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CMS RVU26D · Effective 2026-10-01

15822 in Delaware

Office / nonfacility

$467.06

Base rate per service

Facility setting

$352.55

Base rate per service

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.

Oculoplastic surgery

About 15822: Upper eyelid blepharoplasty

Upper eyelid blepharoplasty reshapes an upper lid when the operation does not meet the separate criterion for excess skin weighing down the lid.

This operation reshapes an upper eyelid, typically through an incision in the lid crease to remove or adjust tissue. Ophthalmic plastic surgeons, ophthalmologists, and plastic surgeons perform it for upper-lid contour or functional concerns. It may be done on one or both upper eyelids in an outpatient operating room or, in selected cases, an office-based setting.

Report 15822 when the upper-lid service does not meet the distinct 15823 criterion for excess skin weighing down the lid. Document the treated eyelid or eyelids, the clinical reason, relevant findings, and the procedure performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued is paid in full and the others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 15822

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 procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.50 · 32%
  • Practice expense (office) RVU9.13 · 65%
  • Malpractice RVU0.49 · 3%

3K

Medicare services in 2024 · #2184 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.

15822 compared with similar codes

Office rates for Delaware, from the same CMS release.

15823

Upper eyelid surgery

Excess skin affects lid function

$627.40

Both address the upper eyelid. Choose 15823 when excess skin weighs down the lid and the procedure meets its specific criterion; otherwise consider 15822.

15820

Lower eyelid surgery

Lower eyelid

$583.17

15820 is for lower-lid blepharoplasty without the extensive herniated fat distinction. 15822 is for the upper eyelid.

15821

Lower eyelid surgery

Prominent fat-pad prolapse

$628.53

15821 is for lower-lid blepharoplasty involving extensive herniated fat. 15822 addresses the upper eyelid.

The same code, a different location

How does Delaware compare?

15822 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $467.06

  2. $61.03 higher than Delaware

  3. $68.81 higher than Delaware

  4. Miami

    $509.15

    $42.09 higher than Delaware

  5. Chicago

    $495.39

    $28.33 higher than Delaware

  6. Manhattan

    $540.23

    $73.17 higher than Delaware

  7. Alaska*

    $559.25

    $92.19 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 15822 ranges from $420.69 in Arkansas to $615.35 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Alabama

    Alabama · 15822

    Office

    $426.40

    Facility

    $324.99

    $40.66 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 15822

    Office

    $420.69

    Facility

    $321.13

    $46.37 lower than Delaware for the office setting.

  • Arizona

    Arizona · 15822

    Office

    $459.81

    Facility

    $347.50

    $7.25 lower than Delaware for the office setting.

  • Bakersfield

    California · 15822

    Office

    $497.35

    Facility

    $370.32

    $30.29 higher than Delaware for the office setting.

  • Chico

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • El Centro

    California · 15822

    Office

    $495.94

    Facility

    $368.91

    $28.88 higher than Delaware for the office setting.

  • Fresno

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Madera

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Merced

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Modesto

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Napa

    California · 15822

    Office

    $570.01

    Facility

    $417.25

    $102.95 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 15822

    Office

    $525.16

    Facility

    $388.16

    $58.10 higher than Delaware for the office setting.

  • Redding

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Rest Of California

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 15822

    Office

    $501.20

    Facility

    $374.17

    $34.14 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 15822

    Office

    $519.14

    Facility

    $384.35

    $52.08 higher than Delaware for the office setting.

  • Salinas

    California · 15822

    Office

    $517.17

    Facility

    $382.84

    $50.11 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 15822

    Office

    $528.40

    Facility

    $389.79

    $61.34 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 15822

    Office

    $602.07

    Facility

    $438.65

    $135.01 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 15822

    Office

    $601.52

    Facility

    $438.10

    $134.46 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 15822

    Office

    $615.35

    Facility

    $448.22

    $148.29 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 15822

    Office

    $613.07

    Facility

    $445.94

    $146.01 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 15822

    Office

    $508.97

    Facility

    $376.96

    $41.91 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 15822

    Office

    $532.75

    Facility

    $391.93

    $65.69 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 15822

    Office

    $518.86

    Facility

    $383.72

    $51.80 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 15822

    Office

    $538.06

    Facility

    $395.74

    $71.00 higher than Delaware for the office setting.

  • Stockton

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Vallejo

    California · 15822

    Office

    $569.21

    Facility

    $416.45

    $102.15 higher than Delaware for the office setting.

  • Visalia

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Yuba City

    California · 15822

    Office

    $495.86

    Facility

    $368.83

    $28.80 higher than Delaware for the office setting.

  • Colorado

    Colorado · 15822

    Office

    $489.36

    Facility

    $366.04

    $22.30 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 15822

    Office

    $501.54

    Facility

    $376.72

    $34.48 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 15822

    Office

    $488.81

    Facility

    $371.40

    $21.75 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 15822

    Office

    $466.44

    Facility

    $355.63

    $0.62 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 15822

    Office

    $480.24

    Facility

    $362.48

    $13.18 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 15822

    Office

    $441.83

    Facility

    $338.44

    $25.23 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 15822

    Office

    $506.51

    Facility

    $374.73

    $39.45 higher than Delaware for the office setting.

