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CMS RVU26D · Effective 2026-10-01

15570 in Madera

Office / nonfacility

$1012.05

Base rate per service

Facility setting

$673.80

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 15570: Trunk skin pedicle flap formation

Reports creation of a direct or tubed skin pedicle flap on the trunk, with or without transfer, for reconstructive coverage of a defect.

This service covers creating a skin flap that remains attached to its blood supply through a pedicle, with or without moving it to the recipient site. It is used for trunk reconstruction, such as coverage of a defect on the chest, back, or abdomen. Plastic and reconstructive surgeons commonly perform the procedure in a hospital or outpatient surgical setting when local tissue can be used to cover the defect while maintaining vascular attachment.

Select the code by the flap method and the trunk location, rather than by defect size alone; document the donor and recipient sites and how the flap is formed and transferred. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

CMS billing rules for 15570

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU9.95 · 34%
  • Practice expense (office) RVU17.44 · 59%
  • Malpractice RVU1.99 · 7%

209

Medicare services in 2024 · #4283 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.

15570 compared with similar codes

Office rates for Madera, from the same CMS release.

15572

Skin flap

Arm or leg

$965.31

Use 15570 for a trunk recipient site; 15572 is for an arm or leg.

14000

Tissue transfer

Trunk, defect up to 10 sq cm

$694.64

Use 15570 for formation of a direct or tubed skin pedicle flap. Code 14000 describes adjacent tissue transfer on the trunk.

15734

Trunk flap

Muscle, skin, or fascia flap

No office rate

Code 15570 describes a skin pedicle flap; 15734 describes a trunk flap using muscle or myocutaneous tissue.

15600

Flap delay

Trunk site

$397.18

Code 15570 describes forming the trunk pedicle flap. Code 15600 describes a trunk flap delay or later pedicle division and inset.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 15570 is $1017.57—$5.52 higher than the $1012.05 rate in Madera. Both use the same code, release and participation basis.

15570 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $1012.05

  2. Bakersfield

    $1017.57

    $5.52 higher than Madera

  3. Chico

    $1012.05

    The same base rate than Madera

  4. El Centro

    $1012.38

    $0.33 higher than Madera

  5. Fresno

    $1012.05

    The same base rate than Madera

  6. Hanford-Corcoran

    $1012.05

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $1079.21

    $67.16 higher than Madera

Other payment areas listed in California 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, 15570 ranges from $866.95 in Arkansas to $1244.50 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

  • Merced

    California · 15570

    Office

    $1012.05

    Facility

    $673.80

    The same base rate than Madera for the office setting.

  • Modesto

    California · 15570

    Office

    $1012.05

    Facility

    $673.80

    The same base rate than Madera for the office setting.

  • Napa

    California · 15570

    Office

    $1154.79

    Facility

    $748.03

    $142.74 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 15570

    Office

    $1071.58

    Facility

    $706.79

    $59.53 higher than Madera for the office setting.

  • Redding

    California · 15570

    Office

    $1012.05

    Facility

    $673.80

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 15570

    Office

    $1012.05

    Facility

    $673.80

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 15570

    Office

    $1033.45

    Facility

    $695.20

    $21.40 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 15570

    Office

    $1057.39

    Facility

    $698.46

    $45.34 higher than Madera for the office setting.

  • Salinas

    California · 15570

    Office

    $1053.40

    Facility

    $695.70

    $41.35 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 15570

    Office

    $1075.02

    Facility

    $705.90

    $62.97 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 15570

    Office

    $1215.76

    Facility

    $780.60

    $203.71 higher than Madera for the office setting.

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

    California · 15570

    Office

    $1213.50

    Facility

    $778.34

    $201.45 higher than Madera for the office setting.

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

    California · 15570

    Office

    $1244.50

    Facility

    $799.47

    $232.45 higher than Madera for the office setting.

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

    California · 15570

    Office

    $1235.27

    Facility

    $790.23

    $223.22 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 15570

    Office

    $1037.10

    Facility

    $685.57

    $25.05 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 15570

    Office

    $1082.70

    Facility

    $707.72

    $70.65 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 15570

    Office

    $1056.48

    Facility

    $696.62

    $44.43 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 15570

    Office

    $1093.26

    Facility

    $714.27

    $81.21 higher than Madera for the office setting.

  • Stockton

    California · 15570

    Office

    $1012.05

    Facility

    $673.80

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 15570

    Office

    $1151.54

    Facility

    $744.77

    $139.49 higher than Madera for the office setting.

  • Visalia

    California · 15570

    Office

    $1012.05

    Facility

    $673.80

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 15570

    Office

    $1012.05

    Facility

    $673.80

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 15570

    Office

    $1110.46

    Facility

    $746.90

    $98.41 higher than Madera for the office setting.

  • Miami

    Florida · 15570

    Office

    $1106.83

    Facility

    $785.55

    $94.78 higher than Madera for the office setting.

  • Chicago

    Illinois · 15570

    Office

    $1072.63

    Facility

    $762.47

    $60.58 higher than Madera for the office setting.

  • Manhattan

    New York · 15570

    Office

    $1135.91

    Facility

    $777.28

    $123.86 higher than Madera for the office setting.

  • Alaska*

    Alaska · 15570

    Office

    $1155.51

    Facility

    $826.82

    $143.46 higher than Madera for the office setting.

  • Alabama

    Alabama · 15570

    Office

    $879.66

    Facility

    $609.61

    $132.39 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 15570

    Office

    $866.95

    Facility

    $601.84

    $145.10 lower than Madera for the office setting.

  • Arizona

    Arizona · 15570

    Office

    $953.69

    Facility

    $654.63

    $58.36 lower than Madera for the office setting.

  • Colorado

    Colorado · 15570

    Office

    $1008.03

    Facility

    $679.65

    $4.02 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 15570

    Office

    $1046.78

    Facility

    $714.39

    $34.73 higher than Madera for the office setting.

  • Delaware

    Delaware · 15570

    Office

    $969.28

    Facility

    $664.36

    $42.77 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 15570

    Office

    $1042.60

    Facility

    $729.96

    $30.55 higher than Madera for the office setting.

  • Rest Of Florida

    Florida · 15570

    Office

    $989.12

    Facility

    $694.08

    $22.93 lower than Madera for the office setting.

  • Atlanta

    Georgia · 15570

    Office

    $1005.00

    Facility

    $691.43

    $7.05 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 15570

    Office

    $931.17

    Facility

    $655.88

    $80.88 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 15570

    Office

    $1033.14

    Facility

    $682.23

    $21.09 higher than Madera for the office setting.

  • Iowa

    Iowa · 15570

    Office

    $891.72

    Facility

    $609.33

    $120.33 lower than Madera for the office setting.

  • Idaho

    Idaho · 15570

    Office

    $899.69

    Facility

    $615.75

    $112.36 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 15570

    Office

    $1002.12

    Facility

    $718.18

    $9.93 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 15570

    Office

    $968.06

    Facility

    $686.29

    $43.99 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 15570

    Office

    $1050.69

    Facility

    $733.73

    $38.64 higher than Madera for the office setting.

  • Indiana

    Indiana · 15570

    Office

    $904.63

    Facility

    $618.54

    $107.42 lower than Madera for the office setting.

  • Kansas

    Kansas · 15570

    Office

    $892.43

    Facility

    $613.43

    $119.62 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 15570

    Office

    $911.01

    Facility

    $636.64

    $101.04 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 15570

    Office

    $955.99

    Facility

    $665.57

    $56.06 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 15570

    Office

    $911.54

    Facility

    $638.41

    $100.51 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 15570

    Office

    $1100.64

    Facility

    $732.14

    $88.59 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 15570

    Office

    $1004.02

    Facility

    $679.03

    $8.03 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 15570

    Office

    $1044.91

    Facility

    $713.76

    $32.86 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 15570

    Office

    $986.18

    Facility

    $673.85

    $25.87 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 15570

    Office

    $909.59

    Facility

    $625.66

    $102.46 lower than Madera for the office setting.

  • Southern Maine

    Maine · 15570

    Office

    $951.55

    Facility

    $645.70

    $60.50 lower than Madera for the office setting.

  • Detroit

    Michigan · 15570

    Office

    $1006.53

    Facility

    $708.70

    $5.52 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 15570

    Office

    $939.21

    Facility

    $657.44

    $72.84 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 15570

    Office

    $951.42

    Facility

    $633.84

    $60.63 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 15570

    Office

    $944.26

    Facility

    $654.46

    $67.79 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 15570

    Office

    $953.49

    Facility

    $659.68

    $58.56 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 15570

    Office

    $899.20

    Facility

    $633.17

    $112.85 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 15570

    Office

    $883.00

    Facility

    $617.28

    $129.05 lower than Madera for the office setting.

