CPT code 15740: Island flap, subcutaneous vascular pedicle2026 Medicare rate & RVUs in Merced, CA
Reports reconstruction of a tissue defect with an island of skin and underlying tissue moved on its attached vascular pedicle.
In Merced, CA, Medicare pays $1,085.42 for 15740 in the office and $758.51 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 15740 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 15740 covers
The surgeon raises an island of skin with underlying tissue while preserving its vascular attachment, then moves it into a nearby defect. The flap provides tissue for coverage after excision, trauma, or another operation when a graft or simple closure would not adequately reconstruct the site. Plastic, facial plastic, otolaryngology, and hand surgeons may perform this procedure in an operating room or, for selected cases, an office procedure setting.
Report the code when the operative note supports transfer of an island flap on a subcutaneous vascular pedicle, rather than a free flap or a different named pedicle flap. Documentation should identify the defect, flap design and tissue transferred, preserved pedicle, and how the flap was inset. CMS 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 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. CMS restricts assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.
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 Merced, CA compares for 15740
Across 109 of 109 payment localities, the office rate for 15740 runs from $934.55 in Arkansas to $1,330.00 in San Benito County, CA. Merced, CA pays $1,085.42. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Merced, CA · this page$1,085.42
- Bakersfield, CA · California$1,090.67+$5.25
- Chico, CA · California$1,085.42
- El Centro, CA · California$1,085.72+$0.30
- Fresno, CA · California$1,085.42
- Hanford, CA · California$1,085.42
- Los Angeles, CA · California$1,155.02+$69.60
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $1,085.42 | $758.51 |
| Modesto, CACalifornia | $1,085.42 | $758.51 |
| Napa, CACalifornia | $1,235.37 | $842.25 |
| Oxnard, CACalifornia | $1,146.90 | $794.34 |
| Redding, CACalifornia | $1,085.42 | $758.51 |
| Rest of CaliforniaCalifornia | $1,085.42 | $758.51 |
| Riverside, CACalifornia | $1,105.28 | $778.38 |
| Sacramento, CACalifornia | $1,133.16 | $786.27 |
| Salinas, CACalifornia | $1,128.82 | $783.13 |
| San Diego, CACalifornia | $1,151.14 | $794.41 |
| Marin County, CACalifornia | $1,300.19 | $879.63 |
| San Francisco, CACalifornia | $1,298.10 | $877.54 |
| San Benito County, CACalifornia | $1,330.00 | $899.89 |
| Santa Clara County, CACalifornia | $1,321.46 | $891.35 |
| San Luis Obispo, CACalifornia | $1,111.37 | $771.64 |
| Santa Cruz, CACalifornia | $1,158.78 | $796.38 |
| Santa Maria, CACalifornia | $1,131.89 | $784.11 |
| Santa Rosa, CACalifornia | $1,170.08 | $803.81 |
| Stockton, CACalifornia | $1,085.42 | $758.51 |
| Vallejo, CACalifornia | $1,232.36 | $839.24 |
| Visalia, CACalifornia | $1,085.42 | $758.51 |
| Yuba City, CACalifornia | $1,085.42 | $758.51 |
| Washington, DC areaDistrict of Columbia | $1,184.59 | $833.23 |
| Miami, FLFlorida | $1,168.17 | $857.67 |
| Chicago, ILIllinois | $1,134.75 | $834.99 |
| Manhattan, NYNew York | $1,207.85 | $861.26 |
| AlaskaAlaska | $1,253.31 | $935.66 |
| AlabamaAlabama | $947.34 | $686.35 |
| ArkansasArkansas | $934.55 | $678.33 |
| ArizonaArizona | $1,021.90 | $732.87 |
| ColoradoColorado | $1,079.24 | $761.88 |
| ConnecticutConnecticut | $1,116.52 | $795.29 |
| DelawareDelaware | $1,037.93 | $743.24 |
| Fort Lauderdale, FLFlorida | $1,106.96 | $804.81 |
| Rest of FloridaFlorida | $1,053.81 | $768.67 |
| Atlanta, GAGeorgia | $1,072.62 | $769.58 |
| Rest of GeorgiaGeorgia | $996.07 | $730.02 |
| Hawaii, Guam, HIHawaii | $1,106.27 | $767.14 |
| IowaIowa | $961.10 | $688.18 |
| IdahoIdaho | $968.78 | $694.38 |
| East St. Louis, ILIllinois | $1,063.49 | $789.08 |
| Rest of IllinoisIllinois | $1,031.55 | $759.23 |
| Suburban Chicago, ILIllinois | $1,115.89 | $809.57 |
| IndianaIndiana | $973.81 | $697.31 |
| KansasKansas | $961.03 | $691.40 |
| KentuckyKentucky | $977.24 | $712.08 |
| New Orleans, LALouisiana | $1,022.20 | $741.53 |
| Rest of LouisianaLouisiana | $977.47 | $713.50 |
| Metropolitan Boston, MAMassachusetts | $1,175.55 | $819.41 |
| Rest of MassachusettsMassachusetts | $1,075.12 | $761.04 |
| Baltimore area, MDMaryland | $1,114.23 | $794.19 |
| Rest of MarylandMaryland | $1,055.50 | $753.65 |
| Rest of MaineMaine | $977.94 | $703.53 |
| Southern Maine, MEMaine | $1,021.35 | $725.76 |
| Detroit, MIMichigan | $1,070.49 | $782.66 |
| Rest of MichiganMichigan | $1,004.88 | $732.55 |
| MinnesotaMinnesota | $1,023.69 | $716.77 |
| Metropolitan Kansas City, MOMissouri | $1,011.23 | $731.15 |
| Metropolitan St. Louis, MOMissouri | $1,020.61 | $736.66 |
| Rest of MissouriMissouri | $964.57 | $707.46 |
| MississippiMississippi | $949.52 | $692.71 |
| MontanaMontana | $1,049.33 | $751.06 |
| North CarolinaNorth Carolina | $986.83 | $708.55 |
| North DakotaNorth Dakota | $1,012.95 | $714.68 |
| NebraskaNebraska | $964.76 | $689.45 |
| New HampshireNew Hampshire | $1,066.52 | $756.02 |
| Northern New JerseyNew Jersey | $1,174.42 | $828.43 |
| Rest of New JerseyNew Jersey | $1,126.32 | $800.61 |
| New MexicoNew Mexico | $1,011.71 | $738.20 |
| NevadaNevada | $1,039.80 | $741.23 |
| NYC suburbs and Long Island, NYNew York | $1,240.80 | $886.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,137.00 | $810.39 |
| Queens, NYNew York | $1,211.07 | $858.52 |
| Rest of New YorkNew York | $1,001.03 | $717.67 |
| OhioOhio | $997.44 | $725.12 |
| OklahomaOklahoma | $971.17 | $704.82 |
| Portland, OROregon | $1,106.87 | $775.49 |
| Rest of OregonOregon | $1,028.79 | $731.71 |
| Metropolitan Philadelphia, PAPennsylvania | $1,092.98 | $782.48 |
| Rest of PennsylvaniaPennsylvania | $996.58 | $722.77 |
| Puerto RicoPuerto Rico | $1,055.17 | $753.62 |
| Rhode IslandRhode Island | $1,070.04 | $761.93 |
| South CarolinaSouth Carolina | $994.37 | $718.77 |
| South DakotaSouth Dakota | $1,008.65 | $710.38 |
| TennesseeTennessee | $966.08 | $694.95 |
| Austin, TXTexas | $1,078.23 | $762.66 |
| Beaumont, TXTexas | $990.77 | $719.35 |
| Brazoria, TXTexas | $1,033.58 | $737.99 |
| Dallas, TXTexas | $1,041.78 | $744.70 |
| Fort Worth, TXTexas | $1,036.54 | $742.44 |
| Galveston, TXTexas | $1,037.74 | $741.55 |
| Houston, TXTexas | $1,071.42 | $775.23 |
| Rest of TexasTexas | $1,012.71 | $729.66 |
| UtahUtah | $1,006.97 | $726.60 |
| VirginiaVirginia | $1,021.13 | $727.93 |
| Virgin Islands, VIUnited States Virgin Islands | $1,055.17 | $753.62 |
| VermontVermont | $1,013.06 | $717.77 |
| Rest of WashingtonWashington | $1,071.75 | $757.68 |
| King County, WAWashington | $1,194.44 | $828.46 |
| WisconsinWisconsin | $981.58 | $695.84 |
| West VirginiaWest Virginia | $996.88 | $737.68 |
| WyomingWyoming | $1,033.48 | $735.21 |
15740 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.
