No office rate
15734 reports a trunk flap procedure; 15860 reports the intravenous agent injection and blood-flow test performed on a flap or graft.
On this page
CMS RVU26D · Effective 2026-10-01
15860 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$92.05
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.
Reconstructive surgery
About 15860: Intravenous flap perfusion test
Reports an intravenous dye test used during flap or graft surgery to assess blood flow and help evaluate tissue perfusion.
During reconstructive surgery, the surgeon injects an intravenous agent, such as fluorescein or indocyanine green, to assess blood flow through a flap or graft. The test may help evaluate tissue perfusion during procedures involving transferred tissue, including breast reconstruction or flap repair of the head, trunk, or extremity. Plastic and reconstructive surgeons most often perform it in an operating room.
Report 15860 when the agent injection and vascular-flow assessment are performed, with documentation identifying the flap or graft and the test performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, Medicare’s standard multiple-procedure reduction applies: the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 15860
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.90 · 68%
- Practice expense (office) RVU0.52 · 19%
- Malpractice RVU0.37 · 13%
6.2K
Medicare services in 2024 · #1734 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.
15860 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
15738 reports a lower-extremity flap procedure. Use 15860 for the separate perfusion test, not for creating or transferring the flap.
No office rate
19364 reports breast reconstruction with a free flap. 15860 describes the intravenous vascular-flow test that may be performed during that reconstruction.
The same code, a different location
How does Delaware compare?
15860 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 15860
Office
Unavailable
Facility
$85.65
No comparable office rate is available.
Arkansas
Arkansas · 15860
Office
Unavailable
Facility
$84.75
No comparable office rate is available.
Arizona
Arizona · 15860
Office
Unavailable
Facility
$90.87
No comparable office rate is available.
Bakersfield
California · 15860
Office
Unavailable
Facility
$91.23
No comparable office rate is available.
Chico
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
El Centro
California · 15860
Office
Unavailable
Facility
$90.26
No comparable office rate is available.
Fresno
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Hanford-Corcoran
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Madera
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Merced
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Modesto
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Napa
California · 15860
Office
Unavailable
Facility
$96.63
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 15860
Office
Unavailable
Facility
$93.47
No comparable office rate is available.
Redding
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Rest Of California
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 15860
Office
Unavailable
Facility
$94.18
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 15860
Office
Unavailable
Facility
$92.57
No comparable office rate is available.
Salinas
California · 15860
Office
Unavailable
Facility
$92.18
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 15860
Office
Unavailable
Facility
$92.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 15860
Office
Unavailable
Facility
$99.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 15860
Office
Unavailable
Facility
$99.23
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 15860
Office
Unavailable
Facility
$102.11
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 15860
Office
Unavailable
Facility
$100.39
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 15860
Office
Unavailable
Facility
$90.95
No comparable office rate is available.
Santa Cruz-Watsonville
California · 15860
Office
Unavailable
Facility
$92.52
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 15860
Office
Unavailable
Facility
$92.11
No comparable office rate is available.
Santa Rosa-Petaluma
California · 15860
Office
Unavailable
Facility
$93.32
No comparable office rate is available.
Stockton
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Vallejo
California · 15860
Office
Unavailable
Facility
$96.02
No comparable office rate is available.
Visalia
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Yuba City
California · 15860
Office
Unavailable
Facility
$90.20
No comparable office rate is available.
Colorado
Colorado · 15860
Office
Unavailable
Facility
$92.36
No comparable office rate is available.
Connecticut
Connecticut · 15860
Office
Unavailable
Facility
$98.39
No comparable office rate is available.
Fort Lauderdale
Florida · 15860
Office
Unavailable
Facility
$103.40
No comparable office rate is available.
Rest Of Florida
Florida · 15860
Office
Unavailable
Facility
$98.64
No comparable office rate is available.
Atlanta
Georgia · 15860
Office
Unavailable
Facility
$96.14
No comparable office rate is available.
Rest Of Georgia
Georgia · 15860
Office
Unavailable
Facility
$93.69
No comparable office rate is available.
Hawaii, Guam
Hawaii · 15860
Office
Unavailable
Facility
$90.37
No comparable office rate is available.
Iowa
Iowa · 15860
Office
Unavailable
Facility
$84.26
No comparable office rate is available.
Idaho
Idaho · 15860
Office
Unavailable
Facility
$85.29
No comparable office rate is available.
