CPT code 15758: Fascial flap, free flap with microvascular anastomosis2026 Medicare rate & RVUs in New Mexico
Reports transfer of a free fascial flap with microvascular connection to reconstruct a soft-tissue defect when vascularized fascia is required.
In New Mexico, Medicare pays $1,934.24 for 15758 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 15758 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 15758 covers
A surgeon harvests fascia as a free flap, divides its native blood supply, transfers it to a defect, and reconnects its vessels to recipient vessels under microsurgical technique. Plastic and reconstructive surgeons and other surgeons with microsurgical expertise may perform the procedure, commonly in an operating room for reconstruction after trauma, tumor removal, or another defect requiring vascularized fascial tissue. The code distinguishes fascia-only tissue transfer from free flaps that include skin or muscle.
Select this code when the operative record supports transfer of a free fascial flap and microvascular anastomosis; document the tissue transferred, recipient site, and vascular connection. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. 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. Bilateral adjustment is not appropriate. Assistant-at-surgery payment may be allowed, co-surgeons are permitted, 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 New Mexico compares for 15758
Across 109 of 109 payment localities, the facility rate for 15758 runs from $1,771.15 in Arkansas to $2,491.84 in Alaska. New Mexico pays $1,934.24. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,934.24
- Los Angeles, CA · California$2,026.53+$92.29
- Washington, DC area · District of Columbia$2,125.35+$191.11
- Miami, FL · Florida$2,256.36+$322.12
- Chicago, IL · Illinois$2,200.26+$266.02
- Manhattan, NY · New York$2,219.12+$284.88
- Alaska · Alaska$2,491.84+$557.60
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,789.68 |
| ArkansasArkansas | — | $1,771.15 |
| ArizonaArizona | — | $1,896.71 |
| Bakersfield, CACalifornia | — | $1,941.88 |
| Chico, CACalifornia | — | $1,925.51 |
| El Centro, CACalifornia | — | $1,926.46 |
| Fresno, CACalifornia | — | $1,925.51 |
| Hanford, CACalifornia | — | $1,925.51 |
| Madera, CACalifornia | — | $1,925.51 |
| Merced, CACalifornia | — | $1,925.51 |
| Modesto, CACalifornia | — | $1,925.51 |
| Napa, CACalifornia | — | $2,097.11 |
| Oxnard, CACalifornia | — | $2,002.51 |
| Redding, CACalifornia | — | $1,925.51 |
| Rest of CaliforniaCalifornia | — | $1,925.51 |
| Riverside, CACalifornia | — | $1,987.38 |
| Sacramento, CACalifornia | — | $1,985.06 |
| Salinas, CACalifornia | — | $1,976.86 |
| San Diego, CACalifornia | — | $1,997.09 |
| Marin County, CACalifornia | — | $2,176.61 |
| San Francisco, CACalifornia | — | $2,170.10 |
| San Benito County, CACalifornia | — | $2,226.91 |
| Santa Clara County, CACalifornia | — | $2,200.31 |
| San Luis Obispo, CACalifornia | — | $1,949.07 |
| Santa Cruz, CACalifornia | — | $1,995.54 |
| Santa Maria, CACalifornia | — | $1,977.09 |
| Santa Rosa, CACalifornia | — | $2,013.48 |
| Stockton, CACalifornia | — | $1,925.51 |
| Vallejo, CACalifornia | — | $2,087.73 |
| Visalia, CACalifornia | — | $1,925.51 |
| Yuba City, CACalifornia | — | $1,925.51 |
| ColoradoColorado | — | $1,948.85 |
| ConnecticutConnecticut | — | $2,047.69 |
| DelawareDelaware | — | $1,921.36 |
| Fort Lauderdale, FLFlorida | — | $2,103.03 |
| Rest of FloridaFlorida | — | $2,013.41 |
| Atlanta, GAGeorgia | — | $1,992.10 |
| Rest of GeorgiaGeorgia | — | $1,918.81 |
| Hawaii, Guam, HIHawaii | — | $1,935.78 |
| IowaIowa | — | $1,779.26 |
| IdahoIdaho | — | $1,796.55 |
| East St. Louis, ILIllinois | — | $2,091.48 |
| Rest of IllinoisIllinois | — | $2,001.33 |
| Suburban Chicago, ILIllinois | — | $2,112.22 |
| IndianaIndiana | — | $1,802.88 |
| KansasKansas | — | $1,793.71 |
| KentuckyKentucky | — | $1,864.15 |
| New Orleans, LALouisiana | — | $1,934.95 |
| Rest of LouisianaLouisiana | — | $1,870.19 |
| Metropolitan Boston, MAMassachusetts | — | $2,075.81 |
| Rest of MassachusettsMassachusetts | — | $1,950.69 |
| Baltimore area, MDMaryland | — | $2,045.86 |
| Rest of MarylandMaryland | — | $1,944.16 |
| Rest of MaineMaine | — | $1,825.07 |
| Southern Maine, MEMaine | — | $1,865.71 |
| Detroit, MIMichigan | — | $2,053.37 |
| Rest of MichiganMichigan | — | $1,918.26 |
| MinnesotaMinnesota | — | $1,822.42 |
| Metropolitan Kansas City, MOMissouri | — | $1,903.42 |
| Metropolitan St. Louis, MOMissouri | — | $1,915.33 |
| Rest of MissouriMissouri | — | $1,860.65 |
| MississippiMississippi | — | $1,815.12 |
| MontanaMontana | — | $1,940.88 |
| North CarolinaNorth Carolina | — | $1,835.45 |
| North DakotaNorth Dakota | — | $1,827.58 |
| NebraskaNebraska | — | $1,780.01 |
| New HampshireNew Hampshire | — | $1,939.81 |
| Northern New JerseyNew Jersey | — | $2,117.68 |
| Rest of New JerseyNew Jersey | — | $2,058.32 |
| NevadaNevada | — | $1,909.85 |
| NYC suburbs and Long Island, NYNew York | — | $2,285.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,087.60 |
| Queens, NYNew York | — | $2,202.52 |
| Rest of New YorkNew York | — | $1,857.01 |
| OhioOhio | — | $1,895.11 |
| OklahomaOklahoma | — | $1,839.93 |
| Portland, OROregon | — | $1,972.33 |
| Rest of OregonOregon | — | $1,882.23 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,022.30 |
| Rest of PennsylvaniaPennsylvania | — | $1,885.79 |
| Puerto RicoPuerto Rico | — | $1,944.42 |
| Rhode IslandRhode Island | — | $1,961.51 |
| South CarolinaSouth Carolina | — | $1,870.90 |
| South DakotaSouth Dakota | — | $1,814.18 |
| TennesseeTennessee | — | $1,802.77 |
| Austin, TXTexas | — | $1,953.64 |
| Beaumont, TXTexas | — | $1,878.34 |
| Brazoria, TXTexas | — | $1,903.84 |
| Dallas, TXTexas | — | $1,922.71 |
| Fort Worth, TXTexas | — | $1,919.71 |
| Galveston, TXTexas | — | $1,914.12 |
| Houston, TXTexas | — | $2,019.00 |
| Rest of TexasTexas | — | $1,894.74 |
| UtahUtah | — | $1,888.85 |
| VirginiaVirginia | — | $1,875.67 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,944.42 |
| VermontVermont | — | $1,841.23 |
| Rest of WashingtonWashington | — | $1,940.19 |
| King County, WAWashington | — | $2,090.75 |
| WisconsinWisconsin | — | $1,785.80 |
