CPT code 15730: Midface flap, vascular pedicle preserved2026 Medicare rate & RVUs in Virginia
Reports reconstruction using midface tissue transferred to a facial defect while its vascular pedicle remains intact, commonly for cheek reconstruction.
In Virginia, Medicare pays $1,409.78 for 15730 in the office and $762.64 when it’s performed in a hospital or facility.
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.
On this page 11 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.
How Virginia 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. Virginia pays $1,409.78. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$1,409.78
- Los Angeles, CA · California$1,615.96+$206.18
- Washington, DC area · District of Columbia$1,639.26+$229.48
- Miami, FL · Florida$1,555.68+$145.90
- Chicago, IL · Illinois$1,512.86+$103.08
- Manhattan, NY · New York$1,651.98+$242.20
- Alaska · Alaska$1,699.84+$290.06
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $1,516.28 | $794.75 |
| Merced, CACalifornia | $1,516.28 | $794.75 |
| Modesto, CACalifornia | $1,516.28 | $794.75 |
| Napa, CACalifornia | $1,746.29 | $878.61 |
| Oxnard, CACalifornia | $1,607.25 | $829.11 |
| Redding, CACalifornia | $1,516.28 | $794.75 |
| Rest of CaliforniaCalifornia | $1,516.28 | $794.75 |
| Riverside, CACalifornia | $1,532.50 | $810.97 |
| Sacramento, CACalifornia | $1,588.37 | $822.73 |
| Salinas, CACalifornia | $1,582.36 | $819.36 |
| San Diego, CACalifornia | $1,617.42 | $830.06 |
| Marin County, CACalifornia | $1,845.43 | $917.18 |
| San Francisco, CACalifornia | $1,843.74 | $915.49 |
| San Benito County, CACalifornia | $1,886.30 | $936.98 |
| Santa Clara County, CACalifornia | $1,879.38 | $930.06 |
| San Luis Obispo, CACalifornia | $1,557.19 | $807.35 |
| Santa Cruz, CACalifornia | $1,631.24 | $831.37 |
| Santa Maria, CACalifornia | $1,587.71 | $820.09 |
| Santa Rosa, CACalifornia | $1,647.56 | $839.13 |
| Stockton, CACalifornia | $1,516.28 | $794.75 |
| Vallejo, CACalifornia | $1,743.85 | $876.17 |
| Visalia, CACalifornia | $1,516.28 | $794.75 |
| Yuba City, CACalifornia | $1,516.28 | $794.75 |
| ColoradoColorado | $1,495.84 | $795.37 |
| ConnecticutConnecticut | $1,533.07 | $824.05 |
| DelawareDelaware | $1,426.34 | $775.91 |
| Fort Lauderdale, FLFlorida | $1,493.16 | $826.27 |
| Rest of FloridaFlorida | $1,423.76 | $794.39 |
| Atlanta, GAGeorgia | $1,467.12 | $798.26 |
| Rest of GeorgiaGeorgia | $1,347.40 | $760.17 |
| Hawaii, Guam, HIHawaii | $1,549.95 | $801.43 |
| IowaIowa | $1,329.71 | $727.34 |
| IdahoIdaho | $1,338.25 | $732.59 |
| East St. Louis, ILIllinois | $1,414.94 | $809.28 |
| Rest of IllinoisIllinois | $1,385.84 | $784.78 |
| Suburban Chicago, ILIllinois | $1,507.76 | $831.66 |
| IndianaIndiana | $1,345.56 | $735.29 |
| KansasKansas | $1,324.58 | $729.44 |
| KentuckyKentucky | $1,330.76 | $745.50 |
| New Orleans, LALouisiana | $1,391.22 | $771.73 |
| Rest of LouisianaLouisiana | $1,329.10 | $746.47 |
| Metropolitan Boston, MAMassachusetts | $1,637.67 | $851.62 |
| Rest of MassachusettsMassachusetts | $1,487.93 | $794.70 |
| Baltimore area, MDMaryland | $1,528.85 | $822.46 |
| Rest of MarylandMaryland | $1,452.31 | $786.08 |
| Rest of MaineMaine | $1,345.67 | $740.00 |
| Southern Maine, MEMaine | $1,413.66 | $761.25 |
| Detroit, MIMichigan | $1,441.43 | $806.14 |
| Rest of MichiganMichigan | $1,364.24 | $763.18 |
| MinnesotaMinnesota | $1,433.13 | $755.71 |
| Metropolitan Kansas City, MOMissouri | $1,381.41 | $763.24 |
| Metropolitan St. Louis, MOMissouri | $1,395.02 | $768.29 |
