    • Malpractice RVU 0.75 changed to 0.76
    • 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

    $491.05changed to$487.94

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.70 changed to 8.76
    • Malpractice RVU 0.78 changed to 0.75
    • 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: $491.05

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$561.74$372.15RVU26D
2026-07-01$561.74$372.15RVU26C
2026-04-01$561.74$372.15RVU26B
2026-01-01$561.74$372.15RVU26A
2025-10-01$503.60$383.47RVU25D
2025-07-01$503.60$383.47RVU25C
2025-04-01$503.60$383.47RVU25B
2025-01-01$503.60$383.47RVU25A
2024-10-01$516.91$391.17RVU24D
2024-07-01$516.91$391.17RVU24C
2024-04-01$516.91$391.17RVU24B
2024-03-09$516.91$391.17RVU24AR
2024-01-01$508.47$384.79RVU24A
2023-10-01$520.54$392.47RVU23D
2023-07-01$520.54$392.47RVU23C
2023-04-01$520.54$392.47RVU23B
2023-01-01$520.54$392.47RVU23A
2022-10-01$494.37$371.58RVU22D
2022-07-01$494.37$371.58RVU22C
2022-04-01$494.37$371.58RVU22B
2022-01-01$494.37$371.58RVU22A
2021-10-01$489.49$368.50RVU21D
2021-07-01$489.49$368.50RVU21C
2021-04-01$489.49$368.50RVU21B
2021-01-01$489.49$368.50RVU21A
2020-10-01$499.20$381.56RVU20D
2020-07-01$499.20$381.56RVU20C
2020-04-01$499.20$381.56RVU20B
2020-01-01$499.20$381.56RVU20A
2019-10-01$504.69$388.19RVU19D
2019-07-01$504.69$388.19RVU19C
2019-04-01$504.69$388.19RVU19B
2019-01-01$504.69$388.19RVU19A
2018-10-01$498.05$385.99RVU18D
2018-07-01$498.05$385.99RVU18C
2018-04-01$498.05$385.99RVU18B
2018-01-01$498.05$385.99RVU18AR1
2017-10-01$496.44$385.17RVU17D
2017-07-01$496.44$385.17RVU17C
2017-04-01$496.44$385.17RVU17B
2017-01-01$496.44$385.17RVU17A
2016-10-01$490.62$381.05RVU16D
2016-07-01$490.62$381.05RVU16C
2016-04-01$490.62$381.05RVU16B
2016-01-01$490.62$381.05RVU16A
2015-10-01$496.02$383.41RVU15D
2015-07-01$496.02$383.41RVU15C
2015-04-01$493.55$381.51RVU15B
2015-01-01$493.55$381.51RVU15A
2014-10-01$487.94$378.76RVU14D
2014-07-01$487.94$378.76RVU14C
2014-04-01$487.94$378.76RVU14B
2014-01-01$487.94$378.76RVU14A
2013-10-01$491.05$375.43RVU13D
2013-07-01$491.05$375.43RVU13C
2013-04-01$491.05$375.43RVU13B
2013-01-01$491.05$375.43RVU13AR

Price 15650 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

15650 billing questions

How is this different from a flap formation code?

This code is for transferring a pedicled flap to its recipient site. Codes such as 15570 and 15574 describe formation of a direct or tubed pedicle flap rather than this transfer stage.

Is later flap division included in this code?

The transfer code describes moving the attached flap, not a later division or delay procedure. Codes 15600–15630 describe delay procedures by anatomic site; select the applicable code for the later service.

Can modifier 50 be reported?

No. The descriptor or anatomy makes bilateral adjustment inappropriate for this service.

When is an assistant at surgery payable?

Assistant-at-surgery payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.

What operative documentation supports reporting the transfer?

Document the donor and recipient sites, the pedicled flap transferred, and the operative steps establishing the transfer. The record should distinguish this stage from flap formation or later division.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction.

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 15650PPRRVU2026_Oct_nonQPP.csv, line 1,528 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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