  • Iowa

    Iowa · 15822

    Office

    $435.83

    Facility

    $329.78

    $31.23 lower than Delaware for the office setting.

  • Idaho

    Idaho · 15822

    Office

    $438.60

    Facility

    $331.97

    $28.46 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 15822

    Office

    $463.82

    Facility

    $357.19

    $3.24 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 15822

    Office

    $454.30

    Facility

    $348.49

    $12.76 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 15822

    Office

    $493.54

    Facility

    $374.51

    $26.48 higher than Delaware for the office setting.

  • Indiana

    Indiana · 15822

    Office

    $440.95

    Facility

    $333.51

    $26.11 lower than Delaware for the office setting.

  • Kansas

    Kansas · 15822

    Office

    $434.23

    Facility

    $329.45

    $32.83 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 15822

    Office

    $436.38

    Facility

    $333.34

    $30.68 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 15822

    Office

    $455.85

    Facility

    $346.79

    $11.21 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 15822

    Office

    $435.86

    Facility

    $333.29

    $31.20 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 15822

    Office

    $535.14

    Facility

    $396.76

    $68.08 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 15822

    Office

    $486.87

    Facility

    $364.82

    $19.81 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 15822

    Office

    $500.17

    Facility

    $375.80

    $33.11 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 15822

    Office

    $475.44

    Facility

    $358.15

    $8.38 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 15822

    Office

    $441.04

    Facility

    $334.41

    $26.02 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 15822

    Office

    $462.84

    Facility

    $347.98

    $4.22 lower than Delaware for the office setting.

  • Detroit

    Michigan · 15822

    Office

    $472.17

    Facility

    $360.33

    $5.11 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 15822

    Office

    $447.20

    Facility

    $341.38

    $19.86 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 15822

    Office

    $468.94

    Facility

    $349.68

    $1.88 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 15822

    Office

    $452.64

    Facility

    $343.81

    $14.42 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 15822

    Office

    $457.02

    Facility

    $346.68

    $10.04 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 15822

    Office

    $429.11

    Facility

    $329.21

    $37.95 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 15822

    Office

    $424.96

    Facility

    $325.17

    $42.10 lower than Delaware for the office setting.

  • Montana**

    Montana · 15822

    Office

    $471.59

    Facility

    $355.69

    $4.53 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 15822

    Office

    $445.28

    Facility

    $337.15

    $21.78 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 15822

    Office

    $461.90

    Facility

    $346.00

    $5.16 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 15822

    Office

    $437.96

    Facility

    $330.98

    $29.10 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 15822

    Office

    $482.08

    Facility

    $361.42

    $15.02 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 15822

    Office

    $530.99

    Facility

    $396.55

    $63.93 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 15822

    Office

    $507.28

    Facility

    $380.71

    $40.22 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 15822

    Office

    $449.60

    Facility

    $343.32

    $17.46 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 15822

    Office

    $469.19

    Facility

    $353.18

    $2.13 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 15822

    Office

    $552.90

    Facility

    $415.10

    $85.84 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 15822

    Office

    $510.79

    Facility

    $383.88

    $43.73 higher than Delaware for the office setting.

  • Queens

    New York · 15822

    Office

    $543.98

    Facility

    $406.98

    $76.92 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 15822

    Office

    $451.51

    Facility

    $341.41

    $15.55 lower than Delaware for the office setting.

  • Ohio

    Ohio · 15822

    Office

    $445.22

    Facility

    $339.40

    $21.84 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 15822

    Office

    $435.34

    Facility

    $331.84

    $31.72 lower than Delaware for the office setting.

  • Portland

    Oregon · 15822

    Office

    $503.69

    Facility

    $374.92

    $36.63 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 15822

    Office

    $465.54

    Facility

    $350.10

    $1.52 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 15822

    Office

    $489.99

    Facility

    $369.33

    $22.93 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 15822

    Office

    $445.71

    Facility

    $339.32

    $21.35 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 15822

    Office

    $474.73

    Facility

    $357.55

    $7.67 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 15822

    Office

    $482.77

    Facility

    $363.05

    $15.71 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 15822

    Office

    $445.99

    Facility

    $338.90

    $21.07 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 15822

    Office

    $460.75

    Facility

    $344.85

    $6.31 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 15822

    Office

    $436.29

    Facility

    $330.94

    $30.77 lower than Delaware for the office setting.

  • Austin

    Texas · 15822

    Office

    $487.74

    Facility

    $365.12

    $20.68 higher than Delaware for the office setting.

  • Beaumont

    Texas · 15822

    Office

    $443.01

    Facility

    $337.54

    $24.05 lower than Delaware for the office setting.

  • Brazoria

    Texas · 15822

    Office

    $466.48

    Facility

    $351.62

    $0.58 lower than Delaware for the office setting.

  • Dallas

    Texas · 15822

    Office

    $469.43

    Facility

    $353.99

    $2.37 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 15822

    Office

    $466.59

    Facility

    $352.31

    $0.47 lower than Delaware for the office setting.

