CPT code 15830: Panniculectomy, infraumbilical skin and tissue2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $1,000.09 for 15830 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 15830 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 15830 covers

A surgeon removes an overhanging fold of infraumbilical abdominal skin and subcutaneous tissue, often with associated fat, in a panniculectomy. The procedure is commonly considered when a large pannus contributes to recurrent skin irritation or infection, hygiene difficulty, or limits movement. Plastic and general surgeons may perform it in a hospital or ambulatory surgery setting. Medicare pays only in specific circumstances.

Report the service for the operative work removing excessive infraumbilical abdominal skin and tissue. The record should describe the pannus, its effects on the patient, relevant treatment history, and the extent of excision. When the operation also includes the additional abdominal work represented by 15847, report that add-on with 15830. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, 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 North Carolina compares for 15830

Across 109 of 109 payment localities, the facility rate for 15830 runs from $956.75 in Arkansas to $1,321.36 in Alaska. North Carolina pays $1,000.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

15830 rates by state

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

See 15830 in every payment locality

How the 15830 rate is calculated

Each of 15830’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 15830

15830 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 15830

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

How 15830 has changed in North Carolina

Price 15830 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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