  • Montana**

    Montana · 15570

    Office

    $981.19

    Facility

    $672.56

    $30.86 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 15570

    Office

    $918.30

    Facility

    $630.35

    $93.75 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 15570

    Office

    $941.84

    Facility

    $633.21

    $70.21 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 15570

    Office

    $895.12

    Facility

    $610.26

    $116.93 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 15570

    Office

    $996.89

    Facility

    $675.62

    $15.16 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 15570

    Office

    $1099.98

    Facility

    $741.97

    $87.93 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 15570

    Office

    $1054.65

    Facility

    $717.63

    $42.60 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 15570

    Office

    $946.33

    Facility

    $663.32

    $65.72 lower than Madera for the office setting.

  • Nevada**

    Nevada · 15570

    Office

    $970.80

    Facility

    $661.87

    $41.25 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 15570

    Office

    $1169.65

    Facility

    $802.69

    $157.60 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 15570

    Office

    $1065.57

    Facility

    $727.63

    $53.52 higher than Madera for the office setting.

  • Queens

    New York · 15570

    Office

    $1137.98

    Facility

    $773.19

    $125.93 higher than Madera for the office setting.

  • Rest Of New York

    New York · 15570

    Office

    $932.45

    Facility

    $639.26

    $79.60 lower than Madera for the office setting.

  • Ohio

    Ohio · 15570

    Office

    $931.17

    Facility

    $649.40

    $80.88 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 15570

    Office

    $904.17

    Facility

    $628.57

    $107.88 lower than Madera for the office setting.

  • Portland

    Oregon · 15570

    Office

    $1034.28

    Facility

    $691.40

    $22.23 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 15570

    Office

    $959.25

    Facility

    $651.86

    $52.80 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 15570

    Office

    $1024.01

    Facility

    $702.73

    $11.96 higher than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 15570

    Office

    $929.90

    Facility

    $646.58

    $82.15 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 15570

    Office

    $986.73

    Facility

    $674.71

    $25.32 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 15570

    Office

    $999.68

    Facility

    $680.87

    $12.37 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 15570

    Office

    $927.08

    Facility

    $641.91

    $84.97 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 15570

    Office

    $937.18

    Facility

    $628.56

    $74.87 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 15570

    Office

    $897.54

    Facility

    $617.00

    $114.51 lower than Madera for the office setting.

  • Austin

    Texas · 15570

    Office

    $1008.19

    Facility

    $681.67

    $3.86 lower than Madera for the office setting.

  • Beaumont

    Texas · 15570

    Office

    $924.17

    Facility

    $643.33

    $87.88 lower than Madera for the office setting.

  • Brazoria

    Texas · 15570

    Office

    $964.11

    Facility

    $658.26

    $47.94 lower than Madera for the office setting.

  • Dallas

    Texas · 15570

    Office

    $972.54

    Facility

    $665.15

    $39.51 lower than Madera for the office setting.

  • Fort Worth

    Texas · 15570

    Office

    $967.58

    Facility

    $663.28

    $44.47 lower than Madera for the office setting.

  • Galveston

    Texas · 15570

    Office

    $968.47

    Facility

    $662.00

    $43.58 lower than Madera for the office setting.

  • Houston

    Texas · 15570

    Office

    $1004.89

    Facility

    $698.43

    $7.16 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 15570

    Office

    $945.16

    Facility

    $652.28

    $66.89 lower than Madera for the office setting.

  • Utah

    Utah · 15570

    Office

    $939.59

    Facility

    $649.48

    $72.46 lower than Madera for the office setting.

  • Virginia

    Virginia · 15570

    Office

    $951.87

    Facility

    $648.50

    $60.18 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 15570

    Office

    $986.73

    Facility

    $674.71

    $25.32 lower than Madera for the office setting.