  • Galveston

    Texas · 15822

    Office

    $467.87

    Facility

    $352.78

    $0.81 higher than Delaware for the office setting.

  • Houston

    Texas · 15822

    Office

    $476.84

    Facility

    $361.75

    $9.78 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 15822

    Office

    $454.48

    Facility

    $344.49

    $12.58 lower than Delaware for the office setting.

  • Utah

    Utah · 15822

    Office

    $451.65

    Facility

    $342.71

    $15.41 lower than Delaware for the office setting.

  • Virginia

    Virginia · 15822

    Office

    $461.62

    Facility

    $347.69

    $5.44 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 15822

    Office

    $474.73

    Facility

    $357.55

    $7.67 higher than Delaware for the office setting.

  • Vermont

    Vermont · 15822

    Office

    $460.49

    Facility

    $345.74

    $6.57 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 15822

    Office

    $485.83

    Facility

    $363.78

    $18.77 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 15822

    Office

    $545.36

    Facility

    $403.15

    $78.30 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 15822

    Office

    $447.49

    Facility

    $336.45

    $19.57 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 15822

    Office

    $438.73

    Facility

    $338.01

    $28.33 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 15822

    Office

    $467.37

    Facility

    $351.46

    $0.31 higher than Delaware for the office setting.

See how rates vary across the country

15822 · 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.

$420.69

$559.25

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$559.251
AL$426.401
AR$420.691
AZ$459.811
CA$495.86–$615.3529
CO$489.361
CT$501.541
DC$535.871
DE$467.061
FL$466.44–$509.153
GA$441.83–$480.242
GU$506.511
HI$506.511
IA$435.831
ID$438.601
IL$454.30–$495.394
IN$440.951
KS$434.231
KY$436.381
LA$435.86–$455.852
MA$486.87–$535.142
MD$475.44–$535.873
ME$441.04–$462.842
MI$447.20–$472.172
MN$468.941
MO$429.11–$457.023
MS$424.961
MT$471.591
NC$445.281
ND$461.901
NE$437.961
NH$482.081
NJ$507.28–$530.992
NM$449.601
NV$469.191
NY$451.51–$552.905
OH$445.221
OK$435.341
OR$465.54–$503.692
PA$445.71–$489.992
PR$474.731
RI$482.771
SC$445.991
SD$460.751
TN$436.291
TX$443.01–$487.748
UT$451.651
VA$461.62–$535.872
VI$474.731
VT$460.491
WA$485.83–$545.362
WI$447.491
WV$438.731
WY$467.371

Explore 15822 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 15822 in Delaware, the physician’s office rate is $467.06 and the facility-setting rate is $352.55: a difference of $114.51.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 15822 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$513.77

$467.06 × 110% = $513.77

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 15822 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

1,563

Code
15822
Physician work
4.50
Practice expense
9.13
Malpractice
0.49

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 15822 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.50× 1.0054.5225
Practice expense9.13× 0.9889.0204
Malpractice0.49× 0.8990.4405
Total RVUs13.9834
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$467.06

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 15822 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.51.005
Practice expense9.130.988
Malpractice0.490.899

(4.5 × 1.005 + 9.13 × 0.988 + 0.49 × 0.899) × $33.4009 = $467.06

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.51.005
Practice expense5.660.988
Malpractice0.490.899

(4.5 × 1.005 + 5.66 × 0.988 + 0.49 × 0.899) × $33.4009 = $352.55

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

15822 · Office / nonfacility

$467.06

Effective 2026-10-01

The base rate is $22.42 higher than on 2025-10-01, moving from $444.64 to $467.06 (5.0%).

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

    $444.64changed to$467.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.62 changed to 4.50
    • Practice expense RVU 8.67 changed to 9.13
    • Malpractice RVU 0.51 changed to 0.49
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $444.64

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$467.06$352.55RVU26D
2026-07-01$467.06$352.55RVU26C
2026-04-01$467.06$352.55RVU26B
2026-01-01$467.06$352.55RVU26A
2025-10-01$444.64$385.28RVU25D
2025-07-01$444.64$385.28RVU25C
2025-04-01$444.64$385.28RVU25B
2025-01-01$444.64$385.28RVU25A

15822 billing questions

When should 15823 be reported instead?

Use 15823 when excess upper-lid skin weighs down the lid and the procedure meets that code’s criterion. Use 15822 for upper-lid blepharoplasty that does not meet that distinction.

Can 15822 be reported for both upper eyelids?

Yes. CMS lists bilateral payment with modifier 50 at 150%.

What postoperative care is included?

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

Can 15822 be reported with a lower-lid blepharoplasty?

It may be reported with a lower-lid procedure when both upper and lower lids are operated on during the same session. Choose the lower-lid code based on the service performed there.

How does Medicare handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and the other procedures are paid at 50% under the standard multiple procedure reduction.

Is an assistant surgeon payable for 15822?

CMS lists a statutory restriction on assistant-at-surgery payment 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 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.

RVUs for 15822PPRRVU2026_Oct_nonQPP.csv, line 1,563 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)