CPT code 15769: Soft-tissue graft, direct-excision harvest2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $454.50 for 15769 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 15769 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 15769 covers

The surgeon excises the patient's own soft tissue, such as fat, dermis, or fascia, and grafts it to another site. This service may be part of reconstruction for a contour defect after trauma, tumor removal, or prior surgery. Plastic and reconstructive surgeons and other surgeons performing the repair typically provide it in an operating room or another procedural setting.

Report the service when documentation supports both direct-excision harvest and graft placement; the harvest and placement are integral to the grafting service, not separate services under this code. The record should identify the tissue, harvest method, recipient site, and reconstructive purpose. Medicare 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 one session, the highest-valued is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant-at-surgery claim for this service, and 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.

How Montana compares for 15769

Across 109 of 109 payment localities, the facility rate for 15769 runs from $405.87 in Arkansas to $555.89 in Alaska. Montana pays $454.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

15769 rates by state

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

See 15769 in every payment locality

How the 15769 rate is calculated

Each of 15769’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 15769

15769 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 15769

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

How 15769 has changed in Montana

Price 15769 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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