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Billing code 15750: Pedicle flapMedicare rate & RVUs

Reports transfer of sensate, vascularized tissue on an intact neurovascular pedicle, commonly for finger or fingertip coverage when reconstruction requires a flap.

CMS RVU26DEffective Oct 1, 2026109 payment localities409 Medicare services in 2024

Medicare pays $839.70 for 15750 nationally in a facility.

Medicare rate · 15750

Pedicle flap

Swap in your local Medicare rate.

Work RVUs
12.64
Total RVUs
25.14
Global days
090

National rate · 2026

$839.70

Facility setting, before claim adjustments.

See every locality for 15750 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 15750 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 15750 covers

Code 15750 represents transfer of a flap that remains attached through a pedicle carrying both its blood supply and nerve supply. A familiar application is a digital artery flap for coverage of a finger or fingertip soft-tissue defect when sensate, vascularized tissue is needed. Hand and reconstructive surgeons perform the procedure in an operating room, commonly for traumatic tissue loss or a defect after excision. The operative report should identify the donor tissue, recipient defect, retained neurovascular pedicle, and flap inset.

Report this code when the documented technique uses a neurovascular pedicle, rather than selecting a flap code solely by defect size. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; 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.

Where 15750 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

15750 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$762.74
Alaska*Unavailable$1,036.73
ArizonaUnavailable$817.70
ArkansasUnavailable$753.25
AtlantaUnavailable$862.48
AustinUnavailable$850.97
BakersfieldUnavailable$848.76
Baltimore/Surr. CntysUnavailable$890.08
BeaumontUnavailable$803.65
BrazoriaUnavailable$822.40

15750 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
15750 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

How the 15750 rate is calculated

Each of 15750’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 · 15750

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 12.64Practice expense 10.10Malpractice 2.40

25.1400 adjusted RVUs×$33.4009 conversion factor=$839.70

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 15750

15750 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15750

Pedicle flap

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)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 15750

Pedicle flap

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

15750 without 51 · national facility

$839.70

Pedicle flap

15750-51 · Second procedure: 50%

$419.85

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

15750 compared with similar codes

Compare codes

15750 vs 15740 vs 15756 vs 15757: national Medicare rates

Swap in your local Medicare rate.

  • 15750
    Pedicle flap · 12.64 wRVU
    —
  • 15740
    Island flap · 11.51 wRVU
    $1,049.46
  • 15756
    Free tissue flap · 36.02 wRVU
    —
  • 15757
    Free flap · 36.22 wRVU
    —

How to choose

15740Island flap
Code 15740 describes an island pedicle flap. Choose 15750 when the flap's retained pedicle includes both vascular and nerve supply.
15756Free tissue flap
Code 15756 is for a free muscle or myocutaneous flap transferred with microvascular anastomosis. Code 15750 retains the neurovascular pedicle.
15757Free flap
Code 15757 is for a free skin flap requiring microvascular transfer. Code 15750 describes a flap transferred on its retained neurovascular pedicle.

Codes related to 15750

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

Codes related to 15750
CodeHow it relatesNational office range
Used instead
15740Island flapIsland pedicle flap coverage uses a different flap technique from a neurovascular pedicle flap.$934.55–$1,330.00
15756Free tissue flapFree muscle or myocutaneous flap coverage uses microvascular transfer rather than a retained pedicle.No office rate
15757Free flapFree skin flap coverage uses microvascular transfer rather than a retained neurovascular pedicle.No office rate

15750 billing questions

How does 15750 differ from 15740?

Use 15750 for a flap transferred on a pedicle that carries both vascular and nerve supply. Code 15740 describes an island pedicle flap and is selected according to that flap technique.

When is a free flap code more appropriate?

A free flap is detached from its donor site and reconnected using microvascular anastomosis. Code 15750 describes transfer on a retained neurovascular pedicle.

What operative details support 15750?

Document the flap tissue and donor site, the recipient defect, and how the neurovascular pedicle remains attached during transfer. For a digital artery flap, identify the finger or fingertip defect being covered.

Can modifier 50 be used for bilateral procedures?

No. Modifier 50 is inappropriate for this code's anatomy; report the documented flap procedure without a bilateral adjustment.

How does the 90-day global period affect postoperative billing?

The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those related services are included in the surgical global period.

Can an assistant surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code under the CMS facts provided.

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 15750PPRRVU2026_Oct_nonQPP.csv, line 1,536 (RVU26D)

Open CMS sourceHow we calculate rates

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