CPT code 15730: Midface flap, vascular pedicle preserved2026 Medicare rate & RVUs in Montana

Reports reconstruction using midface tissue transferred to a facial defect while its vascular pedicle remains intact, commonly for cheek reconstruction.

CMS RVU26DEffective Oct 1, 2026One payment locality2.4K Medicare services in 2024

In Montana, Medicare pays $1,440.48 for 15730 in the office and $782.15 when it’s performed in a hospital or facility.

$1,440.48Office (non-facility)
$782.15Hospital or facility
−0.0%vs the national office rate ($1,440.58)

Check a contract rate as a % of Medicare · 15730 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 15730 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 15730 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 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.

How Montana compares for 15730

Across 109 of 109 payment localities, the office rate for 15730 runs from $1,282.32 in Arkansas to $1,886.30 in San Benito County, CA. Montana pays $1,440.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

15730 in Montana vs other payment areas
  1. Montana · this page$1,440.48
  2. Los Angeles, CA · California$1,615.96+$175.48
  3. Washington, DC area · District of Columbia$1,639.26+$198.78
  4. Miami, FL · Florida$1,555.68+$115.20
  5. Chicago, IL · Illinois$1,512.86+$72.38
  6. Manhattan, NY · New York$1,651.98+$211.50
  7. Alaska · Alaska$1,699.84+$259.36

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

Every other payment area

15730 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,300.07$724.03
ArkansasArkansas$1,282.32$716.81
ArizonaArizona$1,403.93$766.00
Bakersfield, CACalifornia$1,520.79$799.26
Chico, CACalifornia$1,516.28$794.75
El Centro, CACalifornia$1,516.53$795.00
Fresno, CACalifornia$1,516.28$794.75
Hanford, CACalifornia$1,516.28$794.75

15730 rates by state

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

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.

$1,282.32

$1,701.29

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

View every state and territory as a table
15730 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,699.841
AL$1,300.071
AR$1,282.321
AZ$1,403.931
CA$1,516.28–$1,886.3029
CO$1,495.841
CT$1,533.071
DC$1,639.261
DE$1,426.341
FL$1,423.76–$1,555.683
GA$1,347.40–$1,467.122
GU$1,549.951
HI$1,549.951
IA$1,329.711
ID$1,338.251
IL$1,385.84–$1,512.864
IN$1,345.561
KS$1,324.581
KY$1,330.761
LA$1,329.10–$1,391.222
MA$1,487.93–$1,637.672
MD$1,452.31–$1,639.263
ME$1,345.67–$1,413.662
MI$1,364.24–$1,441.432
MN$1,433.131
MO$1,308.01–$1,395.023
MS$1,295.371
MT$1,440.481
NC$1,358.881
ND$1,411.021
NE$1,336.381
NH$1,473.361
NJ$1,550.51–$1,623.862
NM$1,371.631
NV$1,433.221
NY$1,378.24–$1,691.155
OH$1,358.221
OK$1,327.701
OR$1,421.99–$1,540.462
PA$1,359.84–$1,497.102
PR$1,450.301
RI$1,474.951
SC$1,360.821
SD$1,407.541
TN$1,330.971
TX$1,351.43–$1,490.968
UT$1,378.431
VA$1,409.78–$1,639.262
VI$1,450.301
VT$1,406.481
WA$1,484.82–$1,669.392
WI$1,366.191
WV$1,337.421
WY$1,427.641

See 15730 in every payment locality

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

Office or facility?

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,529

Code
15730
Physician work
13.16
Practice expense
28.48
Malpractice
1.49

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 15730 in Montana
ComponentRVULocality factorAdjusted
Physician work13.16× 1.00013.1600
Practice expense28.48× 1.00028.4800
Malpractice1.49× 0.9981.4870
Total RVUs43.1270
Conversion factor× 33.4009

Office rate, Montana$1440.48

Office: (13.16 × 1 + 28.48 × 1 + 1.49 × 0.998) × $33.4009 = $1440.48

Facility: (13.16 × 1 + 8.77 × 1 + 1.49 × 0.998) × $33.4009 = $782.15

Open 15730 in the RVU calculator

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

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)1Permitted with supporting documentation.
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 · 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.

  • 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

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%).

When to use modifier 51

How 15730 has changed in Montana

15730 · Office / nonfacility

$1440.48

Effective 2026-10-01

The base rate is $82.37 higher than on 2025-10-01, moving from $1358.11 to $1440.48 (6.1%).

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

    $1358.11changed to$1440.48

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 13.50 changed to 13.16
    • Practice expense RVU 26.99 changed to 28.48
    • Malpractice RVU 1.53 changed to 1.49
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1419.24changed to$1358.11

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 27.61 changed to 26.99
    • Malpractice RVU 1.56 changed to 1.53

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1396.07changed to$1419.24

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1447.55changed to$1396.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 27.74 changed to 27.61
    • Malpractice RVU 1.51 changed to 1.56
  5. January 1, 2023

    RVU23A

    $1472.36changed to$1447.55

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 27.61 changed to 27.74
    • Malpractice RVU 1.47 changed to 1.51
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1526.28changed to$1472.36

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 28.61 changed to 27.61
    • Malpractice RVU 1.67 changed to 1.47

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1569.36changed to$1526.28

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 27.69 changed to 28.61
    • Malpractice RVU 1.76 changed to 1.67
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1615.08changed to$1569.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 28.33 changed to 27.69
    • Malpractice RVU 1.83 changed to 1.76
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1633.96changed to$1615.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 28.92 changed to 28.33
    • Malpractice RVU 1.82 changed to 1.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$1633.96

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,440.48$782.15RVU26D
2026-07-01$1,440.48$782.15RVU26C
2026-04-01$1,440.48$782.15RVU26B
2026-01-01$1,440.48$782.15RVU26A
2025-10-01$1,358.11$886.82RVU25D
2025-07-01$1,358.11$886.82RVU25C
2025-04-01$1,358.11$886.82RVU25B
2025-01-01$1,358.11$886.82RVU25A
2024-10-01$1,419.24$910.60RVU24D
2024-07-01$1,419.24$910.60RVU24C
2024-04-01$1,419.24$910.60RVU24B
2024-03-09$1,419.24$910.60RVU24AR
2024-01-01$1,396.07$895.74RVU24A
2023-10-01$1,447.55$920.61RVU23D
2023-07-01$1,447.55$920.61RVU23C
2023-04-01$1,447.55$920.61RVU23B
2023-01-01$1,447.55$920.61RVU23A
2022-10-01$1,472.36$925.93RVU22D
2022-07-01$1,472.36$925.93RVU22C
2022-04-01$1,472.36$925.93RVU22B
2022-01-01$1,472.36$925.93RVU22A
2021-10-01$1,526.28$928.56RVU21D
2021-07-01$1,526.28$928.56RVU21C
2021-04-01$1,526.28$928.56RVU21B
2021-01-01$1,526.28$928.56RVU21A
2020-10-01$1,569.36$971.35RVU20D
2020-07-01$1,569.36$971.35RVU20C
2020-04-01$1,569.36$971.35RVU20B
2020-01-01$1,569.36$971.35RVU20A
2019-10-01$1,615.08$995.21RVU19D
2019-07-01$1,615.08$995.21RVU19C
2019-04-01$1,615.08$995.21RVU19B
2019-01-01$1,615.08$995.21RVU19A
2018-10-01$1,633.96$992.45RVU18D
2018-07-01$1,633.96$992.45RVU18C
2018-04-01$1,633.96$992.45RVU18B
2018-01-01$1,633.96$992.45RVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 15730 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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
RVUs for 15730PPRRVU2026_Oct_nonQPP.csv, line 1,529 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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