CPT code 15734: Trunk flap, muscle, skin, or fascia flap2026 Medicare rate & RVUs in Puerto Rico
Reports transfer of a muscle-based, skin-and-muscle, or fascia-and-skin flap to cover or reconstruct a defect of the trunk.
In Puerto Rico, Medicare pays $1,389.49 for 15734 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 15734 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 15734 covers
This code describes moving a muscle-based, skin-and-muscle, or fascia-and-skin flap to cover or reconstruct a trunk defect. Plastic, general, and reconstructive surgeons may use it after tumor removal or trauma, or when durable tissue coverage is needed for an abdominal or chest-wall defect. Pedicled rectus-based reconstruction and trunk pressure-wound coverage are representative settings. A flap carries its blood supply during transfer, unlike a free skin graft.
Select the code based on the flap tissue and the recipient region, rather than defect size alone. The operative report should identify the flap components, donor and recipient sites, and transfer method, including whether the flap remains pedicled or is transferred as free tissue. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires 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 Puerto Rico compares for 15734
Across 109 of 109 payment localities, the facility rate for 15734 runs from $1,239.68 in Arkansas to $1,717.35 in Alaska. Puerto Rico pays $1,389.49. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$1,389.49
- Los Angeles, CA · California$1,447.88+$58.39
- Washington, DC area · District of Columbia$1,529.95+$140.46
- Miami, FL · Florida$1,660.46+$270.97
- Chicago, IL · Illinois$1,609.81+$220.32
- Manhattan, NY · New York$1,608.57+$219.08
- Alaska · Alaska$1,717.35+$327.86
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,255.70 |
| ArkansasArkansas | — | $1,239.68 |
| ArizonaArizona | — | $1,348.24 |
| Bakersfield, CACalifornia | — | $1,381.25 |
| Chico, CACalifornia | — | $1,367.60 |
| El Centro, CACalifornia | — | $1,368.44 |
| Fresno, CACalifornia | — | $1,367.60 |
| Hanford, CACalifornia | — | $1,367.60 |
| Madera, CACalifornia | — | $1,367.60 |
| Merced, CACalifornia | — | $1,367.60 |
| Modesto, CACalifornia | — | $1,367.60 |
| Napa, CACalifornia | — | $1,502.04 |
| Oxnard, CACalifornia | — | $1,430.85 |
| Redding, CACalifornia | — | $1,367.60 |
| Rest of CaliforniaCalifornia | — | $1,367.60 |
| Riverside, CACalifornia | — | $1,421.08 |
| Sacramento, CACalifornia | — | $1,413.42 |
| Salinas, CACalifornia | — | $1,407.78 |
| San Diego, CACalifornia | — | $1,425.47 |
| Marin County, CACalifornia | — | $1,561.22 |
| San Francisco, CACalifornia | — | $1,555.56 |
| San Benito County, CACalifornia | — | $1,600.34 |
| Santa Clara County, CACalifornia | — | $1,577.22 |
| San Luis Obispo, CACalifornia | — | $1,387.87 |
| Santa Cruz, CACalifornia | — | $1,426.68 |
| Santa Maria, CACalifornia | — | $1,408.84 |
| Santa Rosa, CACalifornia | — | $1,439.55 |
| Stockton, CACalifornia | — | $1,367.60 |
| Vallejo, CACalifornia | — | $1,493.88 |
| Visalia, CACalifornia | — | $1,367.60 |
| Yuba City, CACalifornia | — | $1,367.60 |
| ColoradoColorado | — | $1,389.53 |
| ConnecticutConnecticut | — | $1,473.01 |
| DelawareDelaware | — | $1,368.10 |
| Fort Lauderdale, FLFlorida | — | $1,527.33 |
| Rest of FloridaFlorida | — | $1,449.74 |
| Atlanta, GAGeorgia | — | $1,430.03 |
| Rest of GeorgiaGeorgia | — | $1,367.84 |
| Hawaii, Guam, HIHawaii | — | $1,381.34 |
| IowaIowa | — | $1,246.45 |
| IdahoIdaho | — | $1,261.44 |
| East St. Louis, ILIllinois | — | $1,517.77 |
| Rest of IllinoisIllinois | — | $1,439.45 |
| Suburban Chicago, ILIllinois | — | $1,533.19 |
| IndianaIndiana | — | $1,266.90 |
| KansasKansas | — | $1,259.06 |
| KentuckyKentucky | — | $1,320.35 |
| New Orleans, LALouisiana | — | $1,381.62 |
| Rest of LouisianaLouisiana | — | $1,325.62 |
| Metropolitan Boston, MAMassachusetts | — | $1,490.65 |
| Rest of MassachusettsMassachusetts | — | $1,390.00 |
| Baltimore area, MDMaryland | — | $1,472.62 |
| Rest of MarylandMaryland | — | $1,386.31 |
| Rest of MaineMaine | — | $1,286.23 |
| Southern Maine, MEMaine | — | $1,321.19 |
| Detroit, MIMichigan | — | $1,484.42 |
| Rest of MichiganMichigan | — | $1,367.26 |
| MinnesotaMinnesota | — | $1,283.37 |
| Metropolitan Kansas City, MOMissouri | — | $1,354.23 |