East St. Louis
Illinois · 15860
Office
Unavailable
Facility
$104.33
No comparable office rate is available.
Rest Of Illinois
Illinois · 15860
Office
Unavailable
Facility
$98.64
No comparable office rate is available.
Suburban Chicago
Illinois · 15860
Office
Unavailable
Facility
$103.64
No comparable office rate is available.
Indiana
Indiana · 15860
Office
Unavailable
Facility
$85.57
No comparable office rate is available.
Kansas
Kansas · 15860
Office
Unavailable
Facility
$85.39
No comparable office rate is available.
Kentucky
Kentucky · 15860
Office
Unavailable
Facility
$90.21
No comparable office rate is available.
New Orleans
Louisiana · 15860
Office
Unavailable
Facility
$93.84
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 15860
Office
Unavailable
Facility
$90.67
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 15860
Office
Unavailable
Facility
$97.80
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 15860
Office
Unavailable
Facility
$92.62
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 15860
Office
Unavailable
Facility
$98.40
No comparable office rate is available.
Rest Of Maryland
Maryland · 15860
Office
Unavailable
Facility
$93.02
No comparable office rate is available.
Rest Of Maine
Maine · 15860
Office
Unavailable
Facility
$87.13
No comparable office rate is available.
Southern Maine
Maine · 15860
Office
Unavailable
Facility
$88.47
No comparable office rate is available.
Detroit
Michigan · 15860
Office
Unavailable
Facility
$101.06
No comparable office rate is available.
Rest Of Michigan
Michigan · 15860
Office
Unavailable
Facility
$93.27
No comparable office rate is available.
Minnesota
Minnesota · 15860
Office
Unavailable
Facility
$84.99
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 15860
Office
Unavailable
Facility
$91.84
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 15860
Office
Unavailable
Facility
$92.38
No comparable office rate is available.
Rest Of Missouri
Missouri · 15860
Office
Unavailable
Facility
$90.47
No comparable office rate is available.
Mississippi
Mississippi · 15860
Office
Unavailable
Facility
$87.55
No comparable office rate is available.
Montana**
Montana · 15860
Office
Unavailable
Facility
$93.16
No comparable office rate is available.
North Carolina
North Carolina · 15860
Office
Unavailable
Facility
$87.56
No comparable office rate is available.
North Dakota**
North Dakota · 15860
Office
Unavailable
Facility
$85.85
No comparable office rate is available.
Nebraska
Nebraska · 15860
Office
Unavailable
Facility
$84.16
No comparable office rate is available.
New Hampshire
New Hampshire · 15860
Office
Unavailable
Facility
$92.36
No comparable office rate is available.
Northern Nj
New Jersey · 15860
Office
Unavailable
Facility
$100.81
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 15860
Office
Unavailable
Facility
$98.52
No comparable office rate is available.
New Mexico
New Mexico · 15860
Office
Unavailable
Facility
$94.23
No comparable office rate is available.
Nevada**
Nevada · 15860
Office
Unavailable
Facility
$91.14
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 15860
Office
Unavailable
Facility
$111.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 15860
Office
Unavailable
Facility
$100.29
No comparable office rate is available.
Queens
New York · 15860
Office
Unavailable
Facility
$105.87
No comparable office rate is available.
Rest Of New York
New York · 15860
Office
Unavailable
Facility
$88.65
No comparable office rate is available.
Ohio
Ohio · 15860
Office
Unavailable
Facility
$91.78
No comparable office rate is available.
Oklahoma
Oklahoma · 15860
Office
Unavailable
Facility
$88.57
No comparable office rate is available.
Portland
Oregon · 15860
Office
Unavailable
Facility
$92.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 15860
Office
Unavailable
Facility
$89.45
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 15860
Office
Unavailable
Facility
$97.43
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 15860
Office
Unavailable
Facility
$91.08
No comparable office rate is available.
Puerto Rico
Puerto Rico · 15860
Office
Unavailable
Facility
$93.19
No comparable office rate is available.
Rhode Island
Rhode Island · 15860
Office
Unavailable
Facility
$93.63
No comparable office rate is available.
South Carolina
South Carolina · 15860
Office
Unavailable
Facility
$90.01
No comparable office rate is available.
South Dakota**
South Dakota · 15860
Office
Unavailable
Facility
$84.98
No comparable office rate is available.
Tennessee
Tennessee · 15860
Office
Unavailable
Facility
$85.89
No comparable office rate is available.
