$1,027.85–$1,435.65
Choose 15730 for a midface flap with its vascular pedicle preserved; choose 15731 for a forehead flap.
On this page
CMS RVU26D · Effective 2026-10-01
15730 Midface flap Medicare reimbursement rates
Reports reconstruction using midface tissue transferred to a facial defect while its vascular pedicle remains intact, commonly for cheek reconstruction. Compare 15730 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 15730?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$1282.32–$1886.30
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $603.98 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 15730 pays more and less
109 payment localities
$1282.32 to $1886.30
Reconstructive surgery
About 15730: Midface flap with preserved vascular pedicle
Reports reconstruction using midface tissue transferred to a facial defect while its vascular pedicle remains intact, commonly for cheek reconstruction.
A midface flap moves nearby facial tissue into a defect while preserving its blood supply through an attached vascular pedicle. Plastic surgeons, facial plastic surgeons, and other reconstructive surgeons may use this approach to repair facial defects, including after tumor removal or trauma. The flap is living local tissue, not a detached skin or tissue graft.
Report 15730 when the operative technique and donor site support a midface flap with its vascular pedicle preserved. Documentation should identify the defect, flap location and design, tissue transferred, and preserved blood supply. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 15730
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.16 · 31%
- Practice expense (office) RVU28.48 · 66%
- Malpractice RVU1.49 · 3%
2.4K
Medicare services in 2024 · #2330 by national volume
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.
15730 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
15733 describes a muscle, myocutaneous, or fasciocutaneous flap for the head and neck. 15730 is specific to a midface flap.
$934.55–$1,330.00
15740 describes an island pedicle flap. Select 15730 when the operative flap is specifically a midface flap with its vascular pedicle preserved.
No office rate
15756 is for a free muscle or myocutaneous flap transferred with microvascular technique; 15730 retains the midface flap's vascular pedicle.
See how rates vary across the country
15730 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$1,282.32
$1,701.29
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $1,699.84 | 1 |
| AL | $1,300.07 | 1 |
| AR | $1,282.32 | 1 |
| AZ | $1,403.93 | 1 |
| CA | $1,516.28–$1,886.30 | 29 |
| CO | $1,495.84 | 1 |
| CT | $1,533.07 | 1 |
| DC | $1,639.26 | 1 |
| DE | $1,426.34 | 1 |
| FL | $1,423.76–$1,555.68 | 3 |
| GA | $1,347.40–$1,467.12 | 2 |
| GU | $1,549.95 | 1 |
| HI | $1,549.95 | 1 |
| IA | $1,329.71 | 1 |
| ID | $1,338.25 | 1 |
| IL | $1,385.84–$1,512.86 | 4 |
| IN | $1,345.56 | 1 |
| KS | $1,324.58 | 1 |
| KY | $1,330.76 | 1 |
| LA | $1,329.10–$1,391.22 | 2 |
| MA | $1,487.93–$1,637.67 | 2 |
| MD | $1,452.31–$1,639.26 | 3 |
| ME | $1,345.67–$1,413.66 | 2 |
| MI | $1,364.24–$1,441.43 | 2 |
| MN | $1,433.13 | 1 |
| MO | $1,308.01–$1,395.02 | 3 |
| MS | $1,295.37 | 1 |
| MT | $1,440.48 | 1 |
| NC | $1,358.88 | 1 |
| ND | $1,411.02 | 1 |
| NE | $1,336.38 | 1 |
| NH | $1,473.36 | 1 |
| NJ | $1,550.51–$1,623.86 | 2 |
| NM | $1,371.63 | 1 |
| NV | $1,433.22 | 1 |
| NY | $1,378.24–$1,691.15 | 5 |
| OH | $1,358.22 | 1 |
| OK | $1,327.70 | 1 |
| OR | $1,421.99–$1,540.46 | 2 |
| PA | $1,359.84–$1,497.10 | 2 |
| PR | $1,450.30 | 1 |
| RI | $1,474.95 | 1 |
| SC | $1,360.82 | 1 |
| SD | $1,407.54 | 1 |
| TN | $1,330.97 | 1 |
| TX | $1,351.43–$1,490.96 | 8 |
| UT | $1,378.43 | 1 |
| VA | $1,409.78–$1,639.26 | 2 |
| VI | $1,450.30 | 1 |
| VT | $1,406.48 | 1 |
| WA | $1,484.82–$1,669.39 | 2 |
| WI | $1,366.19 | 1 |
| WV | $1,337.42 | 1 |
| WY | $1,427.64 | 1 |
Compare 15730 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $1300.07 | Facility $724.03 |
| Alaska* | Office $1699.84 | Facility $998.72 |
| Arizona | Office $1403.93 | Facility $766.00 |
| Arkansas | Office $1282.32 | Facility $716.81 |
| Atlanta | Office $1467.12 | Facility $798.26 |
| Austin | Office $1490.96 | Facility $794.44 |
| Bakersfield | Office $1520.79 | Facility $799.26 |
| Baltimore/Surr. Cntys | Office $1528.85 | Facility $822.46 |
| Beaumont | Office $1351.43 | Facility $752.35 |
| Brazoria | Office $1424.59 | Facility $772.18 |
| Chicago | Office $1512.86 | Facility $851.24 |
| Chico | Office $1516.28 | Facility $794.75 |
| Colorado | Office $1495.84 | Facility $795.37 |
| Connecticut | Office $1533.07 | Facility $824.05 |
| Dallas | Office $1433.66 | Facility $777.97 |
| Dc + Md/Va Suburbs | Office $1639.26 | Facility $863.75 |
| Delaware | Office $1426.34 | Facility $775.91 |
| Detroit | Office $1441.43 | Facility $806.14 |
| East St. Louis | Office $1414.94 | Facility $809.28 |
| El Centro | Office $1516.53 | Facility $795.00 |
| Fort Lauderdale | Office $1493.16 | Facility $826.27 |
| Fort Worth | Office $1424.80 | Facility $775.68 |
| Fresno | Office $1516.28 | Facility $794.75 |
| Galveston | Office $1428.88 | Facility $775.16 |
| Hanford-Corcoran | Office $1516.28 | Facility $794.75 |
| Hawaii, Guam | Office $1549.95 | Facility $801.43 |
| Houston | Office $1456.15 | Facility $802.43 |
| Idaho | Office $1338.25 | Facility $732.59 |
| Indiana | Office $1345.56 | Facility $735.29 |
| Iowa | Office $1329.71 | Facility $727.34 |
| Kansas | Office $1324.58 | Facility $729.44 |
| Kentucky | Office $1330.76 | Facility $745.50 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $1615.96 | Facility $837.15 |
| Madera | Office $1516.28 | Facility $794.75 |
| Manhattan | Office $1651.98 | Facility $887.00 |
| Merced | Office $1516.28 | Facility $794.75 |
| Metropolitan Boston | Office $1637.67 | Facility $851.62 |
| Metropolitan Kansas City | Office $1381.41 | Facility $763.24 |
| Metropolitan Philadelphia | Office $1497.10 | Facility $811.78 |
| Metropolitan St. Louis | Office $1395.02 | Facility $768.29 |
| Miami | Office $1555.68 | Facility $870.35 |
| Minnesota | Office $1433.13 | Facility $755.71 |
| Mississippi | Office $1295.37 | Facility $728.54 |
| Modesto | Office $1516.28 | Facility $794.75 |
| Montana** | Office $1440.48 | Facility $782.15 |
| Napa | Office $1746.29 | Facility $878.61 |
| Nebraska | Office $1336.38 | Facility $728.74 |
| Nevada** | Office $1433.22 | Facility $774.23 |
| New Hampshire | Office $1473.36 | Facility $788.04 |
| New Mexico | Office $1371.63 | Facility $767.94 |
| New Orleans | Office $1391.22 | Facility $771.73 |
| North Carolina | Office $1358.88 | Facility $744.66 |
| North Dakota** | Office $1411.02 | Facility $752.69 |
| Northern Nj | Office $1623.86 | Facility $860.19 |
| Nyc Suburbs/Long Island | Office $1691.15 | Facility $908.39 |
| Ohio | Office $1358.22 | Facility $757.16 |
| Oklahoma | Office $1327.70 | Facility $739.81 |
| Oxnard-Thousand Oaks-Ventura | Office $1607.25 | Facility $829.11 |
| Portland | Office $1540.46 | Facility $809.06 |
| Poughkpsie/N Nyc Suburbs | Office $1561.18 | Facility $840.31 |
| Puerto Rico | Office $1450.30 | Facility $784.72 |
| Queens | Office $1663.84 | Facility $885.69 |
| Redding | Office $1516.28 | Facility $794.75 |
| Rest Of California | Office $1516.28 | Facility $794.75 |
| Rest Of Florida | Office $1423.76 | Facility $794.39 |
| Rest Of Georgia | Office $1347.40 | Facility $760.17 |
| Rest Of Illinois | Office $1385.84 | Facility $784.78 |
| Rest Of Louisiana | Office $1329.10 | Facility $746.47 |
| Rest Of Maine | Office $1345.67 | Facility $740.00 |
