CPT code 15836: Skin excision, upper arm2026 Medicare rate & RVUs in Kentucky
Reports surgical removal of redundant skin from the upper arm, commonly during brachioplasty after substantial weight loss or when excess tissue causes functional problems.
In Kentucky, Medicare pays $687.91 for 15836 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 15836 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 15836 covers
This service removes excess skin from the upper arm and closes the resulting wound, typically as part of brachioplasty. Plastic surgeons commonly perform it in a hospital or ambulatory surgical setting for patients with substantial upper-arm skin redundancy, including after major weight loss. The site must be the upper arm; removal involving the forearm or hand is described by a different code.
Report the service for the operative work performed, with documentation identifying the upper-arm site, the extent of skin removed, and the clinical reason for surgery. This major surgery code includes 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. For bilateral surgery, modifier 50 is paid at 150%. 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 Kentucky compares for 15836
Across 109 of 109 payment localities, the facility rate for 15836 runs from $652.68 in Arkansas to $893.45 in Alaska. Kentucky pays $687.91. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$687.91
- Los Angeles, CA · California$779.85+$91.94
- Washington, DC area · District of Columbia$811.54+$123.63
- Miami, FL · Florida$839.95+$152.04
- Chicago, IL · Illinois$815.87+$127.96
- Manhattan, NY · New York$840.22+$152.31
- Alaska · Alaska$893.45+$205.54
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $661.06 |
| ArkansasArkansas | — | $652.68 |
| ArizonaArizona | — | $709.67 |
| Bakersfield, CACalifornia | — | $740.95 |
| Chico, CACalifornia | — | $735.58 |
| El Centro, CACalifornia | — | $735.90 |
| Fresno, CACalifornia | — | $735.58 |
| Hanford, CACalifornia | — | $735.58 |
| Madera, CACalifornia | — | $735.58 |
| Merced, CACalifornia | — | $735.58 |
| Modesto, CACalifornia | — | $735.58 |
| Napa, CACalifornia | — | $820.56 |
| Oxnard, CACalifornia | — | $772.42 |
| Redding, CACalifornia | — | $735.58 |
| Rest of CaliforniaCalifornia | — | $735.58 |
| Riverside, CACalifornia | — | $756.25 |
| Sacramento, CACalifornia | — | $763.53 |
| Salinas, CACalifornia | — | $760.53 |
| San Diego, CACalifornia | — | $772.38 |
| Marin County, CACalifornia | — | $857.84 |
| San Francisco, CACalifornia | — | $855.66 |
| San Benito County, CACalifornia | — | $878.18 |
| Santa Clara County, CACalifornia | — | $869.26 |
| San Luis Obispo, CACalifornia | — | $749.31 |
| Santa Cruz, CACalifornia | — | $774.96 |
| Santa Maria, CACalifornia | — | $761.73 |
| Santa Rosa, CACalifornia | — | $782.22 |
| Stockton, CACalifornia | — | $735.58 |
| Vallejo, CACalifornia | — | $817.41 |
| Visalia, CACalifornia | — | $735.58 |
| Yuba City, CACalifornia | — | $735.58 |
| ColoradoColorado | — | $739.34 |
| ConnecticutConnecticut | — | $773.77 |
| DelawareDelaware | — | $720.23 |
| Fort Lauderdale, FLFlorida | — | $784.78 |
| Rest of FloridaFlorida | — | $747.02 |
| Atlanta, GAGeorgia | — | $747.84 |
| Rest of GeorgiaGeorgia | — | $706.63 |
| Hawaii, Guam, HIHawaii | — | $745.55 |
| IowaIowa | — | $663.00 |
| IdahoIdaho | — | $669.47 |
| East St. Louis, ILIllinois | — | $768.29 |
| Rest of IllinoisIllinois | — | $737.13 |
| Suburban Chicago, ILIllinois | — | $789.35 |
| IndianaIndiana | — | $672.54 |
| KansasKansas | — | $666.35 |
| New Orleans, LALouisiana | — | $718.69 |
| Rest of LouisianaLouisiana | — | $689.39 |
| Metropolitan Boston, MAMassachusetts | — | $797.86 |
| Rest of MassachusettsMassachusetts | — | $738.24 |
| Baltimore area, MDMaryland | — | $772.84 |
| Rest of MarylandMaryland | — | $730.83 |
| Rest of MaineMaine | — | $679.02 |
| Southern Maine, MEMaine | — | $702.27 |