Austin
Texas · 15860
Office
Unavailable
Facility
$92.91
No comparable office rate is available.
Beaumont
Texas · 15860
Office
Unavailable
Facility
$90.75
No comparable office rate is available.
Brazoria
Texas · 15860
Office
Unavailable
Facility
$90.82
No comparable office rate is available.
Dallas
Texas · 15860
Office
Unavailable
Facility
$91.94
No comparable office rate is available.
Fort Worth
Texas · 15860
Office
Unavailable
Facility
$91.92
No comparable office rate is available.
Galveston
Texas · 15860
Office
Unavailable
Facility
$91.45
No comparable office rate is available.
Houston
Texas · 15860
Office
Unavailable
Facility
$98.22
No comparable office rate is available.
Rest Of Texas
Texas · 15860
Office
Unavailable
Facility
$91.10
No comparable office rate is available.
Utah
Utah · 15860
Office
Unavailable
Facility
$90.89
No comparable office rate is available.
Virginia
Virginia · 15860
Office
Unavailable
Facility
$89.26
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 15860
Office
Unavailable
Facility
$93.19
No comparable office rate is available.
Vermont
Vermont · 15860
Office
Unavailable
Facility
$86.91
No comparable office rate is available.
Rest Of Washington
Washington · 15860
Office
Unavailable
Facility
$91.98
No comparable office rate is available.
Seattle (King Cnty)
Washington · 15860
Office
Unavailable
Facility
$98.04
No comparable office rate is available.
Wisconsin
Wisconsin · 15860
Office
Unavailable
Facility
$83.91
No comparable office rate is available.
West Virginia
West Virginia · 15860
Office
Unavailable
Facility
$96.24
No comparable office rate is available.
Wyoming**
Wyoming · 15860
Office
Unavailable
Facility
$89.98
No comparable office rate is available.
See how rates vary across the country
15860 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 15860 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$101.26
$92.05 × 110% = $101.26
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.
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 15860 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
1,588
- Code
- 15860
- Physician work
- 1.90
- Practice expense
- 0.52
- Malpractice
- 0.37
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.90 | × 1.005 | 1.9095 |
| Practice expense | 0.52 | × 0.988 | 0.5138 |
| Malpractice | 0.37 | × 0.899 | 0.3326 |
| Total RVUs | 2.7559 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$92.05
Open 15860 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.9 | 1.005 |
| Practice expense | 0.52 | 0.988 |
| Malpractice | 0.37 | 0.899 |
(1.9 × 1.005 + 0.52 × 0.988 + 0.37 × 0.899) × $33.4009 = $92.05
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
15860 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $92.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $92.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $92.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $92.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $102.90 | RVU25D |
| 2025-07-01 | Not available in this setting | $102.90 | RVU25C |
| 2025-04-01 | Not available in this setting | $102.90 | RVU25B |
| 2025-01-01 | Not available in this setting | $102.90 | RVU25A |
15860 billing questions
Is 15860 the flap reconstruction itself?
No. It reports the intravenous agent injection and blood-flow test; the flap or graft reconstruction is reported with its own procedure code.
What should the operative note document?
Identify the flap or graft and describe the intravenous agent injection and vascular-flow assessment performed.
Can 15860 be reported with the flap procedure?
It may be reported with a flap procedure when the injection and test are performed. The same-session multiple-procedure reduction may affect payment.
Should modifier 50 be used for testing both sides?
No. The CMS bilateral adjustment does not apply to 15860, and modifier 50 is inappropriate.
Does 15860 have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
When is assistant-at-surgery payment allowed?
Only when medical necessity for the assistant is documented. Co-surgeons and team surgery are 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.
1,58515852,,Dressing change not for burn,A,,0.84,0.20,NA,0.20,,0.12,1.16,1.16,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,58615853,,Removal sutr/stapl xreq anes,A,,0.00,0.39,,0.39,NA,0.01,0.40,0.40,5,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,58715854,,Removal sutr&stapl xreq anes,A,,0.00,0.52,,0.52,NA,0.01,0.53,0.53,5,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,58815860,,Iv njx tst vasc flo flap/grf,A,,1.90,0.52,NA,0.52,,0.37,2.79,2.79,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,58915876,,Suction lipectomy head&neck,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59015877,,Suction lipectomy trunk,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59115878,,Suction lipectomy upr extrem,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503