| Metropolitan St. Louis, MOMissouri | — | $1,364.52 |
| Rest of MissouriMissouri | — | $1,317.44 |
| MississippiMississippi | — | $1,277.88 |
| MontanaMontana | — | $1,386.47 |
| North CarolinaNorth Carolina | — | $1,295.18 |
| North DakotaNorth Dakota | — | $1,288.00 |
| NebraskaNebraska | — | $1,247.06 |
| New HampshireNew Hampshire | — | $1,385.34 |
| Northern New JerseyNew Jersey | — | $1,520.72 |
| Rest of New JerseyNew Jersey | — | $1,476.27 |
| New MexicoNew Mexico | — | $1,381.12 |
| NevadaNevada | — | $1,359.50 |
| NYC suburbs and Long Island, NYNew York | — | $1,666.38 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,500.22 |
| Queens, NYNew York | — | $1,594.05 |
| Rest of New YorkNew York | — | $1,313.84 |
| OhioOhio | — | $1,347.13 |
| OklahomaOklahoma | — | $1,299.28 |
| Portland, OROregon | — | $1,408.52 |
| Rest of OregonOregon | — | $1,335.52 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,451.72 |
| Rest of PennsylvaniaPennsylvania | — | $1,339.01 |
| Rhode IslandRhode Island | — | $1,398.63 |
| South CarolinaSouth Carolina | — | $1,326.04 |
| South DakotaSouth Dakota | — | $1,276.36 |
| TennesseeTennessee | — | $1,266.90 |
| Austin, TXTexas | — | $1,396.68 |
| Beaumont, TXTexas | — | $1,332.58 |
| Brazoria, TXTexas | — | $1,351.96 |
| Dallas, TXTexas | — | $1,368.04 |
| Fort Worth, TXTexas | — | $1,365.49 |
| Galveston, TXTexas | — | $1,360.89 |
| Houston, TXTexas | — | $1,452.04 |
| Rest of TexasTexas | — | $1,346.64 |
| UtahUtah | — | $1,341.56 |
| VirginiaVirginia | — | $1,329.89 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,389.49 |
| VermontVermont | — | $1,299.92 |
| Rest of WashingtonWashington | — | $1,381.77 |
| King County, WAWashington | — | $1,500.81 |
| WisconsinWisconsin | — | $1,251.91 |
| West VirginiaWest Virginia | — | $1,396.76 |
| WyomingWyoming | — | $1,343.56 |
15734 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 15734 rate is calculated
Each of 15734’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 · 15734
RVUs × geographic indexes × conversion factor
Work22.43
22.43 RVUs× 1.000 GPCI
Practice expense14.11
14.11 RVUs× 1.000 GPCI
Malpractice4.98
4.98 RVUs× 1.000 GPCI
Adjusted RVUs
41.5200
Conversion factor
$33.4009
Medicare rate
$1,386.81
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
1,532
- Code
- 15734
- Physician work
- 22.43
- Practice expense
- 14.11
- Malpractice
- 4.98
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.43 | × 1.000 | 22.4300 |
| Practice expense | 14.11 | × 1.011 | 14.2652 |
| Malpractice | 4.98 | × 0.985 | 4.9053 |
| Total RVUs | 41.6005 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$1389.49
Facility: (22.43 × 1 + 14.11 × 1.011 + 4.98 × 0.985) × $33.4009 = $1389.49
Payment rules and modifiers for 15734
15734 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 15734
Trunk flap, muscle, skin, or fascia flap
| 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) | 2 | Paid. |
| 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 · 15734
Trunk flap, muscle, skin, or fascia flap
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
15734 without 51 · national facility
$1,386.81
Trunk flap, muscle, skin, or fascia flap
15734-51 · Second procedure: 50%
$693.41
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 15734 has changed in Puerto Rico
15734 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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, 2018
RVU18AR1
$1391.83changed toNo rate
Held through RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2017
RVU17A
$1236.25changed to$1391.83
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 19.16 changed to 19.15
- Malpractice RVU 3.96 changed to 3.94
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1237.91changed to$1236.25
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 19.07 changed to 19.16
- Malpractice RVU 3.91 changed to 3.96
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1231.75changed to$1237.91
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1219.03changed to$1231.75
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 18.98 changed to 19.07
- Malpractice RVU 3.82 changed to 3.91
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$1193.23changed to$1219.03
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 20.97 changed to 18.98
