CPT code 15738: Lower-extremity flap, muscle, myocutaneous, or fasciocutaneous2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $1,076.50 for 15738 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 15738 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 15738 covers

This code covers reconstruction of a lower-extremity defect using a flap that includes muscle, skin, or fascia and remains connected to its blood supply during transfer. Plastic surgeons and other surgeons performing reconstructive procedures may use this approach to provide durable tissue coverage when a defect cannot be adequately managed with a simpler closure. The operative report should identify the flap tissue, its lower-extremity donor and recipient sites, and how the tissue was mobilized and positioned.

Select this code for a pedicled flap reconstruction of the leg, not a free flap moved with microvascular vessel connections. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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 North Dakota compares for 15738

Across 109 of 109 payment localities, the facility rate for 15738 runs from $1,032.22 in Arkansas to $1,430.48 in Alaska. North Dakota pays $1,076.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

15738 rates by state

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

See 15738 in every payment locality

How the 15738 rate is calculated

Each of 15738’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.

Payment rules and modifiers for 15738

15738 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 15738

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

How 15738 has changed in North Dakota

Price 15738 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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

Open CMS sourceHow we calculate rates