| West VirginiaWest Virginia | — | $1,951.95 |
| WyomingWyoming | — | $1,891.50 |
15758 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 15758 rate is calculated
Each of 15758’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 · 15758
RVUs × geographic indexes × conversion factor
Work35.98
35.98 RVUs× 1.000 GPCI
Practice expense16.41
16.41 RVUs× 1.000 GPCI
Malpractice5.73
5.73 RVUs× 1.000 GPCI
Adjusted RVUs
58.1200
Conversion factor
$33.4009
Medicare rate
$1,941.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,539
- Code
- 15758
- Physician work
- 35.98
- Practice expense
- 16.41
- Malpractice
- 5.73
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 35.98 | × 1.000 | 35.9800 |
| Practice expense | 16.41 | × 0.917 | 15.0480 |
| Malpractice | 5.73 | × 1.201 | 6.8817 |
| Total RVUs | 57.9097 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1934.24
Facility: (35.98 × 1 + 16.41 × 0.917 + 5.73 × 1.201) × $33.4009 = $1934.24
Payment rules and modifiers for 15758
15758 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 15758
Fascial flap, free flap with microvascular anastomosis
| 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) | 2 | 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 · 15758
Fascial flap, free flap with microvascular anastomosis
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
15758 without 51 · national facility
$1,941.26
Fascial flap, free flap with microvascular anastomosis
15758-51 · Second procedure: 50%
$970.63
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 15758 has changed in New Mexico
15758 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,934.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,934.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,934.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,934.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,148.22 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,148.22 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,148.22 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,148.22 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,203.95 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,203.95 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,203.95 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,203.95 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,167.98 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,237.10 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,237.10 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,237.10 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,237.10 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,265.84 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,265.84 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,265.84 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,265.84 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,273.33 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,273.33 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,273.33 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,273.33 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,347.57 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,347.57 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,347.57 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,347.57 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,367.33 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,367.33 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,367.33 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,367.33 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,353.42 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,353.42 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,353.42 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,353.42 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,346.84 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,346.84 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,346.84 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,346.84 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,340.60 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,340.60 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,340.60 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,340.60 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,342.75 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,342.75 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,331.10 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,331.10 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,323.64 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,323.64 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,323.64 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,323.64 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,258.45 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,258.45 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,258.45 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,258.45 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
15758 billing questions
How is 15758 distinguished from 15756 or 15757?
Use 15758 for a free fascial flap. Codes 15756 and 15757 describe free flaps with muscle or skin, respectively, rather than fascia alone.
What operative details support reporting 15758?
Document the fascial tissue transferred, the defect reconstructed, and the microvascular connection to recipient vessels. The record should establish that this was a free flap, not a graft or a flap that remained attached to its original blood supply.
Can 15758 be reported with another procedure in the same session?
Other procedures may be reported when separately supported. Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and other procedures performed in the same session are subject to a 50% reduction.
Which surgical-role modifiers may apply?
CMS permits assistant-at-surgery payment and co-surgeons for this code, but does not permit team surgery. Bilateral adjustment does not apply, so modifier 50 is inappropriate.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after 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
Put 15758 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet