CPT code 15750: Pedicle flap, neurovascular pedicle2026 Medicare rate & RVUs in Missouri
Reports transfer of sensate, vascularized tissue on an intact neurovascular pedicle, commonly for finger or fingertip coverage when reconstruction requires a flap.
CMS doesn’t publish an office rate for 15750 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 15750 covers
Code 15750 represents transfer of a flap that remains attached through a pedicle carrying both its blood supply and nerve supply. A familiar application is a digital artery flap for coverage of a finger or fingertip soft-tissue defect when sensate, vascularized tissue is needed. Hand and reconstructive surgeons perform the procedure in an operating room, commonly for traumatic tissue loss or a defect after excision. The operative report should identify the donor tissue, recipient defect, retained neurovascular pedicle, and flap inset.
Report this code when the documented technique uses a neurovascular pedicle, rather than selecting a flap code solely by defect size. 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 the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeons and team surgery are 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.
Where 15750 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $817.28 |
| Metropolitan St. Louis, MO | Unavailable | $823.67 |
| Rest of Missouri | Unavailable | $791.06 |
How the 15750 rate is calculated
Each of 15750’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 · 15750
RVUs × geographic indexes × conversion factor
Work12.64
12.64 RVUs× 1.000 GPCI
Practice expense10.10
10.10 RVUs× 1.000 GPCI
Malpractice2.40
2.40 RVUs× 1.000 GPCI
Adjusted RVUs
25.1400
Conversion factor
$33.4009
Medicare rate
$839.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 15750
15750 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 15750
Pedicle flap, neurovascular 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) | 2 | Paid. |
| 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 · 15750
Pedicle flap, neurovascular 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
15750 without 51 · national facility
$839.70
Pedicle flap, neurovascular pedicle
15750-51 · Second procedure: 50%
$419.85
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%).
15750 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 15740Island flapSubcutaneous vascular pedicle
- Code 15740 describes an island pedicle flap. Choose 15750 when the flap's retained pedicle includes both vascular and nerve supply.
- 15756Free tissue flapMuscle or myocutaneous
- Code 15756 is for a free muscle or myocutaneous flap transferred with microvascular anastomosis. Code 15750 retains the neurovascular pedicle.
- 15757Free flapSkin flap with microvascular hookup
- Code 15757 is for a free skin flap requiring microvascular transfer. Code 15750 describes a flap transferred on its retained neurovascular pedicle.
15750 billing questions
How does 15750 differ from 15740?
Use 15750 for a flap transferred on a pedicle that carries both vascular and nerve supply. Code 15740 describes an island pedicle flap and is selected according to that flap technique.
When is a free flap code more appropriate?
A free flap is detached from its donor site and reconnected using microvascular anastomosis. Code 15750 describes transfer on a retained neurovascular pedicle.
What operative details support 15750?
Document the flap tissue and donor site, the recipient defect, and how the neurovascular pedicle remains attached during transfer. For a digital artery flap, identify the finger or fingertip defect being covered.
Can modifier 50 be used for bilateral procedures?
No. Modifier 50 is inappropriate for this code's anatomy; report the documented flap procedure without a bilateral adjustment.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those related services are included in the surgical global period.
Can an assistant surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
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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