- Malpractice RVU 3.99 changed to 3.82
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1193.23
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,389.49 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,389.49 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,389.49 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,389.49 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,467.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,467.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,467.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,467.33 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,499.25 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,499.25 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,499.25 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,499.25 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,474.78 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,519.43 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,517.47 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,517.47 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,517.47 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,542.55 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,542.55 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,542.55 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,542.55 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,543.87 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,543.87 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,543.87 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,543.87 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,576.42 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,576.42 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,576.42 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,576.42 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,568.95 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,568.95 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,568.95 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,568.95 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,570.54 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,570.54 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,570.54 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,570.54 | RVU18AR1 |
| 2017-10-01 | $1,391.83 | $1,238.23 | RVU17D |
| 2017-07-01 | $1,391.83 | $1,238.23 | RVU17C |
| 2017-04-01 | $1,391.83 | $1,238.23 | RVU17B |
| 2017-01-01 | $1,391.83 | $1,238.23 | RVU17A |
| 2016-10-01 | $1,236.25 | $1,109.79 | RVU16D |
| 2016-07-01 | $1,236.25 | $1,109.79 | RVU16C |
| 2016-04-01 | $1,236.25 | $1,109.79 | RVU16B |
| 2016-01-01 | $1,236.25 | $1,109.79 | RVU16A |
| 2015-10-01 | $1,237.91 | $1,113.27 | RVU15D |
| 2015-07-01 | $1,237.91 | $1,113.27 | RVU15C |
| 2015-04-01 | $1,231.75 | $1,107.73 | RVU15B |
| 2015-01-01 | $1,231.75 | $1,107.73 | RVU15A |
| 2014-10-01 | $1,219.03 | $1,101.03 | RVU14D |
| 2014-07-01 | $1,219.03 | $1,101.03 | RVU14C |
| 2014-04-01 | $1,219.03 | $1,101.03 | RVU14B |
| 2014-01-01 | $1,219.03 | $1,101.03 | RVU14A |
| 2013-10-01 | $1,193.23 | $1,069.12 | RVU13D |
| 2013-07-01 | $1,193.23 | $1,069.12 | RVU13C |
| 2013-04-01 | $1,193.23 | $1,069.12 | RVU13B |
| 2013-01-01 | $1,193.23 | $1,069.12 | RVU13AR |
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
15734 billing questions
How is this code distinguished from the arm and leg flap codes?
Use this code when the flap covers a trunk defect. The related arm and leg codes are selected for defects in those respective regions.
When would a free-flap code be considered instead?
A free-flap code is considered when tissue is completely separated from its donor site and transferred with microvascular reconnection. This code represents a trunk flap that is not reported as a free microvascular flap.
Should modifier 50 be used for bilateral trunk work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting this code?
The operative report should describe the flap tissue, donor and recipient locations, and how the flap was transferred to cover the trunk defect.
How are multiple procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. The code also has a 90-day global period.
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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