CPT code 15878: Suction lipectomy, upper extremity2026 Medicare rate & RVUs in New Mexico

Report this service for suction removal of subcutaneous fat from an upper extremity when the clinical indication meets Medicare’s restricted coverage criteria.

CMS RVU26DEffective Oct 1, 2026One payment locality

In New Mexico, Medicare pays $0.00 for 15878 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 · 15878 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 15878 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 15878 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 15878 covers

This procedure removes localized subcutaneous fat from an upper extremity using suction through a cannula. A surgeon performs it through small access incisions to treat an upper-arm, forearm, or other upper-extremity site. It addresses fat removal, not excision of redundant skin; the operative report should identify the treated site and describe the suction technique and extent of treatment.

Medicare marks this code as restricted coverage, so documentation should establish the qualifying medical indication rather than assume cosmetic contouring is payable. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the 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.

How New Mexico compares for 15878

Across 109 of 109 payment localities, the office rate for 15878 runs from $0.00 in Alaska to $0.00 in Wyoming. New Mexico pays $0.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

15878 in New Mexico vs other payment areas
  1. New Mexico · 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 New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

15878 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

15878 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
15878 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 15878 in every payment locality

How the 15878 rate is calculated

Each of 15878’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 · 15878

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 New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,591

Code
15878
Physician work
0.00
Practice expense
0.00
Malpractice
0.00

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 15878 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.00× 0.9170.0000
Malpractice0.00× 1.2010.0000
Total RVUs0.0000
Conversion factor× 33.4009

Office rate, New Mexico$0.00

Office: (0 × 1 + 0 × 0.917 + 0 × 1.201) × $33.4009 = $0.00

Facility: (0 × 1 + 0 × 0.917 + 0 × 1.201) × $33.4009 = $0.00

Open 15878 in the RVU calculator

Payment rules and modifiers for 15878

The CMS indicators that decide how 15878 is paid alongside other services.

CMS payment indicators · 15878

Suction lipectomy, upper extremity

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)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.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

15878 without 50 · national office

$0.00

Suction lipectomy, upper extremity

15878-50 · Bilateral: 150%

$0.00

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

How 15878 has changed in New Mexico

15878 · 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
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    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
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $0.00changed to$0.00

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    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
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $0.00changed to$0.00

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    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
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $0.00changed to$0.00

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    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
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $0.00changed to$0.00

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    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 15878 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

15878 billing questions

When should 15878 be chosen over an arm skin-excision code?

Use 15878 when the service suctions subcutaneous fat from an upper extremity. An arm skin-excision code describes removal of excess skin instead.

What documentation supports reporting 15878?

Document the medical indication, the upper-extremity site treated, and the suction procedure performed. Because Medicare coverage is restricted, the record should support why the service qualifies for coverage.

How is bilateral treatment reported?

For bilateral upper-extremity treatment, report modifier 50; CMS specifies payment at 150%.

How does the multiple-procedure reduction affect 15878?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. The reduction depends on the procedures’ relative values.

Is same-day postoperative care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery 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 15878PPRRVU2026_Oct_nonQPP.csv, line 1,591 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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