CPT code 15757: Free flap, skin flap with microvascular hookup2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $2,129.51 for 15757 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 15757 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 15757 covers

A surgeon transfers skin from a donor site to cover a defect elsewhere, detaching the flap and reconnecting its blood vessels at the recipient site with microsurgical technique. This approach may be used in reconstructive surgery after trauma, tumor removal, or loss of skin and soft tissue. Plastic and reconstructive surgeons commonly perform the procedure in a hospital operating room.

Select this code when the transferred flap is skin and microvascular reconnection is performed; distinguish it from free flaps containing muscle or fascia and from flaps that remain attached by a vascular pedicle. The operative report should identify the flap tissue, donor and recipient sites, defect, and vascular anastomosis. 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment and co-surgeons are permitted; 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 Washington, DC area compares for 15757

Across 109 of 109 payment localities, the facility rate for 15757 runs from $1,776.24 in Arkansas to $2,500.29 in Alaska. Washington, DC area pays $2,129.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

15757 rates by state

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

See 15757 in every payment locality

How the 15757 rate is calculated

Each of 15757’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 15757

15757 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 15757

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

How 15757 has changed in Washington, DC area

Price 15757 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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