CPT code 15833: Skin excision, leg2026 Medicare rate & RVUs in Delaware
Reports surgical removal of redundant skin and underlying tissue from the leg, such as after major weight loss or when excess tissue causes functional problems.
In Delaware, Medicare pays $788.57 for 15833 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 15833 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 15833 covers
This procedure removes redundant skin and associated underlying tissue from the leg. Plastic surgeons commonly perform it for patients with substantial excess tissue after major weight loss or when skin folds contribute to problems such as irritation or restricted movement. The operative site must be the leg; the thigh is reported separately under its own site-specific code.
Select the code from the treated anatomy and document the location, extent of excess tissue, and operative work. Medicare classifies it as major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Delaware compares for 15833
Across 109 of 109 payment localities, the facility rate for 15833 runs from $715.36 in Arkansas to $981.44 in Alaska. Delaware pays $788.57. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$788.57
- Los Angeles, CA · California$851.68+$63.11
- Washington, DC area · District of Columbia$887.27+$98.70
- Miami, FL · Florida$921.63+$133.06
- Chicago, IL · Illinois$895.35+$106.78
- Manhattan, NY · New York$919.69+$131.12
- Alaska · Alaska$981.44+$192.87
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $724.45 |
| ArkansasArkansas | — | $715.36 |
| ArizonaArizona | — | $777.11 |
| Bakersfield, CACalifornia | — | $809.74 |
| Chico, CACalifornia | — | $803.73 |
| El Centro, CACalifornia | — | $804.09 |
| Fresno, CACalifornia | — | $803.73 |
| Hanford, CACalifornia | — | $803.73 |
| Madera, CACalifornia | — | $803.73 |
| Merced, CACalifornia | — | $803.73 |
| Modesto, CACalifornia | — | $803.73 |
| Napa, CACalifornia | — | $894.73 |
| Oxnard, CACalifornia | — | $843.36 |
| Redding, CACalifornia | — | $803.73 |
| Rest of CaliforniaCalifornia | — | $803.73 |
| Riverside, CACalifornia | — | $826.88 |
| Sacramento, CACalifornia | — | $833.78 |
| Salinas, CACalifornia | — | $830.49 |
| San Diego, CACalifornia | — | $843.06 |
| Marin County, CACalifornia | — | $934.77 |
| San Francisco, CACalifornia | — | $932.32 |
| San Benito County, CACalifornia | — | $956.95 |
| Santa Clara County, CACalifornia | — | $946.96 |
| San Luis Obispo, CACalifornia | — | $818.29 |
| Santa Cruz, CACalifornia | — | $845.58 |
| Santa Maria, CACalifornia | — | $831.70 |
| Santa Rosa, CACalifornia | — | $853.47 |
| Stockton, CACalifornia | — | $803.73 |
| Vallejo, CACalifornia | — | $891.21 |
| Visalia, CACalifornia | — | $803.73 |
| Yuba City, CACalifornia | — | $803.73 |
| ColoradoColorado | — | $808.55 |
| ConnecticutConnecticut | — | $846.86 |
| Fort Lauderdale, FLFlorida | — | $860.37 |
| Rest of FloridaFlorida | — | $819.17 |
| Atlanta, GAGeorgia | — | $818.96 |
| Rest of GeorgiaGeorgia | — | $775.16 |
| Hawaii, Guam, HIHawaii | — | $814.11 |
| IowaIowa | — | $725.86 |
| IdahoIdaho | — | $733.01 |
| East St. Louis, ILIllinois | — | $843.67 |
| Rest of IllinoisIllinois | — | $808.91 |
| Suburban Chicago, ILIllinois | — | $865.24 |
| IndianaIndiana | — | $736.31 |
| KansasKansas | — | $729.82 |
| KentuckyKentucky | — | $754.25 |
| New Orleans, LALouisiana | — | $787.73 |
| Rest of LouisianaLouisiana | — | $755.98 |
| Metropolitan Boston, MAMassachusetts | — | $871.64 |
| Rest of MassachusettsMassachusetts | — | $807.52 |
| Baltimore area, MDMaryland | — | $845.89 |
| Rest of MarylandMaryland | — | $800.00 |
| Rest of MaineMaine | — | $743.71 |
| Southern Maine, MEMaine | — | $768.40 |
| Detroit, MIMichigan | — | $835.36 |
| Rest of MichiganMichigan | — | $777.75 |
| MinnesotaMinnesota | — | $757.21 |
| Metropolitan Kansas City, MOMissouri | — | $775.64 |
| Metropolitan St. Louis, MOMissouri | — | $781.83 |
| Rest of MissouriMissouri | — | $749.34 |
| MississippiMississippi | — | $732.13 |
| MontanaMontana | — | $797.80 |
| North CarolinaNorth Carolina | — | $749.33 |
| North DakotaNorth Dakota | — | $755.29 |
| NebraskaNebraska | — | $727.20 |
| New HampshireNew Hampshire | — | $802.86 |
| Northern New JerseyNew Jersey | — | $881.43 |
| Rest of New JerseyNew Jersey | — | $851.57 |
| New MexicoNew Mexico | — | $784.27 |
| NevadaNevada | — | $786.29 |
| NYC suburbs and Long Island, NYNew York | — | $948.30 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $862.64 |
| Queens, NYNew York | — | $916.13 |
| Rest of New YorkNew York | — | $759.69 |
| OhioOhio | — | $769.06 |
| OklahomaOklahoma | — | $745.69 |
| Portland, OROregon | — | $823.36 |
| Rest of OregonOregon | — | $775.26 |
| Metropolitan Philadelphia, PAPennsylvania | — | $832.67 |
| Rest of PennsylvaniaPennsylvania | — | $766.23 |
| Puerto RicoPuerto Rico | — | $800.60 |
| Rhode IslandRhode Island | — | $808.73 |
| South CarolinaSouth Carolina | — | $761.44 |
| South DakotaSouth Dakota | — | $750.26 |
| TennesseeTennessee | — | $733.88 |
| Austin, TXTexas | — | $810.18 |
| Beaumont, TXTexas | — | $762.37 |
| Brazoria, TXTexas | — | $782.20 |
| Dallas, TXTexas | — | $789.88 |
| Fort Worth, TXTexas | — | $787.43 |
| Galveston, TXTexas | — | $786.32 |
| Houston, TXTexas | — | $825.68 |
| Rest of TexasTexas | — | $773.71 |
| UtahUtah | — | $770.30 |
| VirginiaVirginia | — | $771.08 |
| Virgin Islands, VIUnited States Virgin Islands | — | $800.60 |
| VermontVermont | — | $759.09 |
| Rest of WashingtonWashington | — | $803.77 |
| King County, WAWashington | — | $881.06 |
| WisconsinWisconsin | — | $734.03 |
| West VirginiaWest Virginia | — | $784.53 |
| WyomingWyoming | — | $779.28 |
15833 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 15833 rate is calculated
Each of 15833’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 · 15833
RVUs × geographic indexes × conversion factor
Work11.60
11.60 RVUs× 1.000 GPCI
Practice expense10.14
10.14 RVUs× 1.000 GPCI
Malpractice2.15
2.15 RVUs× 1.000 GPCI
Adjusted RVUs
23.8900
Conversion factor
$33.4009
Medicare rate
$797.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,572
- Code
- 15833
- Physician work
- 11.60
- Practice expense
- 10.14
- Malpractice
- 2.15
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.60 | × 1.005 | 11.6580 |
| Practice expense | 10.14 | × 0.988 | 10.0183 |
| Malpractice | 2.15 | × 0.899 | 1.9328 |
| Total RVUs | 23.6092 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$788.57
Facility: (11.6 × 1.005 + 10.14 × 0.988 + 2.15 × 0.899) × $33.4009 = $788.57
Payment rules and modifiers for 15833
15833 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 15833
Skin excision, leg
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not 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 · 15833
Skin excision, leg
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 50 · payment effect
With and without the modifier
15833 without 50 · national facility
$797.95
Skin excision, leg
15833-50 · Bilateral: 150%
$1,196.93
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).
