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

Reports resection of a soft-tissue tumor beneath the fascia of the face or scalp when the tumor measures less than 2 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality305 Medicare services in 2024

In Minnesota, Medicare pays $607.46 for 21015 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$607.46Hospital or facility

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.

We’ll open 21015 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 21015 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 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 Minnesota 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. Minnesota pays $607.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

21015 in Minnesota vs other payment areas
  1. Minnesota · this page$607.46
  2. Los Angeles, CA · California$681.66+$74.20
  3. Washington, DC area · District of Columbia$709.89+$102.43
  4. Miami, FL · Florida$736.64+$129.18
  5. Chicago, IL · Illinois$716.29+$108.83
  6. Manhattan, NY · New York$735.63+$128.17
  7. Alaska · Alaska$792.25+$184.79

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

Every other payment area

21015 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$582.48
ArkansasArkansas—$575.42
ArizonaArizona—$623.40
Bakersfield, CACalifornia—$648.75
Chico, CACalifornia—$643.98
El Centro, CACalifornia—$644.27
Fresno, CACalifornia—$643.98
Hanford, CACalifornia—$643.98

21015 rates by state

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

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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
21015 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 21015

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.64

9.64 RVUs× 1.000 GPCI

Practice expense7.82

7.82 RVUs× 1.000 GPCI

Malpractice1.69

1.69 RVUs× 1.000 GPCI

Adjusted RVUs

19.1500

Conversion factor

$33.4009

Medicare rate

$639.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,841

Code
21015
Physician work
9.64
Practice expense
7.82
Malpractice
1.69

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 21015 in Minnesota
ComponentRVULocality factorAdjusted
Physician work9.64× 1.0009.6400
Practice expense7.82× 1.0298.0468
Malpractice1.69× 0.2960.5002
Total RVUs18.1870
Conversion factor× 33.4009

Facility rate, Minnesota$607.46

Facility: (9.64 × 1 + 7.82 × 1.029 + 1.69 × 0.296) × $33.4009 = $607.46

Open 21015 in the RVU calculator

Payment rules and modifiers for 21015

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

CMS payment indicators · 21015

Tumor resection, subfascial, under 2 cm

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 21015

Tumor resection, subfascial, under 2 cm

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

21015 without 51 · national facility

$639.63

Tumor resection, subfascial, under 2 cm

21015-51 · Second procedure: 50%

$319.82

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 21015 has changed in Minnesota

21015 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$607.46RVU26D
2026-07-01Not available in this setting$607.46RVU26C
2026-04-01Not available in this setting$607.46RVU26B
2026-01-01Not available in this setting$607.46RVU26A
2025-10-01Not available in this setting$657.11RVU25D
2025-07-01Not available in this setting$657.11RVU25C
2025-04-01Not available in this setting$657.11RVU25B
2025-01-01Not available in this setting$657.11RVU25A
2024-10-01Not available in this setting$669.83RVU24D
2024-07-01Not available in this setting$669.83RVU24C
2024-04-01Not available in this setting$669.83RVU24B
2024-03-09Not available in this setting$669.83RVU24AR
2024-01-01Not available in this setting$658.90RVU24A
2023-10-01Not available in this setting$677.49RVU23D
2023-07-01Not available in this setting$677.49RVU23C
2023-04-01Not available in this setting$677.49RVU23B
2023-01-01Not available in this setting$677.49RVU23A
2022-10-01Not available in this setting$682.38RVU22D
2022-07-01Not available in this setting$682.38RVU22C
2022-04-01Not available in this setting$682.38RVU22B
2022-01-01Not available in this setting$682.38RVU22A
2021-10-01Not available in this setting$685.07RVU21D
2021-07-01Not available in this setting$685.07RVU21C
2021-04-01Not available in this setting$685.07RVU21B
2021-01-01Not available in this setting$685.07RVU21A
2020-10-01Not available in this setting$696.68RVU20D
2020-07-01Not available in this setting$696.68RVU20C
2020-04-01Not available in this setting$696.68RVU20B
2020-01-01Not available in this setting$696.68RVU20A
2019-10-01Not available in this setting$695.49RVU19D
2019-07-01Not available in this setting$695.49RVU19C
2019-04-01Not available in this setting$695.49RVU19B
2019-01-01Not available in this setting$695.49RVU19A
2018-10-01Not available in this setting$695.85RVU18D
2018-07-01Not available in this setting$695.85RVU18C
2018-04-01Not available in this setting$695.85RVU18B
2018-01-01Not available in this setting$695.85RVU18AR1
2017-10-01Not available in this setting$693.46RVU17D
2017-07-01Not available in this setting$693.46RVU17C
2017-04-01Not available in this setting$693.46RVU17B
2017-01-01Not available in this setting$693.46RVU17A
2016-10-01Not available in this setting$693.97RVU16D
2016-07-01Not available in this setting$693.97RVU16C
2016-04-01Not available in this setting$693.97RVU16B
2016-01-01Not available in this setting$693.97RVU16A
2015-10-01Not available in this setting$692.09RVU15D
2015-07-01Not available in this setting$692.09RVU15C
2015-04-01Not available in this setting$688.65RVU15B
2015-01-01Not available in this setting$688.65RVU15A
2014-10-01Not available in this setting$689.40RVU14D
2014-07-01Not available in this setting$689.40RVU14C
2014-04-01Not available in this setting$689.40RVU14B
2014-01-01Not available in this setting$689.40RVU14A
2013-10-01Not available in this setting$677.64RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 21015 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

21015 billing questions

How is this different from 21013?

Both concern a subfascial face or scalp tumor under 2 cm. This code is for resection; 21013 describes excision, so the operative report must support the procedure performed.

When should 21016 be used instead?

Use 21016 when the subfascial face or scalp tumor is 2 cm or greater. This code is for a tumor measuring less than 2 cm.

Does a subcutaneous tumor qualify?

No. This code is for a tumor beneath the fascia, including a submuscular location; subcutaneous face or scalp tumors are represented by other codes.

Can modifier 50 be reported for tumors on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. Do not use modifier 50.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

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 21015PPRRVU2026_Oct_nonQPP.csv, line 1,841 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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