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CPT code 15822: Upper eyelid surgery, without lid-weighting excess skin2026 Medicare rate & RVUs in Virginia

Upper eyelid blepharoplasty reshapes an upper lid when the operation does not meet the separate criterion for excess skin weighing down the lid.

CMS RVU26DEffective Oct 1, 2026One payment locality3K Medicare services in 2024

In Virginia, Medicare pays $461.62 for 15822 in the office and $347.69 when it’s performed in a hospital or facility.

$461.62Office (non-facility)
$347.69Hospital or facility
−2.1%vs the national office rate ($471.62)

Check a contract rate as a % of Medicare · 15822 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 15822 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 15822 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 15822 covers

This operation reshapes an upper eyelid, typically through an incision in the lid crease to remove or adjust tissue. Ophthalmic plastic surgeons, ophthalmologists, and plastic surgeons perform it for upper-lid contour or functional concerns. It may be done on one or both upper eyelids in an outpatient operating room or, in selected cases, an office-based setting.

Report 15822 when the upper-lid service does not meet the distinct 15823 criterion for excess skin weighing down the lid. Document the treated eyelid or eyelids, the clinical reason, relevant findings, and the procedure performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued is paid in full and the others at 50%. Assistant-at-surgery payment is restricted; 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 Virginia compares for 15822

Across 109 of 109 payment localities, the office rate for 15822 runs from $420.69 in Arkansas to $615.35 in San Benito County, CA. Virginia pays $461.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

15822 in Virginia vs other payment areas
  1. Virginia · this page$461.62
  2. Los Angeles, CA · California$528.09+$66.47
  3. Washington, DC area · District of Columbia$535.87+$74.25
  4. Miami, FL · Florida$509.15+$47.53
  5. Chicago, IL · Illinois$495.39+$33.77
  6. Manhattan, NY · New York$540.23+$78.61
  7. Alaska · Alaska$559.25+$97.63

Other areas in Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

15822 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$426.40$324.99
ArkansasArkansas$420.69$321.13
ArizonaArizona$459.81$347.50
Bakersfield, CACalifornia$497.35$370.32
Chico, CACalifornia$495.86$368.83
El Centro, CACalifornia$495.94$368.91
Fresno, CACalifornia$495.86$368.83
Hanford, CACalifornia$495.86$368.83

15822 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$420.69

$559.25

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
15822 office rate range by state
State / territoryOffice rate rangeLocalities
AK$559.251
AL$426.401
AR$420.691
AZ$459.811
CA$495.86–$615.3529
CO$489.361
CT$501.541
DC$535.871
DE$467.061
FL$466.44–$509.153
GA$441.83–$480.242
GU$506.511
HI$506.511
IA$435.831
ID$438.601
IL$454.30–$495.394
IN$440.951
KS$434.231
KY$436.381
LA$435.86–$455.852
MA$486.87–$535.142
MD$475.44–$535.873
ME$441.04–$462.842
MI$447.20–$472.172
MN$468.941
MO$429.11–$457.023
MS$424.961
MT$471.591
NC$445.281
ND$461.901
NE$437.961
NH$482.081
NJ$507.28–$530.992
NM$449.601
NV$469.191
NY$451.51–$552.905
OH$445.221
OK$435.341
OR$465.54–$503.692
PA$445.71–$489.992
PR$474.731
RI$482.771
SC$445.991
SD$460.751
TN$436.291
TX$443.01–$487.748
UT$451.651
VA$461.62–$535.872
VI$474.731
VT$460.491
WA$485.83–$545.362
WI$447.491
WV$438.731
WY$467.371

See 15822 in every payment locality

How the 15822 rate is calculated

Each of 15822’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 · 15822

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.50

4.50 RVUs× 1.000 GPCI

Practice expense9.13

9.13 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

14.1200

Conversion factor

$33.4009

Medicare rate

$471.62

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,563

Code
15822
Physician work
4.50
Practice expense
9.13
Malpractice
0.49

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 15822 in Virginia
ComponentRVULocality factorAdjusted
Physician work4.50× 1.0004.5000
Practice expense9.13× 0.9838.9748
Malpractice0.49× 0.7060.3459
Total RVUs13.8207
Conversion factor× 33.4009

Office rate, Virginia$461.62

Office: (4.5 × 1 + 9.13 × 0.983 + 0.49 × 0.706) × $33.4009 = $461.62

Facility: (4.5 × 1 + 5.66 × 0.983 + 0.49 × 0.706) × $33.4009 = $347.69

Open 15822 in the RVU calculator

Payment rules and modifiers for 15822

15822 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15822

Upper eyelid surgery, without lid-weighting excess skin

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 15822

Upper eyelid surgery, without lid-weighting excess skin

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

15822 without 50 · national office

$471.62

Upper eyelid surgery, without lid-weighting excess skin

15822-50 · Bilateral: 150%

$707.43

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 15822

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

Codes related to 15822
CodeHow it relatesOffice range, Virginia
Used instead
15823Upper eyelid surgery, excess skin affects lid functionUsed instead when excess upper-lid skin weighs down the lid and meets that code’s criterion.$620.59
Often billed with
15820Lower eyelid surgery, lower eyelidLower-lid blepharoplasty may be reported for separately operated lower lids in the same session.$577.22
15821Lower eyelid surgery, prominent fat-pad prolapseLower-lid blepharoplasty involving extensive herniated fat may accompany upper-lid surgery in the same session.$621.27

How 15822 has changed in Virginia

15822 · Office / nonfacility

$461.62

Effective 2026-10-01

The base rate is $23.47 higher than on 2025-10-01, moving from $438.15 to $461.62 (5.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $438.15changed to$461.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.62 changed to 4.50
    • Practice expense RVU 8.67 changed to 9.13
    • Malpractice RVU 0.51 changed to 0.49
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $454.42changed to$438.15

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.77 changed to 8.67
    • Malpractice RVU 0.52 changed to 0.51

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $447.01changed to$454.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $462.37changed to$447.01

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.69 changed to 8.77
    • Malpractice RVU 0.51 changed to 0.52
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $469.67changed to$462.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.51 changed to 8.69
    • Malpractice RVU 0.54 changed to 0.51
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $467.07changed to$469.67

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.35 changed to 8.51
    • Malpractice RVU 0.51 changed to 0.54

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $461.60changed to$467.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.78 changed to 8.35
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $453.66changed to$461.60

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.63 changed to 7.78
    • Malpractice RVU 0.49 changed to 0.51
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $453.14changed to$453.66

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.62 changed to 7.63
    • Malpractice RVU 0.50 changed to 0.49

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $447.22changed to$453.14

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.53 changed to 7.62
    • Malpractice RVU 0.49 changed to 0.50
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $444.25changed to$447.22

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.52 changed to 7.53
    • Malpractice RVU 0.48 changed to 0.49
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $445.79changed to$444.25

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.51 changed to 7.52
    • Malpractice RVU 0.49 changed to 0.48

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $443.58changed to$445.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $449.84changed to$443.58

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.48 changed to 7.51
    • Malpractice RVU 0.78 changed to 0.49
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $451.15changed to$449.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.23 changed to 7.48
    • Malpractice RVU 0.82 changed to 0.78
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $451.15

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$461.62$347.69RVU26D
2026-07-01$461.62$347.69RVU26C
2026-04-01$461.62$347.69RVU26B
2026-01-01$461.62$347.69RVU26A
2025-10-01$438.15$379.27RVU25D
2025-07-01$438.15$379.27RVU25C
2025-04-01$438.15$379.27RVU25B
2025-01-01$438.15$379.27RVU25A
2024-10-01$454.42$391.54RVU24D
2024-07-01$454.42$391.54RVU24C
2024-04-01$454.42$391.54RVU24B
2024-03-09$454.42$391.54RVU24AR
2024-01-01$447.01$385.15RVU24A
2023-10-01$462.37$397.62RVU23D
2023-07-01$462.37$397.62RVU23C
2023-04-01$462.37$397.62RVU23B
2023-01-01$462.37$397.62RVU23A
2022-10-01$469.67$403.90RVU22D
2022-07-01$469.67$403.90RVU22C
2022-04-01$469.67$403.90RVU22B
2022-01-01$469.67$403.90RVU22A
2021-10-01$467.07$401.45RVU21D
2021-07-01$467.07$401.45RVU21C
2021-04-01$467.07$401.45RVU21B
2021-01-01$467.07$401.45RVU21A
2020-10-01$461.60$401.16RVU20D
2020-07-01$461.60$401.16RVU20C
2020-04-01$461.60$401.16RVU20B
2020-01-01$461.60$401.16RVU20A
2019-10-01$453.66$396.10RVU19D
2019-07-01$453.66$396.10RVU19C
2019-04-01$453.66$396.10RVU19B
2019-01-01$453.66$396.10RVU19A
2018-10-01$453.14$396.70RVU18D
2018-07-01$453.14$396.70RVU18C
2018-04-01$453.14$396.70RVU18B
2018-01-01$453.14$396.70RVU18AR1
2017-10-01$447.22$393.14RVU17D
2017-07-01$447.22$393.14RVU17C
2017-04-01$447.22$393.14RVU17B
2017-01-01$447.22$393.14RVU17A
2016-10-01$444.25$390.75RVU16D
2016-07-01$444.25$390.75RVU16C
2016-04-01$444.25$390.75RVU16B
2016-01-01$444.25$390.75RVU16A
2015-10-01$445.79$391.40RVU15D
2015-07-01$445.79$391.40RVU15C
2015-04-01$443.58$389.45RVU15B
2015-01-01$443.58$389.45RVU15A
2014-10-01$449.84$397.18RVU14D
2014-07-01$449.84$397.18RVU14C
2014-04-01$449.84$397.18RVU14B
2014-01-01$449.84$397.18RVU14A
2013-10-01$451.15$395.31RVU13D
2013-07-01$451.15$395.31RVU13C
2013-04-01$451.15$395.31RVU13B
2013-01-01$451.15$395.31RVU13AR

Price 15822 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

15822 billing questions

When should 15823 be reported instead?

Use 15823 when excess upper-lid skin weighs down the lid and the procedure meets that code’s criterion. Use 15822 for upper-lid blepharoplasty that does not meet that distinction.

Can 15822 be reported for both upper eyelids?

Yes. CMS lists bilateral payment with modifier 50 at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can 15822 be reported with a lower-lid blepharoplasty?

It may be reported with a lower-lid procedure when both upper and lower lids are operated on during the same session. Choose the lower-lid code based on the service performed there.

How does Medicare handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and the other procedures are paid at 50% under the standard multiple procedure reduction.

Is an assistant surgeon payable for 15822?

CMS lists a statutory restriction on assistant-at-surgery payment 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

Show the CMS file lines behind this rate
RVUs for 15822PPRRVU2026_Oct_nonQPP.csv, line 1,563 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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