CPT code 15833: Skin excision, leg2026 Medicare rate & RVUs in Puerto Rico

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.

CMS RVU26DEffective Oct 1, 2026One payment locality22 Medicare services in 2024

In Puerto Rico, Medicare pays $800.60 for 15833 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$800.60Hospital or facility

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.

We’ll open 15833 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 15833 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 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 Puerto Rico 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. Puerto Rico pays $800.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

15833 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$800.60
  2. Los Angeles, CA · California$851.68+$51.08
  3. Washington, DC area · District of Columbia$887.27+$86.67
  4. Miami, FL · Florida$921.63+$121.03
  5. Chicago, IL · Illinois$895.35+$94.75
  6. Manhattan, NY · New York$919.69+$119.09
  7. Alaska · Alaska$981.44+$180.84

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

Every other payment area

15833 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
15833 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 15833 in every payment locality

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

Office or facility?

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 15833 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work11.60× 1.00011.6000
Practice expense10.14× 1.01110.2515
Malpractice2.15× 0.9852.1178
Total RVUs23.9693
Conversion factor× 33.4009

Facility rate, Puerto Rico$800.60

Facility: (11.6 × 1 + 10.14 × 1.011 + 2.15 × 0.985) × $33.4009 = $800.60

Open 15833 in the RVU calculator

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

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)0Not paid without supporting documentation.
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 · 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.

  • 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

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).

When to use modifier 50

How 15833 has changed in Puerto Rico

15833 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$800.60RVU26D
2026-07-01Not available in this setting$800.60RVU26C
2026-04-01Not available in this setting$800.60RVU26B
2026-01-01Not available in this setting$800.60RVU26A
2025-10-01Not available in this setting$863.62RVU25D
2025-07-01Not available in this setting$863.62RVU25C
2025-04-01Not available in this setting$863.62RVU25B
2025-01-01Not available in this setting$863.62RVU25A
2024-10-01Not available in this setting$880.00RVU24D
2024-07-01Not available in this setting$880.00RVU24C
2024-04-01Not available in this setting$880.00RVU24B
2024-03-09Not available in this setting$880.00RVU24AR
2024-01-01Not available in this setting$865.64RVU24A
2023-10-01Not available in this setting$892.03RVU23D
2023-07-01Not available in this setting$889.88RVU23C
2023-04-01Not available in this setting$889.88RVU23B
2023-01-01Not available in this setting$889.88RVU23A
2022-10-01Not available in this setting$898.52RVU22D
2022-07-01Not available in this setting$898.52RVU22C
2022-04-01Not available in this setting$898.52RVU22B
2022-01-01Not available in this setting$898.52RVU22A
2021-10-01Not available in this setting$897.93RVU21D
2021-07-01Not available in this setting$897.93RVU21C
2021-04-01Not available in this setting$897.93RVU21B
2021-01-01Not available in this setting$897.93RVU21A
2020-10-01Not available in this setting$912.89RVU20D
2020-07-01Not available in this setting$912.89RVU20C
2020-04-01Not available in this setting$912.89RVU20B
2020-01-01Not available in this setting$912.89RVU20A
2019-10-01Not available in this setting$904.85RVU19D
2019-07-01Not available in this setting$904.85RVU19C
2019-04-01Not available in this setting$901.64RVU19B
2019-01-01Not available in this setting$901.64RVU19A
2018-10-01Not available in this setting$902.79RVU18D
2018-07-01Not available in this setting$902.79RVU18C
2018-04-01Not available in this setting$902.79RVU18B
2018-01-01Not available in this setting$902.79RVU18AR1
2017-10-01Not available in this setting$800.49RVU17D
2017-07-01Not available in this setting$800.49RVU17C
2017-04-01Not available in this setting$800.49RVU17B
2017-01-01Not available in this setting$800.49RVU17A
2016-10-01Not available in this setting$718.38RVU16D
2016-07-01Not available in this setting$718.38RVU16C
2016-04-01Not available in this setting$718.38RVU16B
2016-01-01Not available in this setting$718.38RVU16A
2015-10-01Not available in this setting$728.34RVU15D
2015-07-01Not available in this setting$728.34RVU15C
2015-04-01Not available in this setting$724.72RVU15B
2015-01-01Not available in this setting$724.72RVU15A
2014-10-01Not available in this setting$720.13RVU14D
2014-07-01Not available in this setting$720.13RVU14C
2014-04-01Not available in this setting$720.13RVU14B
2014-01-01Not available in this setting$720.13RVU14A
2013-10-01Not available in this setting$700.73RVU13D
2013-07-01Not available in this setting$700.73RVU13C
2013-04-01Not available in this setting$700.73RVU13B
2013-01-01Not available in this setting$700.73RVU13AR

Price 15833 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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
RVUs for 15833PPRRVU2026_Oct_nonQPP.csv, line 1,572 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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