CPT code 15876: Fat removal, head and neck2026 Medicare rate & RVUs in North Dakota

Reports suction-assisted removal of localized fat in the head or neck when the procedure meets Medicare’s restricted coverage conditions.

CMS RVU26DEffective Oct 1, 2026One payment locality

In North Dakota, Medicare pays $0.00 for 15876 in the office and $0.00 when it’s performed in a hospital or facility.

$0.00Office (non-facility)
$0.00Hospital or facility
$0.00vs the national office rate ($0.00)

Check a contract rate as a % of Medicare · 15876 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 15876 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 15876 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 15876 covers

This service removes localized subcutaneous fat from the head or neck using suction through a small cannula. It is typically performed by a plastic surgeon or another surgeon experienced in facial and neck contouring, in an ambulatory surgical setting or hospital. The target anatomy, suction technique, and reason for treatment distinguish it from excision of a discrete submental fat pad or a face and neck lift.

Medicare lists restricted coverage, so payment is limited to specific circumstances; routine cosmetic contouring should not be presumed covered. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate for this descriptor and anatomy. 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 North Dakota compares for 15876

Across 109 of 109 payment localities, the office rate for 15876 runs from $0.00 in Alaska to $0.00 in Wyoming. North Dakota pays $0.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

15876 in North Dakota vs other payment areas
  1. North Dakota · this page$0.00
  2. Los Angeles, CA · California$0.00
  3. Washington, DC area · District of Columbia$0.00
  4. Miami, FL · Florida$0.00
  5. Chicago, IL · Illinois$0.00
  6. Manhattan, NY · New York$0.00
  7. Alaska · Alaska$0.00

Other areas in North Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

15876 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$0.00$0.00
ArkansasArkansas$0.00$0.00
ArizonaArizona$0.00$0.00
Bakersfield, CACalifornia$0.00$0.00
Chico, CACalifornia$0.00$0.00
El Centro, CACalifornia$0.00$0.00
Fresno, CACalifornia$0.00$0.00
Hanford, CACalifornia$0.00$0.00

15876 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.

$0.00

$0.00

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
15876 office rate range by state
State / territoryOffice rate rangeLocalities
AK$0.001
AL$0.001
AR$0.001
AZ$0.001
CA$0.0029
CO$0.001
CT$0.001
DC$0.001
DE$0.001
FL$0.003
GA$0.002
GU$0.001
HI$0.001
IA$0.001
ID$0.001
IL$0.004
IN$0.001
KS$0.001
KY$0.001
LA$0.002
MA$0.002
MD$0.003
ME$0.002
MI$0.002
MN$0.001
MO$0.003
MS$0.001
MT$0.001
NC$0.001
ND$0.001
NE$0.001
NH$0.001
NJ$0.002
NM$0.001
NV$0.001
NY$0.005
OH$0.001
OK$0.001
OR$0.002
PA$0.002
PR$0.001
RI$0.001
SC$0.001
SD$0.001
TN$0.001
TX$0.008
UT$0.001
VA$0.002
VI$0.001
VT$0.001
WA$0.002
WI$0.001
WV$0.001
WY$0.001

See 15876 in every payment locality

How the 15876 rate is calculated

Each of 15876’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 · 15876

RVUs × geographic indexes × conversion factor

Office or facility?

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.

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,589

Code
15876
Physician work
0.00
Practice expense
0.00
Malpractice
0.00

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 15876 in North Dakota
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.00× 1.0000.0000
Malpractice0.00× 0.4060.0000
Total RVUs0.0000
Conversion factor× 33.4009

Office rate, North Dakota$0.00

Office: (0 × 1 + 0 × 1 + 0 × 0.406) × $33.4009 = $0.00

Facility: (0 × 1 + 0 × 1 + 0 × 0.406) × $33.4009 = $0.00

Open 15876 in the RVU calculator

Payment rules and modifiers for 15876

The CMS indicators that decide how 15876 is paid alongside other services.

CMS payment indicators · 15876

Fat removal, head and neck

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

15876 without 51 · national office

$0.00

Fat removal, head and neck

15876-51 · Second procedure: 50%

$0.00

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%).

