CPT code 15730: Midface flap, vascular pedicle preserved2026 Medicare rate & RVUs in Missouri
Reports reconstruction using midface tissue transferred to a facial defect while its vascular pedicle remains intact, commonly for cheek reconstruction.
Medicare pays $1,308.01–$1,395.02 for 15730 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 15730 covers
A midface flap moves nearby facial tissue into a defect while preserving its blood supply through an attached vascular pedicle. Plastic surgeons, facial plastic surgeons, and other reconstructive surgeons may use this approach to repair facial defects, including after tumor removal or trauma. The flap is living local tissue, not a detached skin or tissue graft.
Report 15730 when the operative technique and donor site support a midface flap with its vascular pedicle preserved. Documentation should identify the defect, flap location and design, tissue transferred, and preserved blood supply. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is 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.
Where 15730 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$1308.01 to $1395.02
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $1,381.41 | $763.24 |
| Metropolitan St. Louis, MO | $1,395.02 | $768.29 |
| Rest of Missouri | $1,308.01 | $740.53 |
How the 15730 rate is calculated
Each of 15730’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 · 15730
RVUs × geographic indexes × conversion factor
Work13.16
13.16 RVUs× 1.000 GPCI
Practice expense28.48
28.48 RVUs× 1.000 GPCI
Malpractice1.49
1.49 RVUs× 1.000 GPCI
Adjusted RVUs
43.1300
Conversion factor
$33.4009
Medicare rate
$1,440.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 15730
15730 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 15730
Midface flap, vascular pedicle preserved
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.71/0.19 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 15730
Midface flap, vascular pedicle preserved
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
15730 without 51 · national office
$1,440.58
Midface flap, vascular pedicle preserved
15730-51 · Second procedure: 50%
$720.29
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%).
15730 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 15731Forehead flapVascular pedicle
- Choose 15730 for a midface flap with its vascular pedicle preserved; choose 15731 for a forehead flap.
- 15733Pedicled flapHead and neck, named pedicle
- 15733 describes a muscle, myocutaneous, or fasciocutaneous flap for the head and neck. 15730 is specific to a midface flap.
- 15740Island flapSubcutaneous vascular pedicle
- 15740 describes an island pedicle flap. Select 15730 when the operative flap is specifically a midface flap with its vascular pedicle preserved.
- 15756Free tissue flapMuscle or myocutaneous
- 15756 is for a free muscle or myocutaneous flap transferred with microvascular technique; 15730 retains the midface flap's vascular pedicle.
15730 billing questions
How does 15730 differ from a forehead flap?
15730 describes a flap sourced from the midface with its vascular pedicle preserved. Use 15731 when the flap is sourced from the forehead.
Is this a flap or a graft?
It is a flap: transferred midface tissue remains connected to its vascular pedicle. A graft is detached from its blood supply when transferred.
Can modifier 50 be reported for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons are paid only with supporting documentation; team surgery is 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
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