CPT code 15835: Skin excision, buttock2026 Medicare rate & RVUs in South Dakota
Removal of redundant skin from the buttock is reported when the operative work is directed to excess skin at this specific anatomic site.
In South Dakota, Medicare pays $792.59 for 15835 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 15835 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 15835 covers
CPT 15835 describes an operation to remove excessive skin from the buttock. Plastic surgeons commonly perform this work for redundant tissue that affects the buttock’s contour, including after substantial weight loss. The operative report should identify the buttock as the treated site and describe the skin excised and the procedure performed. This code is site-specific; excess skin removed from a separately treated hip or thigh is represented by a different code in the same family.
Report the code for the buttock work performed, supported by the operative documentation. It has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery is paid only when medical necessity is documented; 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 South Dakota compares for 15835
Across 109 of 109 payment localities, the facility rate for 15835 runs from $758.27 in Arkansas to $1,043.36 in Alaska. South Dakota pays $792.59. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$792.59
- Los Angeles, CA · California$898.46+$105.87
- Washington, DC area · District of Columbia$937.49+$144.90
- Miami, FL · Florida$978.79+$186.20
- Chicago, IL · Illinois$951.03+$158.44
- Manhattan, NY · New York$973.36+$180.77
- Alaska · Alaska$1,043.36+$250.77
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $767.76 |
| ArkansasArkansas | — | $758.27 |
| ArizonaArizona | — | $822.77 |
| Bakersfield, CACalifornia | — | $854.99 |
| Chico, CACalifornia | — | $848.41 |
| El Centro, CACalifornia | — | $848.81 |
| Fresno, CACalifornia | — | $848.41 |
| Hanford, CACalifornia | — | $848.41 |
| Madera, CACalifornia | — | $848.41 |
| Merced, CACalifornia | — | $848.41 |
| Modesto, CACalifornia | — | $848.41 |
| Napa, CACalifornia | — | $941.83 |
| Oxnard, CACalifornia | — | $889.40 |
| Redding, CACalifornia | — | $848.41 |
| Rest of CaliforniaCalifornia | — | $848.41 |
| Riverside, CACalifornia | — | $873.72 |
| Sacramento, CACalifornia | — | $879.44 |
| Salinas, CACalifornia | — | $875.95 |
| San Diego, CACalifornia | — | $888.69 |
| Marin County, CACalifornia | — | $983.09 |
| San Francisco, CACalifornia | — | $980.42 |
| San Benito County, CACalifornia | — | $1,006.46 |
| Santa Clara County, CACalifornia | — | $995.55 |
| San Luis Obispo, CACalifornia | — | $863.16 |
| Santa Cruz, CACalifornia | — | $890.93 |
| Santa Maria, CACalifornia | — | $877.08 |
| Santa Rosa, CACalifornia | — | $899.19 |
| Stockton, CACalifornia | — | $848.41 |
| Vallejo, CACalifornia | — | $937.99 |
| Visalia, CACalifornia | — | $848.41 |
| Yuba City, CACalifornia | — | $848.41 |
| ColoradoColorado | — | $854.55 |
| ConnecticutConnecticut | — | $896.07 |
| DelawareDelaware | — | $834.78 |
| Fort Lauderdale, FLFlorida | — | $912.59 |
| Rest of FloridaFlorida | — | $869.10 |
| Atlanta, GAGeorgia | — | $867.24 |
| Rest of GeorgiaGeorgia | — | $822.73 |
| Hawaii, Guam, HIHawaii | — | $858.66 |
| IowaIowa | — | $768.22 |
| IdahoIdaho | — | $775.90 |
| East St. Louis, ILIllinois | — | $896.86 |
| Rest of IllinoisIllinois | — | $859.06 |
| Suburban Chicago, ILIllinois | — | $917.53 |
| IndianaIndiana | — | $779.32 |
| KansasKansas | — | $772.85 |
| KentuckyKentucky | — | $799.96 |
| New Orleans, LALouisiana | — | $835.15 |
| Rest of LouisianaLouisiana | — | $801.96 |
| Metropolitan Boston, MAMassachusetts | — | $919.97 |
| Rest of MassachusettsMassachusetts | — | $853.73 |
| Baltimore area, MDMaryland | — | $895.12 |
| Rest of MarylandMaryland | — | $846.62 |
| Rest of MaineMaine | — | $787.60 |
| Southern Maine, MEMaine | — | $812.66 |
| Detroit, MIMichigan | — | $886.55 |
| Rest of MichiganMichigan | — | $824.99 |
| MinnesotaMinnesota | — | $799.40 |
| Metropolitan Kansas City, MOMissouri | — | $821.98 |
| Metropolitan St. Louis, MOMissouri | — | $828.40 |
| Rest of MissouriMissouri | — | $795.33 |
| MississippiMississippi | — | $776.54 |
| MontanaMontana | — | $844.55 |
| North CarolinaNorth Carolina | — | $793.39 |
| North DakotaNorth Dakota | — | $798.08 |
| NebraskaNebraska | — | $769.47 |
| New HampshireNew Hampshire | — | $848.96 |
| Northern New JerseyNew Jersey | — | $931.59 |
| Rest of New JerseyNew Jersey | — | $900.81 |
| New MexicoNew Mexico | — | $832.01 |
| NevadaNevada | — | $831.94 |
| NYC suburbs and Long Island, NYNew York | — | $1,003.89 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $912.82 |
| Queens, NYNew York | — | $968.92 |
| Rest of New YorkNew York | — | $804.25 |
| OhioOhio | — | $815.49 |
| OklahomaOklahoma | — | $790.50 |
| Portland, OROregon | — | $869.46 |
| Rest of OregonOregon | — | $820.02 |
| Metropolitan Philadelphia, PAPennsylvania | — | $881.54 |
| Rest of PennsylvaniaPennsylvania | — | $812.26 |
| Puerto RicoPuerto Rico | — | $847.30 |
| Rhode IslandRhode Island | — | $855.59 |
| South CarolinaSouth Carolina | — | $806.86 |
| TennesseeTennessee | — | $777.15 |
| Austin, TXTexas | — | $856.50 |
| Beaumont, TXTexas | — | $808.26 |
| Brazoria, TXTexas | — | $827.74 |
| Dallas, TXTexas | — | $836.00 |
| Fort Worth, TXTexas | — | $833.59 |
| Galveston, TXTexas | — | $832.19 |
| Houston, TXTexas | — | $875.21 |
| Rest of TexasTexas | — | $819.60 |
| UtahUtah | — | $816.12 |
| VirginiaVirginia | — | $815.80 |
| Virgin Islands, VIUnited States Virgin Islands | — | $847.30 |
| VermontVermont | — | $802.50 |
| Rest of WashingtonWashington | — | $849.63 |
| King County, WAWashington | — | $929.37 |
| WisconsinWisconsin | — | $775.99 |
| West VirginiaWest Virginia | — | $833.60 |
| WyomingWyoming | — | $824.30 |
15835 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 15835 rate is calculated
Each of 15835’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 · 15835
RVUs × geographic indexes × conversion factor
Work12.67
12.67 RVUs× 1.000 GPCI
Practice expense10.27
10.27 RVUs× 1.000 GPCI
Malpractice2.35
2.35 RVUs× 1.000 GPCI
Adjusted RVUs
25.2900
Conversion factor
$33.4009
Medicare rate
$844.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,574
- Code
- 15835
- Physician work
- 12.67
- Practice expense
- 10.27
- Malpractice
- 2.35
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.67 | × 1.000 | 12.6700 |
| Practice expense | 10.27 | × 1.000 | 10.2700 |
| Malpractice | 2.35 | × 0.336 | 0.7896 |
| Total RVUs | 23.7296 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$792.59
Facility: (12.67 × 1 + 10.27 × 1 + 2.35 × 0.336) × $33.4009 = $792.59
Payment rules and modifiers for 15835
15835 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 15835
Skin excision, buttock
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 15835
Skin excision, buttock
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 51 · payment effect
With and without the modifier
15835 without 51 · national facility
$844.71
Skin excision, buttock
15835-51 · Second procedure: 50%
$422.36
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 15835 has changed in South Dakota
15835 · 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 | $792.59 | RVU26D |
| 2026-07-01 | Not available in this setting | $792.59 | RVU26C |
| 2026-04-01 | Not available in this setting | $792.59 | RVU26B |
| 2026-01-01 | Not available in this setting | $792.59 | RVU26A |
| 2025-10-01 | Not available in this setting | $867.51 | RVU25D |
| 2025-07-01 | Not available in this setting | $867.51 | RVU25C |
| 2025-04-01 | Not available in this setting | $867.51 | RVU25B |
| 2025-01-01 | Not available in this setting | $867.51 | RVU25A |
| 2024-10-01 | Not available in this setting | $882.55 | RVU24D |
| 2024-07-01 | Not available in this setting | $882.55 | RVU24C |
| 2024-04-01 | Not available in this setting | $882.55 | RVU24B |
| 2024-03-09 | Not available in this setting | $882.55 | RVU24AR |
| 2024-01-01 | Not available in this setting | $868.15 | RVU24A |
| 2023-10-01 | Not available in this setting | $893.45 | RVU23D |
| 2023-07-01 | Not available in this setting | $893.45 | RVU23C |
| 2023-04-01 | Not available in this setting | $893.45 | RVU23B |
| 2023-01-01 | Not available in this setting | $893.45 | RVU23A |
| 2022-10-01 | Not available in this setting | $897.42 | RVU22D |
| 2022-07-01 | Not available in this setting | $897.42 | RVU22C |
| 2022-04-01 | Not available in this setting | $897.42 | RVU22B |
| 2022-01-01 | Not available in this setting | $897.42 | RVU22A |
| 2021-10-01 | Not available in this setting | $899.71 | RVU21D |
| 2021-07-01 | Not available in this setting | $899.71 | RVU21C |
| 2021-04-01 | Not available in this setting | $899.71 | RVU21B |
| 2021-01-01 | Not available in this setting | $899.71 | RVU21A |
| 2020-10-01 | Not available in this setting | $921.47 | RVU20D |
| 2020-07-01 | Not available in this setting | $921.47 | RVU20C |
| 2020-04-01 | Not available in this setting | $921.47 | RVU20B |
| 2020-01-01 | Not available in this setting | $921.47 | RVU20A |
| 2019-10-01 | Not available in this setting | $918.63 | RVU19D |
| 2019-07-01 | Not available in this setting | $918.63 | RVU19C |
| 2019-04-01 | Not available in this setting | $918.63 | RVU19B |
| 2019-01-01 | Not available in this setting | $918.63 | RVU19A |
| 2018-10-01 | Not available in this setting | $920.94 | RVU18D |
| 2018-07-01 | Not available in this setting | $920.94 | RVU18C |
| 2018-04-01 | Not available in this setting | $920.94 | RVU18B |
| 2018-01-01 | Not available in this setting | $920.94 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $892.21 | RVU17D |
| 2017-07-01 | Not available in this setting | $892.21 | RVU17C |
| 2017-04-01 | Not available in this setting | $892.21 | RVU17B |
| 2017-01-01 | Not available in this setting | $892.21 | RVU17A |
| 2016-10-01 | Not available in this setting | $903.84 | RVU16D |
| 2016-07-01 | Not available in this setting | $903.84 | RVU16C |
| 2016-04-01 | Not available in this setting | $903.84 | RVU16B |
| 2016-01-01 | Not available in this setting | $903.84 | RVU16A |
| 2015-10-01 | Not available in this setting | $916.59 | RVU15D |
| 2015-07-01 | Not available in this setting | $916.59 | RVU15C |
| 2015-04-01 | Not available in this setting | $912.03 | RVU15B |
| 2015-01-01 | Not available in this setting | $912.03 | RVU15A |
| 2014-10-01 | Not available in this setting | $917.39 | RVU14D |
| 2014-07-01 | Not available in this setting | $917.39 | RVU14C |
| 2014-04-01 | Not available in this setting | $917.39 | RVU14B |
| 2014-01-01 | Not available in this setting | $917.39 | RVU14A |
| 2013-10-01 | Not available in this setting | $909.30 | RVU13D |
| 2013-07-01 | Not available in this setting | $909.30 | RVU13C |
| 2013-04-01 | Not available in this setting | $909.30 | RVU13B |
| 2013-01-01 | Not available in this setting | $909.30 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
15835 billing questions
How do I distinguish this code from the hip or thigh skin-excision codes?
Use 15835 when the excision is on the buttock. The hip and thigh have separate site-specific codes, 15834 and 15832.
Can modifier 50 be used for both buttocks?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
When is an assistant at surgery payable?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 15835?
The operative report should identify the buttock as the treated site and describe the redundant skin removed and the work performed.
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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