CPT code 15740: Island flap, subcutaneous vascular pedicle2026 Medicare rate & RVUs in North Dakota
Reports reconstruction of a tissue defect with an island of skin and underlying tissue moved on its attached vascular pedicle.
In North Dakota, Medicare pays $1,012.95 for 15740 in the office and $714.68 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 North Dakota 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. North Dakota pays $1,012.95. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$1,012.95
- Los Angeles, CA · California$1,155.02+$142.07
- Washington, DC area · District of Columbia$1,184.59+$171.64
- Miami, FL · Florida$1,168.17+$155.22
- Chicago, IL · Illinois$1,134.75+$121.80
- Manhattan, NY · New York$1,207.85+$194.90
- Alaska · Alaska$1,253.31+$240.36
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $947.34 | $686.35 |
| ArkansasArkansas | $934.55 | $678.33 |
| ArizonaArizona | $1,021.90 | $732.87 |
| Bakersfield, CACalifornia | $1,090.67 | $763.77 |
| Chico, CACalifornia | $1,085.42 | $758.51 |
| El Centro, CACalifornia | $1,085.72 | $758.82 |
| Fresno, CACalifornia | $1,085.42 | $758.51 |
| Hanford, CACalifornia | $1,085.42 | $758.51 |
| Madera, CACalifornia | $1,085.42 | $758.51 |
| Merced, 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 |
| 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 |
| 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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.51 | × 1.000 | 11.5100 |
| Practice expense | 18.07 | × 1.000 | 18.0700 |
| Malpractice | 1.84 | × 0.406 | 0.7470 |
| Total RVUs | 30.3270 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$1012.95
Office: (11.51 × 1 + 18.07 × 1 + 1.84 × 0.406) × $33.4009 = $1012.95
Facility: (11.51 × 1 + 9.14 × 1 + 1.84 × 0.406) × $33.4009 = $714.68
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 North Dakota
15740 · Office / nonfacility
$1012.95
Effective 2026-10-01
The base rate is $48.48 higher than on 2025-10-01, moving from $964.47 to $1012.95 (5.0%).
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
$964.47changed to$1012.95
- 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
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$987.34changed to$964.47
- 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
$971.22changed to$987.34
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$994.23changed to$971.22
- 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
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$995.67changed to$994.23
- 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
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$992.70changed to$995.67
- 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
$1002.40changed to$992.70
- 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
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1009.00changed to$1002.40
- 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
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1012.22changed to$1009.00
- 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
$1012.10changed to$1012.22
- 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
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1008.94changed to$1012.10
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 15.36 changed to 15.40
- Malpractice RVU 1.84 changed to 1.83
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1012.19changed to$1008.94
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 15.41 changed to 15.36
- Malpractice RVU 1.73 changed to 1.84
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1007.15changed to$1012.19
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$998.59changed to$1007.15
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 15.17 changed to 15.41
- Malpractice RVU 1.69 changed to 1.73
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$1005.55changed to$998.59
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 16.84 changed to 15.17
- Malpractice RVU 1.77 changed to 1.69
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1005.55
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,012.95 | $714.68 | RVU26D |
| 2026-07-01 | $1,012.95 | $714.68 | RVU26C |
| 2026-04-01 | $1,012.95 | $714.68 | RVU26B |
| 2026-01-01 | $1,012.95 | $714.68 | RVU26A |
| 2025-10-01 | $964.47 | $796.27 | RVU25D |
| 2025-07-01 | $964.47 | $796.27 | RVU25C |
| 2025-04-01 | $964.47 | $796.27 | RVU25B |
| 2025-01-01 | $964.47 | $796.27 | RVU25A |
| 2024-10-01 | $987.34 | $812.91 | RVU24D |
| 2024-07-01 | $987.34 | $812.91 | RVU24C |
| 2024-04-01 | $987.34 | $812.91 | RVU24B |
| 2024-03-09 | $987.34 | $812.91 | RVU24AR |
| 2024-01-01 | $971.22 | $799.64 | RVU24A |
| 2023-10-01 | $994.23 | $818.36 | RVU23D |
| 2023-07-01 | $994.23 | $818.36 | RVU23C |
| 2023-04-01 | $994.23 | $818.36 | RVU23B |
| 2023-01-01 | $994.23 | $818.36 | RVU23A |
| 2022-10-01 | $995.67 | $817.79 | RVU22D |
| 2022-07-01 | $995.67 | $817.79 | RVU22C |
| 2022-04-01 | $995.67 | $817.79 | RVU22B |
| 2022-01-01 | $995.67 | $817.79 | RVU22A |
| 2021-10-01 | $992.70 | $816.14 | RVU21D |
| 2021-07-01 | $992.70 | $816.14 | RVU21C |
| 2021-04-01 | $992.70 | $816.14 | RVU21B |
| 2021-01-01 | $992.70 | $816.14 | RVU21A |
| 2020-10-01 | $1,002.40 | $834.95 | RVU20D |
| 2020-07-01 | $1,002.40 | $834.95 | RVU20C |
| 2020-04-01 | $1,002.40 | $834.95 | RVU20B |
| 2020-01-01 | $1,002.40 | $834.95 | RVU20A |
| 2019-10-01 | $1,009.00 | $844.66 | RVU19D |
| 2019-07-01 | $1,009.00 | $844.66 | RVU19C |
| 2019-04-01 | $1,009.00 | $844.66 | RVU19B |
| 2019-01-01 | $1,009.00 | $844.66 | RVU19A |
| 2018-10-01 | $1,012.22 | $849.14 | RVU18D |
| 2018-07-01 | $1,012.22 | $849.14 | RVU18C |
| 2018-04-01 | $1,012.22 | $849.14 | RVU18B |
| 2018-01-01 | $1,012.22 | $849.14 | RVU18AR1 |
| 2017-10-01 | $1,012.10 | $852.03 | RVU17D |
| 2017-07-01 | $1,012.10 | $852.03 | RVU17C |
| 2017-04-01 | $1,012.10 | $852.03 | RVU17B |
| 2017-01-01 | $1,012.10 | $852.03 | RVU17A |
| 2016-10-01 | $1,008.94 | $849.61 | RVU16D |
| 2016-07-01 | $1,008.94 | $849.61 | RVU16C |
| 2016-04-01 | $1,008.94 | $849.61 | RVU16B |
| 2016-01-01 | $1,008.94 | $849.61 | RVU16A |
| 2015-10-01 | $1,012.19 | $851.21 | RVU15D |
| 2015-07-01 | $1,012.19 | $851.21 | RVU15C |
| 2015-04-01 | $1,007.15 | $846.97 | RVU15B |
| 2015-01-01 | $1,007.15 | $846.97 | RVU15A |
| 2014-10-01 | $998.59 | $842.76 | RVU14D |
| 2014-07-01 | $998.59 | $842.76 | RVU14C |
| 2014-04-01 | $998.59 | $842.76 | RVU14B |
| 2014-01-01 | $998.59 | $842.76 | RVU14A |
| 2013-10-01 | $1,005.55 | $839.18 | RVU13D |
| 2013-07-01 | $1,005.55 | $839.18 | RVU13C |
| 2013-04-01 | $1,005.55 | $839.18 | RVU13B |
| 2013-01-01 | $1,005.55 | $839.18 | RVU13AR |
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
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
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