| Rest of MissouriMissouri | $1,308.01 | $740.53 |
| MississippiMississippi | $1,295.37 | $728.54 |
| MontanaMontana | $1,440.48 | $782.15 |
| North CarolinaNorth Carolina | $1,358.88 | $744.66 |
| North DakotaNorth Dakota | $1,411.02 | $752.69 |
| NebraskaNebraska | $1,336.38 | $728.74 |
| New HampshireNew Hampshire | $1,473.36 | $788.04 |
| Northern New JerseyNew Jersey | $1,623.86 | $860.19 |
| Rest of New JerseyNew Jersey | $1,550.51 | $831.61 |
| New MexicoNew Mexico | $1,371.63 | $767.94 |
| NevadaNevada | $1,433.22 | $774.23 |
| NYC suburbs and Long Island, NYNew York | $1,691.15 | $908.39 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,561.18 | $840.31 |
| Queens, NYNew York | $1,663.84 | $885.69 |
| Rest of New YorkNew York | $1,378.24 | $752.82 |
| OhioOhio | $1,358.22 | $757.16 |
| OklahomaOklahoma | $1,327.70 | $739.81 |
| Portland, OROregon | $1,540.46 | $809.06 |
| Rest of OregonOregon | $1,421.99 | $766.30 |
| Metropolitan Philadelphia, PAPennsylvania | $1,497.10 | $811.78 |
| Rest of PennsylvaniaPennsylvania | $1,359.84 | $755.49 |
| Puerto RicoPuerto Rico | $1,450.30 | $784.72 |
| Rhode IslandRhode Island | $1,474.95 | $794.89 |
| South CarolinaSouth Carolina | $1,360.82 | $752.52 |
| South DakotaSouth Dakota | $1,407.54 | $749.20 |
| TennesseeTennessee | $1,330.97 | $732.55 |
| Austin, TXTexas | $1,490.96 | $794.44 |
| Beaumont, TXTexas | $1,351.43 | $752.35 |
| Brazoria, TXTexas | $1,424.59 | $772.18 |
| Dallas, TXTexas | $1,433.66 | $777.97 |
| Fort Worth, TXTexas | $1,424.80 | $775.68 |
| Galveston, TXTexas | $1,428.88 | $775.16 |
| Houston, TXTexas | $1,456.15 | $802.43 |
| Rest of TexasTexas | $1,387.24 | $762.48 |
| UtahUtah | $1,378.43 | $759.60 |
| Virgin Islands, VIUnited States Virgin Islands | $1,450.30 | $784.72 |
| VermontVermont | $1,406.48 | $754.73 |
| Rest of WashingtonWashington | $1,484.82 | $791.59 |
| King County, WAWashington | $1,669.39 | $861.61 |
| WisconsinWisconsin | $1,366.19 | $735.51 |
| West VirginiaWest Virginia | $1,337.42 | $765.33 |
| WyomingWyoming | $1,427.64 | $769.31 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,699.84 | 1 |
| AL | $1,300.07 | 1 |
| AR | $1,282.32 | 1 |
| AZ | $1,403.93 | 1 |
| CA | $1,516.28–$1,886.30 | 29 |
| CO | $1,495.84 | 1 |
| CT | $1,533.07 | 1 |
| DC | $1,639.26 | 1 |
| DE | $1,426.34 | 1 |
| FL | $1,423.76–$1,555.68 | 3 |
| GA | $1,347.40–$1,467.12 | 2 |
| GU | $1,549.95 | 1 |
| HI | $1,549.95 | 1 |
| IA | $1,329.71 | 1 |
| ID | $1,338.25 | 1 |
| IL | $1,385.84–$1,512.86 | 4 |
| IN | $1,345.56 | 1 |
| KS | $1,324.58 | 1 |
| KY | $1,330.76 | 1 |
| LA | $1,329.10–$1,391.22 | 2 |
| MA | $1,487.93–$1,637.67 | 2 |
| MD | $1,452.31–$1,639.26 | 3 |
| ME | $1,345.67–$1,413.66 | 2 |
| MI | $1,364.24–$1,441.43 | 2 |
| MN | $1,433.13 | 1 |
| MO | $1,308.01–$1,395.02 | 3 |
| MS | $1,295.37 | 1 |
| MT | $1,440.48 | 1 |
| NC | $1,358.88 | 1 |
| ND | $1,411.02 | 1 |
| NE | $1,336.38 | 1 |
| NH | $1,473.36 | 1 |
| NJ | $1,550.51–$1,623.86 | 2 |
| NM | $1,371.63 | 1 |
| NV | $1,433.22 | 1 |
| NY | $1,378.24–$1,691.15 | 5 |
| OH | $1,358.22 | 1 |
| OK | $1,327.70 | 1 |
| OR | $1,421.99–$1,540.46 | 2 |
| PA | $1,359.84–$1,497.10 | 2 |
| PR | $1,450.30 | 1 |
| RI | $1,474.95 | 1 |
| SC | $1,360.82 | 1 |
| SD | $1,407.54 | 1 |
| TN | $1,330.97 | 1 |
| TX | $1,351.43–$1,490.96 | 8 |
| UT | $1,378.43 | 1 |
| VA | $1,409.78–$1,639.26 | 2 |
| VI | $1,450.30 | 1 |
| VT | $1,406.48 | 1 |
| WA | $1,484.82–$1,669.39 | 2 |
| WI | $1,366.19 | 1 |
| WV | $1,337.42 | 1 |
| WY | $1,427.64 | 1 |
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.
