CPT code 21015: Tumor resection, subfascial, under 2 cm2026 Medicare rate & RVUs in Idaho

In Idaho, Medicare pays $588.98 for 21015 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21015 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 21015 covers

This code describes resection of a soft-tissue tumor in the face or scalp that lies beneath the fascia, including a submuscular location, and measures less than 2 cm. Head and neck, plastic, or other surgeons may perform the operation in a hospital or ambulatory surgical setting. The operative report should identify the facial or scalp site, the tumor’s subfascial depth, its size, and the resection performed.

Select this code when the documented depth, size, and resection approach match; a superficial lesion or a larger tumor belongs to a different code in the family. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting 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 Idaho compares for 21015

Across 109 of 109 payment localities, the facility rate for 21015 runs from $575.42 in Arkansas to $792.25 in Alaska. Idaho pays $588.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21015 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 21015 in every payment locality

How the 21015 rate is calculated

Each of 21015’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.

Payment rules and modifiers for 21015

21015 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 21015

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 21015 has changed in Idaho

Price 21015 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Acequia
• Albion
• American Falls
• Ammon
• Arbon Valley
• Arco
• Arimo

Browse all communities in Idaho

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

Open CMS sourceHow we calculate rates