No office rate
Use 15769 for other autologous soft tissue harvested by direct excision. Use 15770 when the graft is specifically a dermis-fat-fascia graft.
On this page
CMS RVU26D · Effective 2026-10-01
15769 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$456.17
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 15769: Autologous soft-tissue graft by excision
Reports placement of a patient's own soft tissue harvested by direct excision to restore volume or fill a defect during reconstructive surgery.
The surgeon excises the patient's own soft tissue, such as fat, dermis, or fascia, and grafts it to another site. This service may be part of reconstruction for a contour defect after trauma, tumor removal, or prior surgery. Plastic and reconstructive surgeons and other surgeons performing the repair typically provide it in an operating room or another procedural setting.
Report the service when documentation supports both direct-excision harvest and graft placement; the harvest and placement are integral to the grafting service, not separate services under this code. The record should identify the tissue, harvest method, recipient site, and reconstructive purpose. 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 one session, the highest-valued is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant-at-surgery claim for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 15769
- 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 RVU6.51 · 48%
- Practice expense (office) RVU5.77 · 42%
- Malpractice RVU1.33 · 10%
5.6K
Medicare services in 2024 · #1805 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.
15769 compared with similar codes
Office rates for Modesto, from the same CMS release.
$685.97
Use 15771 for autologous fat grafting to the trunk, breasts, scalp, arms, or legs when fat is harvested by liposuction and the code's volume criteria are met.
$647.87
Use 15773 for liposuction-harvested autologous fat grafting to the specified head and neck sites when its volume criteria are met; direct-excision harvest supports 15769 instead.
The same code, a different location
How does Modesto compare?
15769 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 15769
Office
Unavailable
Facility
$456.17
No comparable office rate is available.
Merced
California · 15769
Office
Unavailable
Facility
$456.17
No comparable office rate is available.
Napa
California · 15769
Office
Unavailable
Facility
$507.71
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 15769
Office
Unavailable
Facility
$479.00
No comparable office rate is available.
Redding
California · 15769
Office
Unavailable
Facility
$456.17
No comparable office rate is available.
Rest Of California
California · 15769
Office
Unavailable
Facility
$456.17
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 15769
Office
Unavailable
Facility
$470.47
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 15769
Office
Unavailable
Facility
$473.22
No comparable office rate is available.
Salinas
California · 15769
Office
Unavailable
Facility
$471.36
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 15769
Office
Unavailable
Facility
$478.54
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 15769
Office
Unavailable
Facility
$530.23
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 15769
Office
Unavailable
Facility
$528.72
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 15769
Office
Unavailable
Facility
$543.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 15769
Office
Unavailable
Facility
$536.90
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 15769
Office
Unavailable
Facility
$464.46
No comparable office rate is available.
Santa Cruz-Watsonville
California · 15769
Office
Unavailable
Facility
$479.98
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 15769
Office
Unavailable
Facility
$472.05
No comparable office rate is available.
Santa Rosa-Petaluma
California · 15769
Office
Unavailable
Facility
$484.44
No comparable office rate is available.
Stockton
California · 15769
Office
Unavailable
Facility
$456.17
No comparable office rate is available.
Vallejo
California · 15769
Office
Unavailable
Facility
$505.54
No comparable office rate is available.
Visalia
California · 15769
Office
Unavailable
Facility
$456.17
No comparable office rate is available.
Yuba City
California · 15769
Office
Unavailable
Facility
$456.17
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 15769
Office
Unavailable
Facility
$505.65
No comparable office rate is available.
Miami
Florida · 15769
Office
Unavailable
Facility
$530.41
No comparable office rate is available.
Chicago
Illinois · 15769
Office
Unavailable
Facility
$514.60
No comparable office rate is available.
Manhattan
New York · 15769
Office
Unavailable
Facility
$525.76
No comparable office rate is available.
Alaska*
Alaska · 15769
Office
Unavailable
Facility
$555.89
No comparable office rate is available.
Alabama
Alabama · 15769
Office
Unavailable
Facility
$411.22
No comparable office rate is available.
Arkansas
Arkansas · 15769
Office
Unavailable
Facility
$405.87
No comparable office rate is available.
Arizona
Arizona · 15769
Office
Unavailable
Facility
$442.21
No comparable office rate is available.
Colorado
Colorado · 15769
Office
Unavailable
Facility
$459.80
No comparable office rate is available.
Connecticut
Connecticut · 15769
Office
Unavailable
Facility
$483.10
No comparable office rate is available.
Delaware
Delaware · 15769
Office
Unavailable
Facility
$448.87
No comparable office rate is available.
Fort Lauderdale
Florida · 15769
Office
Unavailable
Facility
$492.99
No comparable office rate is available.
Rest Of Florida
Florida · 15769
Office
Unavailable
Facility
$468.45
No comparable office rate is available.
Atlanta
Georgia · 15769
Office
Unavailable
Facility
$467.25
No comparable office rate is available.
Rest Of Georgia
Georgia · 15769
Office
Unavailable
Facility
$442.30
No comparable office rate is available.
Hawaii, Guam
Hawaii · 15769
Office
Unavailable
Facility
$462.29
No comparable office rate is available.
Iowa
Iowa · 15769
Office
Unavailable
Facility
$411.42
No comparable office rate is available.
Idaho
Idaho · 15769
Office
Unavailable
Facility
$415.76
No comparable office rate is available.
East St. Louis
Illinois · 15769
Office
Unavailable
Facility
$484.21
No comparable office rate is available.
Rest Of Illinois
Illinois · 15769
Office
Unavailable
Facility
$462.83
No comparable office rate is available.
Suburban Chicago
Illinois · 15769
Office
Unavailable
Facility
$495.61
No comparable office rate is available.
Indiana
Indiana · 15769
Office
Unavailable
Facility
$417.68
No comparable office rate is available.
Kansas
Kansas · 15769
Office
Unavailable
Facility
$414.05
No comparable office rate is available.
Kentucky
Kentucky · 15769
Office
Unavailable
Facility
$429.42
No comparable office rate is available.
New Orleans
Louisiana · 15769
Office
Unavailable
Facility
$449.26
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 15769
Office
Unavailable
Facility
$430.56
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 15769
Office
Unavailable
Facility
$496.00
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 15769
Office
Unavailable
Facility
$459.26
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 15769
Office
Unavailable
Facility
$482.66
No comparable office rate is available.
Rest Of Maryland
Maryland · 15769
Office
Unavailable
Facility
$455.43
No comparable office rate is available.
Rest Of Maine
Maine · 15769
Office
Unavailable
Facility
$422.38
No comparable office rate is available.
Southern Maine
Maine · 15769
Office
Unavailable
Facility
$436.46
No comparable office rate is available.
Detroit
Michigan · 15769
Office
Unavailable
Facility
$478.32
No comparable office rate is available.
Rest Of Michigan
Michigan · 15769
Office
Unavailable
Facility
$443.55
No comparable office rate is available.
Minnesota
Minnesota · 15769
Office
Unavailable
Facility
$428.90
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 15769
Office
Unavailable
Facility
$441.81
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 15769
Office
Unavailable
Facility
$445.42
No comparable office rate is available.
Rest Of Missouri
Missouri · 15769
Office
Unavailable
Facility
$426.84
No comparable office rate is available.
Mississippi
Mississippi · 15769
Office
Unavailable
Facility
$416.20
No comparable office rate is available.
Montana**
Montana · 15769
Office
Unavailable
Facility
$454.50
No comparable office rate is available.
North Carolina
North Carolina · 15769
Office
Unavailable
Facility
$425.64
No comparable office rate is available.
North Dakota**
North Dakota · 15769
Office
Unavailable
Facility
$428.20
No comparable office rate is available.
Nebraska
Nebraska · 15769
Office
Unavailable
Facility
$412.12
No comparable office rate is available.
New Hampshire
New Hampshire · 15769
Office
Unavailable
Facility
$456.94
No comparable office rate is available.
Northern Nj
New Jersey · 15769
Office
Unavailable
Facility
$502.14
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 15769
Office
Unavailable
Facility
$485.32
No comparable office rate is available.
New Mexico
New Mexico · 15769
Office
Unavailable
Facility
$447.52
No comparable office rate is available.
Nevada**
Nevada · 15769
Office
Unavailable
Facility
$447.36
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 15769
Office
Unavailable
Facility
$543.00
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 15769
Office
Unavailable
Facility
$492.01
No comparable office rate is available.
Queens
New York · 15769
Office
Unavailable
Facility
$523.21
No comparable office rate is available.
Rest Of New York
New York · 15769
Office
Unavailable
Facility
$431.76
No comparable office rate is available.
Ohio
Ohio · 15769
Office
Unavailable
Facility
$438.17
No comparable office rate is available.
Oklahoma
Oklahoma · 15769
Office
Unavailable
Facility
$424.06
No comparable office rate is available.
Portland
Oregon · 15769
Office
Unavailable
Facility
$468.09
No comparable office rate is available.
Rest Of Oregon
Oregon · 15769
Office
Unavailable
Facility
$440.62
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 15769
Office
Unavailable
Facility
$474.98
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 15769
Office
Unavailable
Facility
$436.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 15769
Office
Unavailable
Facility
$456.04
No comparable office rate is available.
Rhode Island
Rhode Island · 15769
Office
Unavailable
Facility
$460.28
No comparable office rate is available.
South Carolina
South Carolina · 15769
Office
Unavailable
Facility
$433.28
No comparable office rate is available.
South Dakota**
South Dakota · 15769
Office
Unavailable
Facility
$425.09
No comparable office rate is available.
Tennessee
Tennessee · 15769
Office
Unavailable
Facility
$416.48
No comparable office rate is available.
Austin
Texas · 15769
Office
Unavailable
Facility
$461.13
No comparable office rate is available.
Beaumont
Texas · 15769
Office
Unavailable
Facility
$434.09
No comparable office rate is available.
Brazoria
Texas · 15769
Office
Unavailable
Facility
$444.82
No comparable office rate is available.
Dallas
Texas · 15769
Office
Unavailable
Facility
$449.46
No comparable office rate is available.
Fort Worth
Texas · 15769
Office
Unavailable
Facility
$448.11
No comparable office rate is available.
Galveston
Texas · 15769
Office
Unavailable
Facility
$447.34
No comparable office rate is available.
Houston
Texas · 15769
Office
Unavailable
Facility
$471.68
No comparable office rate is available.
Rest Of Texas
Texas · 15769
Office
Unavailable
Facility
$440.45
No comparable office rate is available.
Utah
Utah · 15769
Office
Unavailable
Facility
$438.49
No comparable office rate is available.
Virginia
Virginia · 15769
Office
Unavailable
Facility
$438.25
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 15769
Office
Unavailable
Facility
$456.04
No comparable office rate is available.
Vermont
Vermont · 15769
Office
Unavailable
Facility
$430.71
No comparable office rate is available.
Rest Of Washington
Washington · 15769
Office
Unavailable
Facility
$457.01
No comparable office rate is available.
Seattle (King Cnty)
Washington · 15769
Office
Unavailable
Facility
$501.08
No comparable office rate is available.
Wisconsin
Wisconsin · 15769
Office
Unavailable
Facility
$415.75
No comparable office rate is available.
West Virginia
West Virginia · 15769
Office
Unavailable
Facility
$448.49
No comparable office rate is available.
Wyoming**
Wyoming · 15769
Office
Unavailable
Facility
$443.04
No comparable office rate is available.
See how rates vary across the country
15769 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 15769 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$501.79
$456.17 × 110% = $501.79
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 15769 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
1,541
- Code
- 15769
- Physician work
- 6.51
- Practice expense
- 5.77
- Malpractice
- 1.33
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.51 | × 1.017 | 6.6207 |
| Practice expense | 5.77 | × 1.096 | 6.3239 |
| Malpractice | 1.33 | × 0.536 | 0.7129 |
| Total RVUs | 13.6575 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$456.17
Open 15769 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.51 | 1.017 |
| Practice expense | 5.77 | 1.096 |
| Malpractice | 1.33 | 0.536 |
(6.51 × 1.017 + 5.77 × 1.096 + 1.33 × 0.536) × $33.4009 = $456.17
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
15769 · 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 | $456.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $456.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $456.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $456.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $477.38 | RVU25D |
| 2025-07-01 | Not available in this setting | $477.38 | RVU25C |
| 2025-04-01 | Not available in this setting | $477.38 | RVU25B |
| 2025-01-01 | Not available in this setting | $477.38 | RVU25A |
15769 billing questions
How does this differ from 15771 or 15773?
This code is for soft tissue harvested by direct excision. Codes 15771 and 15773 describe autologous fat grafting when the fat is harvested by liposuction; select the code based on the documented harvest method and applicable site and volume criteria.
Can the harvest be billed separately?
The direct-excision harvest and graft placement are part of this grafting service. Do not report the harvest separately as though it were an independent service under this code.
Should modifier 50 be used for grafting on both sides?
No. Modifier 50 is inappropriate for this service. Report the service based on the documented grafting performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant-at-surgery claim for this service. Co-surgeon and team-surgery reporting 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.
1,53815757,,Free skin flap microvasc,A,,36.22,16.32,NA,16.32,,5.71,58.25,58.25,0,090,0.10,0.71,0.19,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53915758,,Free fascial flap microvasc,A,,35.98,16.41,NA,16.41,,5.73,58.12,58.12,0,090,0.10,0.71,0.19,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54015760,,Composite skin graft,A,,9.61,14.73,,7.36,,1.33,25.67,18.30,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54115769,,Grfg autol soft tiss dir exc,A,,6.51,5.77,NA,5.77,,1.33,13.61,13.61,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54215770,,Derma-fat-fascia graft,A,,8.74,8.00,NA,8.00,,1.41,18.15,18.15,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54315771,,Grfg autol fat lipo 50 cc/<,A,,6.56,12.05,,6.39,,1.23,19.84,14.18,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54415772,,Grfg autol fat lipo ea addl,A,,2.44,3.27,,0.89,,0.45,6.16,3.78,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536