| Rest Of Maryland | Office $1452.31 | Facility $786.08 |
| Rest Of Massachusetts | Office $1487.93 | Facility $794.70 |
| Rest Of Michigan | Office $1364.24 | Facility $763.18 |
| Rest Of Missouri | Office $1308.01 | Facility $740.53 |
| Rest Of New Jersey | Office $1550.51 | Facility $831.61 |
| Rest Of New York | Office $1378.24 | Facility $752.82 |
| Rest Of Oregon | Office $1421.99 | Facility $766.30 |
| Rest Of Pennsylvania | Office $1359.84 | Facility $755.49 |
| Rest Of Texas | Office $1387.24 | Facility $762.48 |
| Rest Of Washington | Office $1484.82 | Facility $791.59 |
| Rhode Island | Office $1474.95 | Facility $794.89 |
| Riverside-San Bernardino-Ontario | Office $1532.50 | Facility $810.97 |
| Sacramento-Roseville-Folsom | Office $1588.37 | Facility $822.73 |
| Salinas | Office $1582.36 | Facility $819.36 |
| San Diego-Chula Vista-Carlsbad | Office $1617.42 | Facility $830.06 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $1845.43 | Facility $917.18 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $1843.74 | Facility $915.49 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $1886.30 | Facility $936.98 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $1879.38 | Facility $930.06 |
| San Luis Obispo-Paso Robles | Office $1557.19 | Facility $807.35 |
| Santa Cruz-Watsonville | Office $1631.24 | Facility $831.37 |
| Santa Maria-Santa Barbara | Office $1587.71 | Facility $820.09 |
| Santa Rosa-Petaluma | Office $1647.56 | Facility $839.13 |
| Seattle (King Cnty) | Office $1669.39 | Facility $861.61 |
| South Carolina | Office $1360.82 | Facility $752.52 |
| South Dakota** | Office $1407.54 | Facility $749.20 |
| Southern Maine | Office $1413.66 | Facility $761.25 |
| Stockton | Office $1516.28 | Facility $794.75 |
| Suburban Chicago | Office $1507.76 | Facility $831.66 |
| Tennessee | Office $1330.97 | Facility $732.55 |
| Utah | Office $1378.43 | Facility $759.60 |
| Vallejo | Office $1743.85 | Facility $876.17 |
| Vermont | Office $1406.48 | Facility $754.73 |
| Virgin Islands | Office $1450.30 | Facility $784.72 |
| Virginia | Office $1409.78 | Facility $762.64 |
| Visalia | Office $1516.28 | Facility $794.75 |
| West Virginia | Office $1337.42 | Facility $765.33 |
| Wisconsin | Office $1366.19 | Facility $735.51 |
| Wyoming** | Office $1427.64 | Facility $769.31 |
| Yuba City | Office $1516.28 | Facility $794.75 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
15730 billing questions
How does 15730 differ from a forehead flap?
15730 describes a flap sourced from the midface with its vascular pedicle preserved. Use 15731 when the flap is sourced from the forehead.
Is this a flap or a graft?
It is a flap: transferred midface tissue remains connected to its vascular pedicle. A graft is detached from its blood supply when transferred.
Can modifier 50 be reported for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,52615620,,Delay flap f/c/c/n/ax/g/h/f,A,,3.66,9.64,,4.88,,0.58,13.88,9.12,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52715630,,Delay flap eye/nos/ear/lip,A,,3.98,9.55,,4.80,,0.54,14.07,9.32,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52815650,,Transfer skin pedicle flap,A,,4.65,12.13,,5.94,,0.87,17.65,11.46,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52915730,,Mdfc flap w/prsrv vasc pedcl,A,,13.16,28.48,,8.77,,1.49,43.13,23.42,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53015731,,Forehead flap w/vasc pedicle,A,,14.02,18.22,,10.11,,2.14,34.38,26.27,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53115733,,Musc myoq/fscq flp h&n pedcl,A,,15.29,9.32,NA,9.32,,2.58,27.19,27.19,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53215734,,Muscle-skin graft trunk,A,,22.43,14.11,NA,14.11,,4.98,41.52,41.52,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00