  • Vermont

    Vermont · 15570

    Office

    $942.66

    Facility

    $637.12

    $69.39 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 15570

    Office

    $1000.63

    Facility

    $675.64

    $11.42 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 15570

    Office

    $1118.00

    Facility

    $739.32

    $105.95 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 15570

    Office

    $910.86

    Facility

    $615.20

    $101.19 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 15570

    Office

    $933.66

    Facility

    $665.46

    $78.39 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 15570

    Office

    $964.04

    Facility

    $655.41

    $48.01 lower than Madera for the office setting.

See how rates vary across the country

15570 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$866.95

$1,155.51

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,155.511
AL$879.661
AR$866.951
AZ$953.691
CA$1,012.05–$1,244.5029
CO$1,008.031
CT$1,046.781
DC$1,110.461
DE$969.281
FL$989.12–$1,106.833
GA$931.17–$1,005.002
GU$1,033.141
HI$1,033.141
IA$891.721
ID$899.691
IL$968.06–$1,072.634
IN$904.631
KS$892.431
KY$911.011
LA$911.54–$955.992
MA$1,004.02–$1,100.642
MD$986.18–$1,110.463
ME$909.59–$951.552
MI$939.21–$1,006.532
MN$951.421
MO$899.20–$953.493
MS$883.001
MT$981.191
NC$918.301
ND$941.841
NE$895.121
NH$996.891
NJ$1,054.65–$1,099.982
NM$946.331
NV$970.801
NY$932.45–$1,169.655
OH$931.171
OK$904.171
OR$959.25–$1,034.282
PA$929.90–$1,024.012
PR$986.731
RI$999.681
SC$927.081
SD$937.181
TN$897.541
TX$924.17–$1,008.198
UT$939.591
VA$951.87–$1,110.462
VI$986.731
VT$942.661
WA$1,000.63–$1,118.002
WI$910.861
WV$933.661
WY$964.041

Explore 15570 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 15570 in Madera, the physician’s office rate is $1012.05 and the facility-setting rate is $673.80: a difference of $338.25.

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 15570 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1113.26

$1012.05 × 110% = $1113.26

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.

Compare your contract offer →

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 15570 in Madera.

PPRRVU2026_Oct_nonQPP.csv

1,520

Code
15570
Physician work
9.95
Practice expense
17.44
Malpractice
1.99

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 15570 in Madera
ComponentRVULocality factorAdjusted
Physician work9.95× 1.01710.1191
Practice expense17.44× 1.09619.1142
Malpractice1.99× 0.5361.0666
Total RVUs30.3000
Conversion factor× 33.4009

Office / nonfacility rate, Madera$1012.05

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

Open 15570 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work9.951.017
Practice expense17.441.096
Malpractice1.990.536

(9.95 × 1.017 + 17.44 × 1.096 + 1.99 × 0.536) × $33.4009 = $1012.05

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.951.017
Practice expense8.21.096
Malpractice1.990.536

(9.95 × 1.017 + 8.2 × 1.096 + 1.99 × 0.536) × $33.4009 = $673.80

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

15570 · Office / nonfacility

$1012.05

Effective 2026-10-01

The base rate is $104.80 higher than on 2025-10-01, moving from $907.25 to $1012.05 (11.6%).

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

    $907.25changed to$1012.05

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.21 changed to 9.95
    • Practice expense RVU 15.18 changed to 17.44
    • Malpractice RVU 1.97 changed to 1.99
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $907.25

    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$1012.05$673.80RVU26D
2026-07-01$1012.05$673.80RVU26C
2026-04-01$1012.05$673.80RVU26B
2026-01-01$1012.05$673.80RVU26A
2025-10-01$907.25$719.52RVU25D
2025-07-01$907.25$719.52RVU25C
2025-04-01$907.25$719.52RVU25B
2025-01-01$907.25$719.52RVU25A

15570 billing questions

When should I report 15570 rather than an adjacent tissue transfer code?

Report 15570 when the surgeon forms a direct or tubed skin pedicle flap for a trunk defect. Adjacent tissue transfer codes describe local tissue rearrangement rather than this pedicle-flap method.

How is 15570 different from 15572?

The recipient area determines the site-specific code: 15570 is for the trunk, while 15572 is for an arm or leg.

Can I report modifier 50 for a flap on each side of the trunk?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

Does the 90-day global period include related postoperative care?

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

Can an assistant or co-surgeon be paid for this procedure?

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

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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 15570PPRRVU2026_Oct_nonQPP.csv, line 1,520 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet