Exc excessive skin abdomen
Use 15830 for excision of excessive skin and subcutaneous tissue from the abdomen. Use 15839 for an area without its own site-specific code.
CMS RVU26D · Effective 2026-10-01
Office / nonfacility
$987.88
Base rate per service
Facility setting
$684.40
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.
Plastic surgery
Reports surgical removal of redundant skin and underlying tissue, including lipectomy, from an anatomical area without a dedicated site-specific code.
A plastic or reconstructive surgeon removes excess skin and underlying subcutaneous tissue from an area not identified by a dedicated site-specific excision code. The operation may include removal of some underlying fat as part of contouring the treated area. The operative report should identify the actual anatomical site and describe the tissue removed; “other area” is not a substitute for a code that specifically names the treated site.
Report this code when the documented site fits the other-area category rather than a site-specific code such as the abdomen, thigh, or arm codes. Documentation should describe the excess tissue, the site and extent of excision, and the clinical indication. Medicare assigns a 90-day global period, including 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
524
Medicare services in 2024 · #3514 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.
Office rates for Merced, from the same CMS release.
Exc excessive skin abdomen
Use 15830 for excision of excessive skin and subcutaneous tissue from the abdomen. Use 15839 for an area without its own site-specific code.
Use 15832 when the treated site is the thigh; 15839 identifies an other-area excision.
Use 15836 for excess skin excision of the arm. The other-area code is for a site not represented by a dedicated code.
Code 15838 addresses excision of the submental fat pad. Code 15839 is for excessive skin and subcutaneous tissue in another area.
The same code, a different location
In Bakersfield, the office rate for 15839 is $993.27—$5.39 higher than the $987.88 rate in Merced. Both use the same code, release and participation basis.
Same release and payment basis · bars start at $0
Merced · This locality
$987.88
$993.27
$5.39 higher than Merced
$987.88
The same base rate than Merced
$988.20
$0.32 higher than Merced
$987.88
The same base rate than Merced
$987.88
The same base rate than Merced
$64.52 higher than Merced
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, 15839 ranges from $849.78 in Arkansas to $1210.83 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.
California · 15839
Office
$987.88
Facility
$684.40
The same base rate than Merced for the office setting.
California · 15839
Office
$987.88
Facility
$684.40
The same base rate than Merced for the office setting.
California · 15839
Office
$1124.45
Facility
$759.51
$136.57 higher than Merced for the office setting.
California · 15839
Office
$1044.76
Facility
$717.47
$56.88 higher than Merced for the office setting.
California · 15839
Office
$987.88
Facility
$684.40
The same base rate than Merced for the office setting.
California · 15839
Office
$987.88
Facility
$684.40
The same base rate than Merced for the office setting.
California · 15839
Office
$1008.66
Facility
$705.18
$20.78 higher than Merced for the office setting.
California · 15839
Office
$1031.39
Facility
$709.36
$43.51 higher than Merced for the office setting.
California · 15839
Office
$1027.47
Facility
$706.55
$39.59 higher than Merced for the office setting.
California · 15839
Office
$1047.96
Facility
$716.79
$60.08 higher than Merced for the office setting.
California · 15839
Office
$1183.06
Facility
$792.64
$195.18 higher than Merced for the office setting.
California · 15839
Office
$1180.87
Facility
$790.45
$192.99 higher than Merced for the office setting.
California · 15839
Office
$1210.83
Facility
$811.55
$222.95 higher than Merced for the office setting.
California · 15839
Office
$1201.87
Facility
$802.59
$213.99 higher than Merced for the office setting.
California · 15839
Office
$1011.63
Facility
$696.25
$23.75 higher than Merced for the office setting.
California · 15839
Office
$1054.99
Facility
$718.56
$67.11 higher than Merced for the office setting.
California · 15839
Office
$1030.31
Facility
$707.45
$42.43 higher than Merced for the office setting.
California · 15839
Office
$1065.25
Facility
$725.22
$77.37 higher than Merced for the office setting.
California · 15839
Office
$987.88
Facility
$684.40
The same base rate than Merced for the office setting.
California · 15839
Office
$1121.29
Facility
$756.35
$133.41 higher than Merced for the office setting.
California · 15839
Office
$987.88
Facility
$684.40
The same base rate than Merced for the office setting.
California · 15839
Office
$987.88
Facility
$684.40
The same base rate than Merced for the office setting.