When to use modifier 51

How 15876 has changed in North Dakota

15876 · Office / nonfacility

$0.00

Effective 2026-10-01

The base rate is unchanged from 2025-10-01: $0.00 in both releases.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $0.00changed to$0.00

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $0.00changed to$0.00

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $0.00changed to$0.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $0.00changed to$0.00

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $0.00changed to$0.00

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $0.00changed to$0.00

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $0.00changed to$0.00

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $0.00changed to$0.00

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $0.00changed to$0.00

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $0.00changed to$0.00

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $0.00changed to$0.00

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $0.00changed to$0.00

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $0.00changed to$0.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $0.00changed to$0.00

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $0.00changed to$0.00

    • Conversion factor 34.0230 changed to 35.8228
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $0.00

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$0.00$0.00RVU26D
2026-07-01$0.00$0.00RVU26C
2026-04-01$0.00$0.00RVU26B
2026-01-01$0.00$0.00RVU26A
2025-10-01$0.00$0.00RVU25D
2025-07-01$0.00$0.00RVU25C
2025-04-01$0.00$0.00RVU25B
2025-01-01$0.00$0.00RVU25A
2024-10-01$0.00$0.00RVU24D
2024-07-01$0.00$0.00RVU24C
2024-04-01$0.00$0.00RVU24B
2024-03-09$0.00$0.00RVU24AR
2024-01-01$0.00$0.00RVU24A
2023-10-01$0.00$0.00RVU23D
2023-07-01$0.00$0.00RVU23C
2023-04-01$0.00$0.00RVU23B
2023-01-01$0.00$0.00RVU23A
2022-10-01$0.00$0.00RVU22D
2022-07-01$0.00$0.00RVU22C
2022-04-01$0.00$0.00RVU22B
2022-01-01$0.00$0.00RVU22A
2021-10-01$0.00$0.00RVU21D
2021-07-01$0.00$0.00RVU21C
2021-04-01$0.00$0.00RVU21B
2021-01-01$0.00$0.00RVU21A
2020-10-01$0.00$0.00RVU20D
2020-07-01$0.00$0.00RVU20C
2020-04-01$0.00$0.00RVU20B
2020-01-01$0.00$0.00RVU20A
2019-10-01$0.00$0.00RVU19D
2019-07-01$0.00$0.00RVU19C
2019-04-01$0.00$0.00RVU19B
2019-01-01$0.00$0.00RVU19A
2018-10-01$0.00$0.00RVU18D
2018-07-01$0.00$0.00RVU18C
2018-04-01$0.00$0.00RVU18B
2018-01-01$0.00$0.00RVU18AR1
2017-10-01$0.00$0.00RVU17D
2017-07-01$0.00$0.00RVU17C
2017-04-01$0.00$0.00RVU17B
2017-01-01$0.00$0.00RVU17A
2016-10-01$0.00$0.00RVU16D
2016-07-01$0.00$0.00RVU16C
2016-04-01$0.00$0.00RVU16B
2016-01-01$0.00$0.00RVU16A
2015-10-01$0.00$0.00RVU15D
2015-07-01$0.00$0.00RVU15C
2015-04-01$0.00$0.00RVU15B
2015-01-01$0.00$0.00RVU15A
2014-10-01$0.00$0.00RVU14D
2014-07-01$0.00$0.00RVU14C
2014-04-01$0.00$0.00RVU14B
2014-01-01$0.00$0.00RVU14A
2013-10-01$0.00$0.00RVU13D
2013-07-01$0.00$0.00RVU13C
2013-04-01$0.00$0.00RVU13B
2013-01-01$0.00$0.00RVU13AR

Price 15876 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

15876 billing questions

How is this different from excision of a submental fat pad?

This code represents suction-assisted removal of fat in the head or neck. Use 15838 when a discrete submental fat pad is removed by excision rather than suction.

Is routine cosmetic contouring covered by Medicare?

CMS identifies this service as restricted coverage, payable only in specific circumstances.

Does the service include same-day preoperative and postoperative care?

Yes. Its 0-day global period includes preoperative and postoperative care on the procedure date.

Should modifier 50 be appended for treatment on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in this code’s service.

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 15876PPRRVU2026_Oct_nonQPP.csv, line 1,589 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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