The exact Virginia 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
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.16 | × 1.000 | 13.1600 |
| Practice expense | 28.48 | × 0.983 | 27.9958 |
| Malpractice | 1.49 | × 0.706 | 1.0519 |
| Total RVUs | 42.2078 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$1409.78
Office: (13.16 × 1 + 28.48 × 0.983 + 1.49 × 0.706) × $33.4009 = $1409.78
Facility: (13.16 × 1 + 8.77 × 0.983 + 1.49 × 0.706) × $33.4009 = $762.64
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%).
How 15730 has changed in Virginia
15730 · Office / nonfacility
$1409.78
Effective 2026-10-01
The base rate is $75.80 higher than on 2025-10-01, moving from $1333.98 to $1409.78 (5.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$1333.98changed to$1409.78
- 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
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1393.85changed to$1333.98
- 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.
March 9, 2024
RVU24AR
$1371.10changed to$1393.85
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1430.37changed to$1371.10
- 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
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$1463.51changed to$1430.37
- 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
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1516.63changed to$1463.51
- 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.
January 1, 2021
RVU21A
$1534.89changed to$1516.63
- 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
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1553.11changed to$1534.89
- 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
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1572.02changed to$1553.11
- 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.
January 1, 2018
RVU18AR1
No ratechanged to$1572.02
Held through RVU18B, RVU18C, RVU18D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,409.78 | $762.64 | RVU26D |
| 2026-07-01 | $1,409.78 | $762.64 | RVU26C |
| 2026-04-01 | $1,409.78 | $762.64 | RVU26B |
| 2026-01-01 | $1,409.78 | $762.64 | RVU26A |
| 2025-10-01 | $1,333.98 | $870.23 | RVU25D |
| 2025-07-01 | $1,333.98 | $870.23 | RVU25C |
| 2025-04-01 | $1,333.98 | $870.23 | RVU25B |
| 2025-01-01 | $1,333.98 | $870.23 | RVU25A |
| 2024-10-01 | $1,393.85 | $893.35 | RVU24D |
| 2024-07-01 | $1,393.85 | $893.35 | RVU24C |
| 2024-04-01 | $1,393.85 | $893.35 | RVU24B |
| 2024-03-09 | $1,393.85 | $893.35 | RVU24AR |
| 2024-01-01 | $1,371.10 | $878.77 | RVU24A |
| 2023-10-01 | $1,430.37 | $908.70 | RVU23D |
| 2023-07-01 | $1,430.37 | $908.70 | RVU23C |
| 2023-04-01 | $1,430.37 | $908.70 | RVU23B |
| 2023-01-01 | $1,430.37 | $908.70 | RVU23A |
| 2022-10-01 | $1,463.51 | $919.82 | RVU22D |
| 2022-07-01 | $1,463.51 | $919.82 | RVU22C |
| 2022-04-01 | $1,463.51 | $919.82 | RVU22B |
| 2022-01-01 | $1,463.51 | $919.82 | RVU22A |
| 2021-10-01 | $1,516.63 | $921.90 | RVU21D |
| 2021-07-01 | $1,516.63 | $921.90 | RVU21C |
| 2021-04-01 | $1,516.63 | $921.90 | RVU21B |
| 2021-01-01 | $1,516.63 | $921.90 | RVU21A |
| 2020-10-01 | $1,534.89 | $942.27 | RVU20D |
| 2020-07-01 | $1,534.89 | $942.27 | RVU20C |
| 2020-04-01 | $1,534.89 | $942.27 | RVU20B |
| 2020-01-01 | $1,534.89 | $942.27 | RVU20A |
| 2019-10-01 | $1,553.11 | $941.91 | RVU19D |
| 2019-07-01 | $1,553.11 | $941.91 | RVU19C |
| 2019-04-01 | $1,553.11 | $941.91 | RVU19B |
| 2019-01-01 | $1,553.11 | $941.91 | RVU19A |
| 2018-10-01 | $1,572.02 | $939.49 | RVU18D |
| 2018-07-01 | $1,572.02 | $939.49 | RVU18C |
| 2018-04-01 | $1,572.02 | $939.49 | RVU18B |
| 2018-01-01 | $1,572.02 | $939.49 | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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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