CPT code 15847: Abdominoplasty add-on, umbilical repositioning and plication2026 Medicare rate & RVUs in California
Add-on abdominoplasty work involving abdominal skin removal with umbilical repositioning and fascial tightening, reported with the primary abdominal excision service.
CMS doesn’t publish an office rate for 15847 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 15847 covers
This add-on describes the additional work of an abdominoplasty that repositions the umbilicus and tightens the abdominal fascia while excess abdominal skin and tissue are removed. Plastic surgeons commonly perform the work in an operating room, including for patients seeking abdominal contouring after substantial weight loss. The code is reported with the primary abdominal skin-excision service, not by itself.
Medicare assigns CPT 15847 physician fee schedule status C, or carrier priced. CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim. The contractor also determines the global period. Report the add-on only when the documented procedure includes the additional abdominoplasty work represented by this code; repositioning the umbilicus and tightening the fascia are part of that work, not separate services under this code.
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 15847 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | Unavailable |
| Chico, CA | Unavailable | Unavailable |
| El Centro, CA | Unavailable | Unavailable |
| Fresno, CA | Unavailable | Unavailable |
| Hanford, CA | Unavailable | Unavailable |
| Los Angeles, CA | Unavailable | Unavailable |
| Madera, CA | Unavailable | Unavailable |
| Marin County, CA | Unavailable | Unavailable |
| Merced, CA | Unavailable | Unavailable |
| Modesto, CA | Unavailable | Unavailable |
| Napa, CA | Unavailable | Unavailable |
| Oxnard, CA | Unavailable | Unavailable |
| Redding, CA | Unavailable | Unavailable |
| Rest of California | Unavailable | Unavailable |
| Riverside, CA | Unavailable | Unavailable |
| Sacramento, CA | Unavailable | Unavailable |
| Salinas, CA | Unavailable | Unavailable |
| San Benito County, CA | Unavailable | Unavailable |
| San Diego, CA | Unavailable | Unavailable |
| San Francisco, CA | Unavailable | Unavailable |
| San Luis Obispo, CA | Unavailable | Unavailable |
| Santa Clara County, CA | Unavailable | Unavailable |
| Santa Cruz, CA | Unavailable | Unavailable |
| Santa Maria, CA | Unavailable | Unavailable |
| Santa Rosa, CA | Unavailable | Unavailable |
| Stockton, CA | Unavailable | Unavailable |
| Vallejo, CA | Unavailable | Unavailable |
| Visalia, CA | Unavailable | Unavailable |
| Yuba City, CA | Unavailable | Unavailable |
How the 15847 rate is calculated
Each of 15847’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 · 15847
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 15847
The CMS indicators that decide how 15847 is paid alongside other services.
CMS payment indicators · 15847
Abdominoplasty add-on, umbilical repositioning and plication
| Rule | CMS value | What it means |
|---|---|---|
| Global period | YYY | The Medicare contractor sets the global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
15847 without 80 · national facility
$0.00
Abdominoplasty add-on, umbilical repositioning and plication
15847-80 · Assistant: 16%
$0.00
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
15847 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 15830PanniculectomyInfraumbilical skin and tissue
- Use 15830 for the primary abdominal excess-skin excision. Add 15847 when the procedure also includes the specified abdominoplasty work with umbilical repositioning and fascial tightening.
- 15832Thigh liftExcess skin excision
- 15832 applies to excess-skin excision of the thigh. 15847 concerns additional abdominoplasty work reported with an abdominal procedure.
- 15834Skin excisionHip region
- 15834 applies to excess-skin excision of the hip. It is not the abdominal abdominoplasty add-on represented by 15847.
15847 billing questions
When should 15847 be reported with 15830?
Report 15847 with 15830 when the abdominal skin-excision procedure also includes abdominoplasty work with umbilical repositioning and fascial tightening. The add-on is not reported alone.
Can umbilical repositioning or fascial tightening be billed separately from 15847?
Those features are included in the work represented by 15847. They are not separate services under this code.
How is 15847 different from 15830?
15830 describes the primary abdominal excess-skin excision. 15847 is the add-on for the specified additional abdominoplasty work performed with that primary service.
Does 15847 have a national Medicare payment amount?
No. It has physician fee schedule status C, so the Medicare Administrative Contractor sets payment for each claim.
Who determines the Medicare global period for 15847?
The Medicare contractor determines the global period.
What should the operative report document for 15847?
The operative report should describe the additional abdominoplasty work, including umbilical repositioning and fascial tightening.
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
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