| Detroit, MIMichigan | — | $761.62 |
| Rest of MichiganMichigan | — | $709.30 |
| MinnesotaMinnesota | — | $692.92 |
| Metropolitan Kansas City, MOMissouri | — | $707.85 |
| Metropolitan St. Louis, MOMissouri | — | $713.61 |
| Rest of MissouriMissouri | — | $683.08 |
| MississippiMississippi | — | $667.69 |
| MontanaMontana | — | $728.68 |
| North CarolinaNorth Carolina | — | $684.26 |
| North DakotaNorth Dakota | — | $690.71 |
| NebraskaNebraska | — | $664.33 |
| New HampshireNew Hampshire | — | $733.88 |
| Northern New JerseyNew Jersey | — | $806.02 |
| Rest of New JerseyNew Jersey | — | $778.22 |
| New MexicoNew Mexico | — | $715.19 |
| NevadaNevada | — | $718.42 |
| NYC suburbs and Long Island, NYNew York | — | $866.22 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $788.15 |
| Queens, NYNew York | — | $837.37 |
| Rest of New YorkNew York | — | $693.80 |
| OhioOhio | — | $701.54 |
| OklahomaOklahoma | — | $680.34 |
| Portland, OROregon | — | $753.36 |
| Rest of OregonOregon | — | $708.48 |
| Metropolitan Philadelphia, PAPennsylvania | — | $760.49 |
| Rest of PennsylvaniaPennsylvania | — | $699.10 |
| Puerto RicoPuerto Rico | — | $731.36 |
| Rhode IslandRhode Island | — | $738.98 |
| South CarolinaSouth Carolina | — | $694.92 |
| South DakotaSouth Dakota | — | $686.23 |
| TennesseeTennessee | — | $670.06 |
| Austin, TXTexas | — | $740.71 |
| Beaumont, TXTexas | — | $695.52 |
| Brazoria, TXTexas | — | $714.59 |
| Dallas, TXTexas | — | $721.53 |
| Fort Worth, TXTexas | — | $719.17 |
| Galveston, TXTexas | — | $718.31 |
| Houston, TXTexas | — | $753.45 |
| Rest of TexasTexas | — | $706.30 |
| UtahUtah | — | $703.11 |
| VirginiaVirginia | — | $704.53 |
| Virgin Islands, VIUnited States Virgin Islands | — | $731.36 |
| VermontVermont | — | $693.93 |
| Rest of WashingtonWashington | — | $734.89 |
| King County, WAWashington | — | $806.82 |
| WisconsinWisconsin | — | $671.02 |
| West VirginiaWest Virginia | — | $714.62 |
| WyomingWyoming | — | $712.13 |
15836 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 15836 rate is calculated
Each of 15836’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 · 15836
RVUs × geographic indexes × conversion factor
Work10.34
10.34 RVUs× 1.000 GPCI
Practice expense9.56
9.56 RVUs× 1.000 GPCI
Malpractice1.92
1.92 RVUs× 1.000 GPCI
Adjusted RVUs
21.8200
Conversion factor
$33.4009
Medicare rate
$728.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,575
- Code
- 15836
- Physician work
- 10.34
- Practice expense
- 9.56
- Malpractice
- 1.92
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.34 | × 1.000 | 10.3400 |
| Practice expense | 9.56 | × 0.889 | 8.4988 |
| Malpractice | 1.92 | × 0.915 | 1.7568 |
| Total RVUs | 20.5956 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$687.91
Facility: (10.34 × 1 + 9.56 × 0.889 + 1.92 × 0.915) × $33.4009 = $687.91
Payment rules and modifiers for 15836
15836 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 15836
Skin excision, upper arm
| 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 · 15836
Skin excision, upper arm
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
15836 without 50 · national facility
$728.81
Skin excision, upper arm
15836-50 · Bilateral: 150%
$1,093.22
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 15836 has changed in Kentucky
15836 · 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 | $687.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $687.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $687.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $687.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $732.12 | RVU25D |
| 2025-07-01 | Not available in this setting | $732.12 | RVU25C |
| 2025-04-01 | Not available in this setting | $732.12 | RVU25B |
| 2025-01-01 | Not available in this setting | $732.12 | RVU25A |
| 2024-10-01 | Not available in this setting | $746.43 | RVU24D |