District of Columbia · 15839
Office
$1083.03
Facility
$756.85
$95.15 higher than Merced for the office setting.
Florida · 15839
Office
$1080.16
Facility
$791.91
$92.28 higher than Merced for the office setting.
Illinois · 15839
Office
$1047.58
Facility
$769.30
$59.70 higher than Merced for the office setting.
New York · 15839
Office
$1108.10
Facility
$786.35
$120.22 higher than Merced for the office setting.
Alaska · 15839
Office
$1136.92
Facility
$842.03
$149.04 higher than Merced for the office setting.
Alabama · 15839
Office
$861.91
Facility
$619.62
$125.97 lower than Merced for the office setting.
Arkansas · 15839
Office
$849.78
Facility
$611.93
$138.10 lower than Merced for the office setting.
Arizona · 15839
Office
$932.53
Facility
$664.22
$55.35 lower than Merced for the office setting.
Colorado · 15839
Office
$984.28
Facility
$689.67
$3.60 lower than Merced for the office setting.
Connecticut · 15839
Office
$1021.86
Facility
$723.64
$33.98 higher than Merced for the office setting.
Delaware · 15839
Office
$947.51
Facility
$673.94
$40.37 lower than Merced for the office setting.
Florida · 15839
Office
$1018.21
Facility
$737.72
$30.33 higher than Merced for the office setting.
Florida · 15839
Office
$967.06
Facility
$702.35
$20.82 lower than Merced for the office setting.
Georgia · 15839
Office
$981.76
Facility
$700.44
$6.12 lower than Merced for the office setting.
Georgia · 15839
Office
$911.65
Facility
$664.66
$76.23 lower than Merced for the office setting.
Hawaii · 15839
Office
$1007.49
Facility
$692.66
$19.61 higher than Merced for the office setting.
Iowa · 15839
Office
$873.11
Facility
$619.75
$114.77 lower than Merced for the office setting.
Idaho · 15839
Office
$880.77
Facility
$626.03
$107.11 lower than Merced for the office setting.
Illinois · 15839
Office
$980.11
Facility
$725.37
$7.77 lower than Merced for the office setting.
Illinois · 15839
Office
$947.17
Facility
$694.37
$40.71 lower than Merced for the office setting.
Illinois · 15839
Office
$1026.02
Facility
$741.65
$38.14 higher than Merced for the office setting.
Indiana · 15839
Office
$885.48
Facility
$628.80
$102.40 lower than Merced for the office setting.
Kansas · 15839
Office
$873.93
Facility
$623.62
$113.95 lower than Merced for the office setting.
Kentucky · 15839
Office
$892.14
Facility
$645.98
$95.74 lower than Merced for the office setting.
Louisiana · 15839
Office
$935.11
Facility
$674.56
$52.77 lower than Merced for the office setting.
Louisiana · 15839
Office
$892.70
Facility
$647.65
$95.18 lower than Merced for the office setting.
Massachusetts · 15839
Office
$1073.05
Facility
$742.44
$85.17 higher than Merced for the office setting.
Massachusetts · 15839
Office
$980.61
Facility
$689.04
$7.27 lower than Merced for the office setting.
Maryland · 15839
Office
$1020.02
Facility
$722.91
$32.14 higher than Merced for the office setting.
Maryland · 15839
Office
$963.70
Facility
$683.49
$24.18 lower than Merced for the office setting.
Maine · 15839
Office
$890.38
Facility
$635.63
$97.50 lower than Merced for the office setting.
Maine · 15839
Office
$930.18
Facility
$655.78
$57.70 lower than Merced for the office setting.
Michigan · 15839
Office
$983.83
Facility
$716.62
$4.05 lower than Merced for the office setting.
Michigan · 15839
Office
$919.19
Facility
$666.39
$68.69 lower than Merced for the office setting.
Minnesota · 15839
Office
$929.58
Facility
$644.66
$58.30 lower than Merced for the office setting.
Missouri · 15839
Office
$923.76
Facility
$663.75
$64.12 lower than Merced for the office setting.
Missouri · 15839
Office
$932.55
Facility
$668.95
$55.33 lower than Merced for the office setting.
Missouri · 15839
Office
$881.03
Facility
$642.34
$106.85 lower than Merced for the office setting.
Mississippi · 15839
Office
$865.32
Facility
$626.92
$122.56 lower than Merced for the office setting.
Montana · 15839
Office
$958.81
Facility
$681.92
$29.07 lower than Merced for the office setting.
North Carolina · 15839
Office
$898.65
Facility
$640.31
$89.23 lower than Merced for the office setting.
North Dakota · 15839
Office
$920.65
Facility
$643.75
$67.23 lower than Merced for the office setting.
Nebraska · 15839
Office
$876.30
Facility
$620.73
$111.58 lower than Merced for the office setting.
New Hampshire · 15839
Office
$973.53
Facility
$685.29
$14.35 lower than Merced for the office setting.
New Jersey · 15839
Office
$1073.26
Facility
$752.07
$85.38 higher than Merced for the office setting.
New Jersey · 15839
Office
$1029.70
Facility
$727.33
$41.82 higher than Merced for the office setting.
New Mexico · 15839
Office
$926.04
Facility
$672.13
$61.84 lower than Merced for the office setting.
Nevada · 15839
Office
$948.73
Facility
$671.56
$39.15 lower than Merced for the office setting.
New York · 15839
Office
$1140.49
Facility
$811.26
$152.61 higher than Merced for the office setting.
New York · 15839
Office
$1040.35
Facility
$737.15
$52.47 higher than Merced for the office setting.
New York · 15839
Office
$1109.87
Facility
$782.58
$121.99 higher than Merced for the office setting.
New York · 15839
Office
$912.17
Facility
$649.12
$75.71 lower than Merced for the office setting.
Ohio · 15839
Office
$911.39
Facility
$658.59
$76.49 lower than Merced for the office setting.
Oklahoma · 15839
Office
$885.45
Facility
$638.19
$102.43 lower than Merced for the office setting.
Oregon · 15839
Office
$1009.23
Facility
$701.60
$21.35 higher than Merced for the office setting.
Oregon · 15839
Office
$937.58
Facility
$661.80
$50.30 lower than Merced for the office setting.
Pennsylvania · 15839
Office
$1000.19
Facility
$711.94
$12.31 higher than Merced for the office setting.
Pennsylvania · 15839
Office
$910.09
Facility
$655.91
$77.79 lower than Merced for the office setting.
Puerto Rico · 15839
Office
$964.05
Facility
$684.11
$23.83 lower than Merced for the office setting.
Rhode Island · 15839
Office
$976.71
Facility
$690.68
$11.17 lower than Merced for the office setting.
South Carolina · 15839
Office
$907.28
Facility
$651.43
$80.60 lower than Merced for the office setting.
South Dakota · 15839
Office
$916.14
Facility
$639.24
$71.74 lower than Merced for the office setting.
Tennessee · 15839
Office
$878.82
Facility
$627.12
$109.06 lower than Merced for the office setting.
Texas · 15839
Office
$984.32
Facility
$691.36
$3.56 lower than Merced for the office setting.
Texas · 15839
Office
$904.64
Facility
$652.67
$83.24 lower than Merced for the office setting.
Texas · 15839
Office
$942.52
Facility
$668.12
$45.36 lower than Merced for the office setting.
Texas · 15839
Office
$950.65
Facility
$674.87
$37.23 lower than Merced for the office setting.
Texas · 15839
Office
$945.97
Facility
$672.95
$41.91 lower than Merced for the office setting.
Texas · 15839
Office
$946.72
Facility
$671.77
$41.16 lower than Merced for the office setting.
Texas · 15839
Office
$982.05
Facility
$707.09
$5.83 lower than Merced for the office setting.
Texas · 15839
Office
$924.51
Facility
$661.74
$63.37 lower than Merced for the office setting.
Utah · 15839
Office
$919.22
Facility
$658.94
$68.66 lower than Merced for the office setting.
Virginia · 15839
Office
$930.60
Facility
$658.41
$57.28 lower than Merced for the office setting.
United States Virgin Islands · 15839
Office
$964.05
Facility
$684.11
$23.83 lower than Merced for the office setting.
Vermont · 15839
Office
$921.57
Facility
$647.45
$66.31 lower than Merced for the office setting.
Washington · 15839
Office
$977.26
Facility
$685.69
$10.62 lower than Merced for the office setting.
Washington · 15839
Office
$1089.65
Facility
$749.90
$101.77 higher than Merced for the office setting.
Wisconsin · 15839
Office
$891.13
Facility
$625.86
$96.75 lower than Merced for the office setting.
West Virginia · 15839
Office
$914.35
Facility
$673.73
$73.53 lower than Merced for the office setting.