How 15833 has changed in Delaware
15833 · 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 | $788.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $788.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $788.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $788.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $858.66 | RVU25D |
| 2025-07-01 | Not available in this setting | $858.66 | RVU25C |
| 2025-04-01 | Not available in this setting | $858.66 | RVU25B |
| 2025-01-01 | Not available in this setting | $858.66 | RVU25A |
| 2024-10-01 | Not available in this setting | $875.01 | RVU24D |
| 2024-07-01 | Not available in this setting | $875.01 | RVU24C |
| 2024-04-01 | Not available in this setting | $875.01 | RVU24B |
| 2024-03-09 | Not available in this setting | $875.01 | RVU24AR |
| 2024-01-01 | Not available in this setting | $860.73 | RVU24A |
| 2023-10-01 | Not available in this setting | $891.10 | RVU23D |
| 2023-07-01 | Not available in this setting | $891.10 | RVU23C |
| 2023-04-01 | Not available in this setting | $891.10 | RVU23B |
| 2023-01-01 | Not available in this setting | $891.10 | RVU23A |
| 2022-10-01 | Not available in this setting | $901.88 | RVU22D |
| 2022-07-01 | Not available in this setting | $901.88 | RVU22C |
| 2022-04-01 | Not available in this setting | $901.88 | RVU22B |
| 2022-01-01 | Not available in this setting | $901.88 | RVU22A |
| 2021-10-01 | Not available in this setting | $901.36 | RVU21D |
| 2021-07-01 | Not available in this setting | $901.36 | RVU21C |
| 2021-04-01 | Not available in this setting | $901.36 | RVU21B |
| 2021-01-01 | Not available in this setting | $901.36 | RVU21A |
| 2020-10-01 | Not available in this setting | $923.37 | RVU20D |
| 2020-07-01 | Not available in this setting | $923.37 | RVU20C |
| 2020-04-01 | Not available in this setting | $923.37 | RVU20B |
| 2020-01-01 | Not available in this setting | $923.37 | RVU20A |
| 2019-10-01 | Not available in this setting | $922.10 | RVU19D |
| 2019-07-01 | Not available in this setting | $922.10 | RVU19C |
| 2019-04-01 | Not available in this setting | $918.47 | RVU19B |
| 2019-01-01 | Not available in this setting | $918.47 | RVU19A |
| 2018-10-01 | Not available in this setting | $919.92 | RVU18D |
| 2018-07-01 | Not available in this setting | $919.92 | RVU18C |
| 2018-04-01 | Not available in this setting | $919.92 | RVU18B |
| 2018-01-01 | Not available in this setting | $919.92 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $901.61 | RVU17D |
| 2017-07-01 | Not available in this setting | $901.61 | RVU17C |
| 2017-04-01 | Not available in this setting | $901.61 | RVU17B |
| 2017-01-01 | Not available in this setting | $901.61 | RVU17A |
| 2016-10-01 | Not available in this setting | $907.17 | RVU16D |
| 2016-07-01 | Not available in this setting | $907.17 | RVU16C |
| 2016-04-01 | Not available in this setting | $907.17 | RVU16B |
| 2016-01-01 | Not available in this setting | $907.17 | RVU16A |
| 2015-10-01 | Not available in this setting | $919.58 | RVU15D |
| 2015-07-01 | Not available in this setting | $919.58 | RVU15C |
| 2015-04-01 | Not available in this setting | $915.00 | RVU15B |
| 2015-01-01 | Not available in this setting | $915.00 | RVU15A |
| 2014-10-01 | Not available in this setting | $909.83 | RVU14D |
| 2014-07-01 | Not available in this setting | $909.83 | RVU14C |
| 2014-04-01 | Not available in this setting | $909.83 | RVU14B |
| 2014-01-01 | Not available in this setting | $909.83 | RVU14A |
| 2013-10-01 | Not available in this setting | $888.18 | RVU13D |
| 2013-07-01 | Not available in this setting | $888.18 | RVU13C |
| 2013-04-01 | Not available in this setting | $888.18 | RVU13B |
| 2013-01-01 | Not available in this setting | $888.18 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
15833 billing questions
How do I distinguish this from 15832?
Use 15833 for the leg site and 15832 for the thigh. Document the actual operative location rather than relying on a general use of the word “leg.”
Does the 90-day global include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral procedures reported with modifier 50, CMS pays 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can an assistant surgeon be paid?
Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
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
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