| 2024-07-01 | Not available in this setting | $746.43 | RVU24C |
| 2024-04-01 | Not available in this setting | $746.43 | RVU24B |
| 2024-03-09 | Not available in this setting | $746.43 | RVU24AR |
| 2024-01-01 | Not available in this setting | $734.24 | RVU24A |
| 2023-10-01 | Not available in this setting | $751.63 | RVU23D |
| 2023-07-01 | Not available in this setting | $751.63 | RVU23C |
| 2023-04-01 | Not available in this setting | $751.63 | RVU23B |
| 2023-01-01 | Not available in this setting | $751.63 | RVU23A |
| 2022-10-01 | Not available in this setting | $753.19 | RVU22D |
| 2022-07-01 | Not available in this setting | $753.19 | RVU22C |
| 2022-04-01 | Not available in this setting | $753.19 | RVU22B |
| 2022-01-01 | Not available in this setting | $753.19 | RVU22A |
| 2021-10-01 | Not available in this setting | $719.18 | RVU21D |
| 2021-07-01 | Not available in this setting | $719.18 | RVU21C |
| 2021-04-01 | Not available in this setting | $719.18 | RVU21B |
| 2021-01-01 | Not available in this setting | $719.18 | RVU21A |
| 2020-10-01 | Not available in this setting | $727.98 | RVU20D |
| 2020-07-01 | Not available in this setting | $727.98 | RVU20C |
| 2020-04-01 | Not available in this setting | $727.98 | RVU20B |
| 2020-01-01 | Not available in this setting | $727.98 | RVU20A |
| 2019-10-01 | Not available in this setting | $761.21 | RVU19D |
| 2019-07-01 | Not available in this setting | $761.21 | RVU19C |
| 2019-04-01 | Not available in this setting | $760.33 | RVU19B |
| 2019-01-01 | Not available in this setting | $760.33 | RVU19A |
| 2018-10-01 | Not available in this setting | $759.76 | RVU18D |
| 2018-07-01 | Not available in this setting | $759.76 | RVU18C |
| 2018-04-01 | Not available in this setting | $759.76 | RVU18B |
| 2018-01-01 | Not available in this setting | $759.76 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $753.87 | RVU17D |
| 2017-07-01 | Not available in this setting | $753.87 | RVU17C |
| 2017-04-01 | Not available in this setting | $753.87 | RVU17B |
| 2017-01-01 | Not available in this setting | $753.87 | RVU17A |
| 2016-10-01 | Not available in this setting | $725.27 | RVU16D |
| 2016-07-01 | Not available in this setting | $725.27 | RVU16C |
| 2016-04-01 | Not available in this setting | $725.27 | RVU16B |
| 2016-01-01 | Not available in this setting | $725.27 | RVU16A |
| 2015-10-01 | Not available in this setting | $751.08 | RVU15D |
| 2015-07-01 | Not available in this setting | $751.08 | RVU15C |
| 2015-04-01 | Not available in this setting | $747.35 | RVU15B |
| 2015-01-01 | Not available in this setting | $747.35 | RVU15A |
| 2014-10-01 | Not available in this setting | $724.20 | RVU14D |
| 2014-07-01 | Not available in this setting | $724.20 | RVU14C |
| 2014-04-01 | Not available in this setting | $724.20 | RVU14B |
| 2014-01-01 | Not available in this setting | $724.20 | RVU14A |
| 2013-10-01 | Not available in this setting | $741.66 | RVU13D |
| 2013-07-01 | Not available in this setting | $741.66 | RVU13C |
| 2013-04-01 | Not available in this setting | $741.66 | RVU13B |
| 2013-01-01 | Not available in this setting | $741.66 | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
15836 billing questions
When should 15836 be selected instead of 15837?
Use 15836 for removal of excessive skin from the upper arm. Use 15837 when the treated site is the forearm or hand.
Does 15836 include the related postoperative visits?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral upper-arm surgery reported?
Report bilateral surgery with modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be paid for 15836?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
What happens when 15836 is performed with another procedure in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction, with payment at 50%.
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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