Wyoming · 15839
Office
$942.18
Facility
$665.29
$45.70 lower than Merced for the office setting.
15839 · 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.
$849.78
$1,136.92
Color shows the midpoint of each state’s locality range.
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $1,136.92 | 1 |
| AL | $861.91 | 1 |
| AR | $849.78 | 1 |
| AZ | $932.53 | 1 |
| CA | $987.88–$1,210.83 | 29 |
| CO | $984.28 | 1 |
| CT | $1,021.86 | 1 |
| DC | $1,083.03 | 1 |
| DE | $947.51 | 1 |
| FL | $967.06–$1,080.16 | 3 |
| GA | $911.65–$981.76 | 2 |
| GU | $1,007.49 | 1 |
| HI | $1,007.49 | 1 |
| IA | $873.11 | 1 |
| ID | $880.77 | 1 |
| IL | $947.17–$1,047.58 | 4 |
| IN | $885.48 | 1 |
| KS | $873.93 | 1 |
| KY | $892.14 | 1 |
| LA | $892.70–$935.11 | 2 |
| MA | $980.61–$1,073.05 | 2 |
| MD | $963.70–$1,083.03 | 3 |
| ME | $890.38–$930.18 | 2 |
| MI | $919.19–$983.83 | 2 |
| MN | $929.58 | 1 |
| MO | $881.03–$932.55 | 3 |
| MS | $865.32 | 1 |
| MT | $958.81 | 1 |
| NC | $898.65 | 1 |
| ND | $920.65 | 1 |
| NE | $876.30 | 1 |
| NH | $973.53 | 1 |
| NJ | $1,029.70–$1,073.26 | 2 |
| NM | $926.04 | 1 |
| NV | $948.73 | 1 |
| NY | $912.17–$1,140.49 | 5 |
| OH | $911.39 | 1 |
| OK | $885.45 | 1 |
| OR | $937.58–$1,009.23 | 2 |
| PA | $910.09–$1,000.19 | 2 |
| PR | $964.05 | 1 |
| RI | $976.71 | 1 |
| SC | $907.28 | 1 |
| SD | $916.14 | 1 |
| TN | $878.82 | 1 |
| TX | $904.64–$984.32 | 8 |
| UT | $919.22 | 1 |
| VA | $930.60–$1,083.03 | 2 |
| VI | $964.05 | 1 |
| VT | $921.57 | 1 |
| WA | $977.26–$1,089.65 | 2 |
| WI | $891.13 | 1 |
| WV | $914.35 | 1 |
| WY | $942.18 | 1 |
Merced is a Medicare payment area. Our Census mapping connects it to 24 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.
For 15839 in Merced, the physician’s office rate is $987.88 and the facility-setting rate is $684.40: a difference of $303.48.
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.
Use this rate
Turn a percentage into dollars for 15839 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1086.67
$987.88 × 110% = $1086.67
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.
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 15839 in Merced.
PPRRVU2026_Oct_nonQPP.csv
1,578
GPCI2026.csv
15
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.24 | × 1.017 | 10.4141 |
| Practice expense | 16.54 | × 1.096 | 18.1278 |
| Malpractice | 1.93 | × 0.536 | 1.0345 |
| Total RVUs | 29.5764 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Merced$987.88
Open 15839 in the RVU calculator →
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.24 | 1.017 |
| Practice expense | 16.54 | 1.096 |
| Malpractice | 1.93 | 0.536 |
(10.24 × 1.017 + 16.54 × 1.096 + 1.93 × 0.536) × $33.4009 = $987.88
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.24 | 1.017 |
| Practice expense | 8.25 | 1.096 |
| Malpractice | 1.93 | 0.536 |
(10.24 × 1.017 + 8.25 × 1.096 + 1.93 × 0.536) × $33.4009 = $684.40
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.
15839 · Office / nonfacility
$987.88
Effective 2026-10-01
The base rate is $92.00 higher than on 2025-10-01, moving from $895.88 to $987.88 (10.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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.
January 1, 2026
RVU26A
$895.88changed to$987.88
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $895.88
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.
Use it when the excised skin and subcutaneous tissue are from an area without its own site-specific code. If the treated site is the abdomen, thigh, or arm, consider the corresponding dedicated code instead.
The service includes removal of subcutaneous tissue, including lipectomy, as part of the excess-tissue excision. Document the tissue and anatomical site treated.
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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.