$934.55
$1,253.31
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 | $1,253.31 | 1 |
| AL | $947.34 | 1 |
| AR | $934.55 | 1 |
| AZ | $1,021.90 | 1 |
| CA | $1,085.42–$1,330.00 | 29 |
| CO | $1,079.24 | 1 |
| CT | $1,116.52 | 1 |
| DC | $1,184.59 | 1 |
| DE | $1,037.93 | 1 |
| FL | $1,053.81–$1,168.17 | 3 |
| GA | $996.07–$1,072.62 | 2 |
| GU | $1,106.27 | 1 |
| HI | $1,106.27 | 1 |
| IA | $961.10 | 1 |
| ID | $968.78 | 1 |
| IL | $1,031.55–$1,134.75 | 4 |
| IN | $973.81 | 1 |
| KS | $961.03 | 1 |
| KY | $977.24 | 1 |
| LA | $977.47–$1,022.20 | 2 |
| MA | $1,075.12–$1,175.55 | 2 |
| MD | $1,055.50–$1,184.59 | 3 |
| ME | $977.94–$1,021.35 | 2 |
| MI | $1,004.88–$1,070.49 | 2 |
| MN | $1,023.69 | 1 |
| MO | $964.57–$1,020.61 | 3 |
| MS | $949.52 | 1 |
| MT | $1,049.33 | 1 |
| NC | $986.83 | 1 |
| ND | $1,012.95 | 1 |
| NE | $964.76 | 1 |
| NH | $1,066.52 | 1 |
| NJ | $1,126.32–$1,174.42 | 2 |
| NM | $1,011.71 | 1 |
| NV | $1,039.80 | 1 |
| NY | $1,001.03–$1,240.80 | 5 |
| OH | $997.44 | 1 |
| OK | $971.17 | 1 |
| OR | $1,028.79–$1,106.87 | 2 |
| PA | $996.58–$1,092.98 | 2 |
| PR | $1,055.17 | 1 |
| RI | $1,070.04 | 1 |
| SC | $994.37 | 1 |
| SD | $1,008.65 | 1 |
| TN | $966.08 | 1 |
| TX | $990.77–$1,078.23 | 8 |
| UT | $1,006.97 | 1 |
| VA | $1,021.13–$1,184.59 | 2 |
| VI | $1,055.17 | 1 |
| VT | $1,013.06 | 1 |
| WA | $1,071.75–$1,194.44 | 2 |
| WI | $981.58 | 1 |
| WV | $996.88 | 1 |
| WY | $1,033.48 | 1 |
How the 15740 rate is calculated
Each of 15740’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 · 15740
RVUs × geographic indexes × conversion factor
Work11.51
11.51 RVUs× 1.000 GPCI
Practice expense18.07
18.07 RVUs× 1.000 GPCI
Malpractice1.84
1.84 RVUs× 1.000 GPCI
Adjusted RVUs
31.4200
Conversion factor
$33.4009
Medicare rate
$1,049.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Merced, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,535
- Code
- 15740
- Physician work
- 11.51
- Practice expense
- 18.07
- Malpractice
- 1.84
GPCI2026.csv
15
- Locality
- Merced, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.51 | × 1.017 | 11.7057 |
| Practice expense | 18.07 | × 1.096 | 19.8047 |
| Malpractice | 1.84 | × 0.536 | 0.9862 |
| Total RVUs | 32.4966 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Merced, CA$1085.42
Office: (11.51 × 1.017 + 18.07 × 1.096 + 1.84 × 0.536) × $33.4009 = $1085.42
Facility: (11.51 × 1.017 + 9.14 × 1.096 + 1.84 × 0.536) × $33.4009 = $758.51
Payment rules and modifiers for 15740
15740 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 15740
Island flap, subcutaneous vascular pedicle
| 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) | 0 | Not permitted. |
| 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 · 15740
Island flap, subcutaneous vascular pedicle
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
15740 without 51 · national office
$1,049.46
Island flap, subcutaneous vascular pedicle
15740-51 · Second procedure: 50%
$524.73
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 15740 has changed in Merced, CA
15740 · Office / nonfacility
$1085.42
Effective 2026-10-01
The base rate is $61.72 higher than on 2025-10-01, moving from $1023.70 to $1085.42 (6.0%).
