CPT code 15834: Skin excision, hip region2026 Medicare rate & RVUs in Missouri

Surgical removal of redundant skin and associated tissue at the hip, commonly performed for body contouring after substantial weight loss.

CMS RVU26DEffective Oct 1, 20263 payment localities27 Medicare services in 2024

CMS doesn’t publish an office rate for 15834 in Missouri.

—Office (non-facility)
$762.54–$795.37Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Missouri
  2. What 15834 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 15834 covers

Code 15834 describes surgery to remove redundant skin and associated superficial tissue from the hip region. Plastic surgeons commonly perform it in an operating room for patients with substantial skin laxity, including after major weight loss. The procedure addresses the hip site; excess tissue confined to the thigh, buttock, or abdomen is classified by its own anatomic code. A circumferential body-contouring operation may involve more than one of these areas.

Report the hip service when the operative documentation identifies the hip as the treated site and supports the extent of excision. Document the clinical context, findings, and work performed, especially when distinct adjacent areas are also treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. 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.

Where 15834 pays more and less in Missouri

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

15834 office and facility rates by payment locality
Payment localityOfficeFacility
Metropolitan Kansas City, MOUnavailable$789.10
Metropolitan St. Louis, MOUnavailable$795.37
Rest of MissouriUnavailable$762.54

How the 15834 rate is calculated

Each of 15834’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 · 15834

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.87

11.87 RVUs× 1.000 GPCI

Practice expense10.24

10.24 RVUs× 1.000 GPCI

Malpractice2.19

2.19 RVUs× 1.000 GPCI

Adjusted RVUs

24.3000

Conversion factor

$33.4009

Medicare rate

$811.64

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

Payment rules and modifiers for 15834

15834 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15834

Skin excision, hip region

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 · 15834

Skin excision, hip region

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

15834 without 50 · national facility

$811.64

Skin excision, hip region

15834-50 · Bilateral: 150%

$1,217.46

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

15834 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 15834

    Skin excision, hip region11.87 wRVU

    Not priced

  • 15832

    Thigh lift, excess skin excision12.53 wRVU

    Not priced

  • 15835

    Skin excision, buttock12.67 wRVU

    Not priced

  • 15830

    Panniculectomy, infraumbilical skin and tissue16.68 wRVU

    Not priced

  • 15839

    Excess skin excision, other anatomical area10.24 wRVU

    $958.94

How to choose

15832Thigh liftExcess skin excision
Use 15832 when the excision is at the thigh; use 15834 when the treated site is the hip.
15835Skin excisionButtock
Use 15835 for excision at the buttock rather than the hip region.
15830PanniculectomyInfraumbilical skin and tissue
Use 15830 for excessive skin excision of the abdomen, not the hip.
15839Excess skin excisionOther anatomical area
Use 15839 for an excision site not otherwise named in the series; 15834 specifically identifies the hip.

15834 billing questions

How do I distinguish this code from the thigh or buttock codes?

Select the code for the anatomic site actually treated. Use 15834 for the hip region, rather than assigning hip tissue to the thigh or buttock code based only on proximity.

Can hip excision be reported with excision at another body site?

It may be reported with a separately performed procedure on a distinct site, such as the abdomen or buttock, when the operative report clearly documents each area and service. CMS applies the multiple-procedure reduction when procedures are performed in the same session.

How should bilateral hip treatment be reported?

CMS identifies this as a bilateral procedure; report both sides with modifier 50. The bilateral payment rule is 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 an assistant surgeon or co-surgeon be billed?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules 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 15834PPRRVU2026_Oct_nonQPP.csv, line 1,573 (RVU26D)

Open CMS sourceHow we calculate rates

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