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
$1023.70changed to$1085.42
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 11.80 changed to 11.51
- Practice expense RVU 17.05 changed to 18.07
- Malpractice RVU 1.87 changed to 1.84
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1047.82changed to$1023.70
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 16.92 changed to 17.05
- Malpractice RVU 1.82 changed to 1.87
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1030.72changed to$1047.82
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1053.59changed to$1030.72
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 16.71 changed to 16.92
- Malpractice RVU 1.75 changed to 1.82
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$1053.08changed to$1053.59
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 16.23 changed to 16.71
- Malpractice RVU 1.72 changed to 1.75
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1049.62changed to$1053.08
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 15.93 changed to 16.23
- Malpractice RVU 1.67 changed to 1.72
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1056.60changed to$1049.62
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 15.18 changed to 15.93
- Malpractice RVU 1.64 changed to 1.67
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1059.53changed to$1056.60
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 15.22 changed to 15.18
- Malpractice RVU 1.81 changed to 1.64
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1063.01changed to$1059.53
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 15.34 changed to 15.22
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1070.06changed to$1063.01
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 15.40 changed to 15.34
- Malpractice RVU 1.83 changed to 1.81
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$1070.06
Held through RVU17B, RVU17C, RVU17D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,085.42 | $758.51 | RVU26D |
| 2026-07-01 | $1,085.42 | $758.51 | RVU26C |
| 2026-04-01 | $1,085.42 | $758.51 | RVU26B |
| 2026-01-01 | $1,085.42 | $758.51 | RVU26A |
| 2025-10-01 | $1,023.70 | $839.86 | RVU25D |
| 2025-07-01 | $1,023.70 | $839.86 | RVU25C |
| 2025-04-01 | $1,023.70 | $839.86 | RVU25B |
| 2025-01-01 | $1,023.70 | $839.86 | RVU25A |
| 2024-10-01 | $1,047.82 | $857.17 | RVU24D |
| 2024-07-01 | $1,047.82 | $857.17 | RVU24C |
| 2024-04-01 | $1,047.82 | $857.17 | RVU24B |
| 2024-03-09 | $1,047.82 | $857.17 | RVU24AR |
| 2024-01-01 | $1,030.72 | $843.18 | RVU24A |
| 2023-10-01 | $1,053.59 | $863.82 | RVU23D |
| 2023-07-01 | $1,053.59 | $863.82 | RVU23C |
| 2023-04-01 | $1,053.59 | $863.82 | RVU23B |
| 2023-01-01 | $1,053.59 | $863.82 | RVU23A |
| 2022-10-01 | $1,053.08 | $863.64 | RVU22D |
| 2022-07-01 | $1,053.08 | $863.64 | RVU22C |
| 2022-04-01 | $1,053.08 | $863.64 | RVU22B |
| 2022-01-01 | $1,053.08 | $863.64 | RVU22A |
| 2021-10-01 | $1,049.62 | $861.59 | RVU21D |
| 2021-07-01 | $1,049.62 | $861.59 | RVU21C |
| 2021-04-01 | $1,049.62 | $861.59 | RVU21B |
| 2021-01-01 | $1,049.62 | $861.59 | RVU21A |
| 2020-10-01 | $1,056.60 | $877.42 | RVU20D |
| 2020-07-01 | $1,056.60 | $877.42 | RVU20C |
| 2020-04-01 | $1,056.60 | $877.42 | RVU20B |
| 2020-01-01 | $1,056.60 | $877.42 | RVU20A |
| 2019-10-01 | $1,059.53 | $883.03 | RVU19D |
| 2019-07-01 | $1,059.53 | $883.03 | RVU19C |
| 2019-04-01 | $1,059.53 | $883.03 | RVU19B |
| 2019-01-01 | $1,059.53 | $883.03 | RVU19A |
| 2018-10-01 | $1,063.01 | $887.86 | RVU18D |
| 2018-07-01 | $1,063.01 | $887.86 | RVU18C |
| 2018-04-01 | $1,063.01 | $887.86 | RVU18B |
| 2018-01-01 | $1,063.01 | $887.86 | RVU18AR1 |
| 2017-10-01 | $1,070.06 | $897.35 | RVU17D |
| 2017-07-01 | $1,070.06 | $897.35 | RVU17C |
| 2017-04-01 | $1,070.06 | $897.35 | RVU17B |
| 2017-01-01 | $1,070.06 | $897.35 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Merced, CA rate applies
Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Merced
- Atwater
- Ballico
- Bear Creek
- Cressey
- Delhi
- Dos Palos
- Dos Palos Y
15740 billing questions
How is an island pedicle flap different from local tissue rearrangement?
Use 15740 when the operative technique transfers an island of tissue on an attached vascular pedicle. Local tissue rearrangement codes describe a different advancement, rotation, or transposition approach.
When would 15750 be a better choice?
Compare the operative technique and the type of pedicle documented. 15750 describes a neurovascular pedicle flap; 15740 describes an island flap carried on its vascular pedicle.
Can modifier 50 be appended for flaps on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor or anatomy.
Does the code include related postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS applies a statutory restriction on assistant-at-surgery payment for 15740 and does not permit co-surgeons or team surgery.
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
Fee sheets · Coming soon
Put 15740 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist