No office rate
Use 15937 when sacral bone is also removed. The related 15936 code describes the muscle or myocutaneous flap approach without ostectomy.
On this page
CMS RVU26D · Effective 2026-10-01
15937 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$917.98
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.
Pressure ulcer surgery
About 15937: Sacral ulcer excision with muscle flap and ostectomy
Reports excision of a sacral pressure ulcer with sacral bone removal and preparation of a muscle or myocutaneous flap for reconstruction.
A surgeon excises a pressure ulcer over the sacrum, removes underlying sacral bone, and prepares a muscle or myocutaneous flap for closure and reconstruction. The service is typically performed in a facility by a surgeon, often as part of reconstructive care for a deep or persistent sacral wound. The operative report should establish the sacral site, ulcer excision, ostectomy, and muscle or myocutaneous flap work; routine wound debridement alone does not describe this service.
Report this code when the documented operation includes all of those elements. The 90-day global period includes 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 15937
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.76 · 54%
- Practice expense (office) RVU10.05 · 37%
- Malpractice RVU2.72 · 10%
667
Medicare services in 2024 · #3304 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.
15937 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
Both include sacral ostectomy, but 15935 describes skin-flap closure rather than preparation of a muscle or myocutaneous flap.
No office rate
Both include sacral ostectomy, but 15933 is for primary suture closure rather than muscle or myocutaneous flap preparation.
No office rate
This code is for an ischial pressure ulcer treated with a skin flap and ostectomy; 15937 is for the sacral site and muscle or myocutaneous flap preparation.
The same code, a different location
How does Redding compare?
15937 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 15937
Office
Unavailable
Facility
$917.98
No comparable office rate is available.
Merced
California · 15937
Office
Unavailable
Facility
$917.98
No comparable office rate is available.
Modesto
California · 15937
Office
Unavailable
Facility
$917.98
No comparable office rate is available.
Napa
California · 15937
Office
Unavailable
Facility
$1012.63
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 15937
Office
Unavailable
Facility
$960.17
No comparable office rate is available.
Rest Of California
California · 15937
Office
Unavailable
Facility
$917.98
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 15937
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 15937
Office
Unavailable
Facility
$949.84
No comparable office rate is available.
Salinas
California · 15937
Office
Unavailable
Facility
$946.03
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 15937
Office
Unavailable
Facility
$958.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 15937
Office
Unavailable
Facility
$1054.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 15937
Office
Unavailable
Facility
$1051.75
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 15937
Office
Unavailable
Facility
$1079.97
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 15937
Office
Unavailable
Facility
$1067.34
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 15937
Office
Unavailable
Facility
$932.41
No comparable office rate is available.
Santa Cruz-Watsonville
California · 15937
Office
Unavailable
Facility
$959.90
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 15937
Office
Unavailable
Facility
$946.90
No comparable office rate is available.
Santa Rosa-Petaluma
California · 15937
Office
Unavailable
Facility
$968.70
No comparable office rate is available.
Stockton
California · 15937
Office
Unavailable
Facility
$917.98
No comparable office rate is available.
Vallejo
California · 15937
Office
Unavailable
Facility
$1008.18
No comparable office rate is available.
Visalia
California · 15937
Office
Unavailable
Facility
$917.98
No comparable office rate is available.
Yuba City
California · 15937
Office
Unavailable
Facility
$917.98
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 15937
Office
Unavailable
Facility
$1016.17
No comparable office rate is available.
Miami
Florida · 15937
Office
Unavailable
Facility
$1072.20
No comparable office rate is available.
Chicago
Illinois · 15937
Office
Unavailable
Facility
$1042.31
No comparable office rate is available.
Manhattan
New York · 15937
Office
Unavailable
Facility
$1058.70
No comparable office rate is available.
Alaska*
Alaska · 15937
Office
Unavailable
Facility
$1147.05
No comparable office rate is available.
Alabama
Alabama · 15937
Office
Unavailable
Facility
$838.14
No comparable office rate is available.
Arkansas
Arkansas · 15937
Office
Unavailable
Facility
$828.13
No comparable office rate is available.
Arizona
Arizona · 15937
Office
Unavailable
Facility
$896.04
No comparable office rate is available.
Colorado
Colorado · 15937
Office
Unavailable
Facility
$927.03
No comparable office rate is available.
Connecticut
Connecticut · 15937
Office
Unavailable
Facility
$974.31
No comparable office rate is available.
Delaware
Delaware · 15937
Office
Unavailable
Facility
$908.79
No comparable office rate is available.
Fort Lauderdale
Florida · 15937
Office
Unavailable
Facility
$997.30
No comparable office rate is available.
Rest Of Florida
Florida · 15937
Office
Unavailable
Facility
$950.45
No comparable office rate is available.
Atlanta
Georgia · 15937
Office
Unavailable
Facility
$944.64
No comparable office rate is available.
Rest Of Georgia
Georgia · 15937
Office
Unavailable
Facility
$900.72
No comparable office rate is available.
Hawaii, Guam
Hawaii · 15937
Office
Unavailable
Facility
$927.27
No comparable office rate is available.
Iowa
Iowa · 15937
Office
Unavailable
Facility
$836.21
No comparable office rate is available.
Idaho
Idaho · 15937
Office
Unavailable
Facility
$844.79
No comparable office rate is available.
East St. Louis
Illinois · 15937
Office
Unavailable
Facility
$984.79
No comparable office rate is available.
Rest Of Illinois
Illinois · 15937
Office
Unavailable
Facility
$941.47
No comparable office rate is available.
Suburban Chicago
Illinois · 15937
Office
Unavailable
Facility
$1002.18
No comparable office rate is available.
Indiana
Indiana · 15937
Office
Unavailable
Facility
$848.33
No comparable office rate is available.
Kansas
Kansas · 15937
Office
Unavailable
Facility
$842.24
No comparable office rate is available.
Kentucky
Kentucky · 15937
Office
Unavailable
Facility
$874.54
No comparable office rate is available.
New Orleans
Louisiana · 15937
Office
Unavailable
Facility
$912.08
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 15937
Office
Unavailable
Facility
$877.11
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 15937
Office
Unavailable
Facility
$994.87
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 15937
Office
Unavailable
Facility
$926.76
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 15937
Office
Unavailable
Facility
$973.45
No comparable office rate is available.
Rest Of Maryland
Maryland · 15937
Office
Unavailable
Facility
$921.04
No comparable office rate is available.
Rest Of Maine
Maine · 15937
Office
Unavailable
Facility
$858.33
No comparable office rate is available.
Southern Maine
Maine · 15937
Office
Unavailable
Facility
$882.98
No comparable office rate is available.
Detroit
Michigan · 15937
Office
Unavailable
Facility
$970.10
No comparable office rate is available.
Rest Of Michigan
Michigan · 15937
Office
Unavailable
Facility
$902.04
No comparable office rate is available.
Minnesota
Minnesota · 15937
Office
Unavailable
Facility
$865.30
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 15937
Office
Unavailable
Facility
$896.96
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 15937
Office
Unavailable
Facility
$903.60
No comparable office rate is available.
Rest Of Missouri
Missouri · 15937
Office
Unavailable
Facility
$870.84
No comparable office rate is available.
Mississippi
Mississippi · 15937
Office
Unavailable
Facility
$849.16
No comparable office rate is available.
Montana**
Montana · 15937
Office
Unavailable
Facility
$919.35
No comparable office rate is available.
North Carolina
North Carolina · 15937
Office
Unavailable
Facility
$864.24
No comparable office rate is available.
North Dakota**
North Dakota · 15937
Office
Unavailable
Facility
$865.56
No comparable office rate is available.
Nebraska
Nebraska · 15937
Office
Unavailable
Facility
$837.17
No comparable office rate is available.
New Hampshire
New Hampshire · 15937
Office
Unavailable
Facility
$921.93
No comparable office rate is available.
Northern Nj
New Jersey · 15937
Office
Unavailable
Facility
$1010.47
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 15937
Office
Unavailable
Facility
$978.94
No comparable office rate is available.
New Mexico
New Mexico · 15937
Office
Unavailable
Facility
$909.93
No comparable office rate is available.
Nevada**
Nevada · 15937
Office
Unavailable
Facility
$904.69
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 15937
Office
Unavailable
Facility
$1092.38
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 15937
Office
Unavailable
Facility
$992.68
No comparable office rate is available.
Queens
New York · 15937
Office
Unavailable
Facility
$1052.33
No comparable office rate is available.
Rest Of New York
New York · 15937
Office
Unavailable
Facility
$875.76
No comparable office rate is available.
Ohio
Ohio · 15937
Office
Unavailable
Facility
$891.05
No comparable office rate is available.
Oklahoma
Oklahoma · 15937
Office
Unavailable
Facility
$863.35
No comparable office rate is available.
Portland
Oregon · 15937
Office
Unavailable
Facility
$941.42
No comparable office rate is available.
Rest Of Oregon
Oregon · 15937
Office
Unavailable
Facility
$891.20
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 15937
Office
Unavailable
Facility
$959.70
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 15937
Office
Unavailable
Facility
$887.00
No comparable office rate is available.
Puerto Rico
Puerto Rico · 15937
Office
Unavailable
Facility
$921.86
No comparable office rate is available.
Rhode Island
Rhode Island · 15937
Office
Unavailable
Facility
$930.16
No comparable office rate is available.
South Carolina
South Carolina · 15937
Office
Unavailable
Facility
$880.39
No comparable office rate is available.
South Dakota**
South Dakota · 15937
Office
Unavailable
Facility
$859.20
No comparable office rate is available.
Tennessee
Tennessee · 15937
Office
Unavailable
Facility
$846.92
No comparable office rate is available.
Austin
Texas · 15937
Office
Unavailable
Facility
$929.63
No comparable office rate is available.
Beaumont
Texas · 15937
Office
Unavailable
Facility
$882.87
No comparable office rate is available.
Brazoria
Texas · 15937
Office
Unavailable
Facility
$900.46
No comparable office rate is available.
Dallas
Texas · 15937
Office
Unavailable
Facility
$909.72
No comparable office rate is available.
Fort Worth
Texas · 15937
Office
Unavailable
Facility
$907.54
No comparable office rate is available.
Galveston
Texas · 15937
Office
Unavailable
Facility
$905.49
No comparable office rate is available.
Houston
Texas · 15937
Office
Unavailable
Facility
$955.28
No comparable office rate is available.
Rest Of Texas
Texas · 15937
Office
Unavailable
Facility
$893.59
No comparable office rate is available.
Utah
Utah · 15937
Office
Unavailable
Facility
$890.12
No comparable office rate is available.
Virginia
Virginia · 15937
Office
Unavailable
Facility
$887.11
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 15937
Office
Unavailable
Facility
$921.86
No comparable office rate is available.
Vermont
Vermont · 15937
Office
Unavailable
Facility
$871.29
No comparable office rate is available.
Rest Of Washington
Washington · 15937
Office
Unavailable
Facility
$922.01
No comparable office rate is available.
Seattle (King Cnty)
Washington · 15937
Office
Unavailable
Facility
$1003.75
No comparable office rate is available.
Wisconsin
Wisconsin · 15937
Office
Unavailable
Facility
$842.56
No comparable office rate is available.
West Virginia
West Virginia · 15937
Office
Unavailable
Facility
$914.71
No comparable office rate is available.
Wyoming**
Wyoming · 15937
Office
Unavailable
Facility
$895.91
No comparable office rate is available.
See how rates vary across the country
15937 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 15937 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1009.78
$917.98 × 110% = $1009.78
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 15937 in Redding.
PPRRVU2026_Oct_nonQPP.csv
1,600
- Code
- 15937
- Physician work
- 14.76
- Practice expense
- 10.05
- Malpractice
- 2.72
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.76 | × 1.017 | 15.0109 |
| Practice expense | 10.05 | × 1.096 | 11.0148 |
| Malpractice | 2.72 | × 0.536 | 1.4579 |
| Total RVUs | 27.4836 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$917.98
Open 15937 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.76 | 1.017 |
| Practice expense | 10.05 | 1.096 |
| Malpractice | 2.72 | 0.536 |
(14.76 × 1.017 + 10.05 × 1.096 + 2.72 × 0.536) × $33.4009 = $917.98
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
15937 · 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 | $917.98 | RVU26D |
| 2026-07-01 | Not available in this setting | $917.98 | RVU26C |
| 2026-04-01 | Not available in this setting | $917.98 | RVU26B |
| 2026-01-01 | Not available in this setting | $917.98 | RVU26A |
| 2025-10-01 | Not available in this setting | $967.39 | RVU25D |
| 2025-07-01 | Not available in this setting | $967.39 | RVU25C |
| 2025-04-01 | Not available in this setting | $967.39 | RVU25B |
| 2025-01-01 | Not available in this setting | $967.39 | RVU25A |
15937 billing questions
How does this differ from 15936?
Both involve sacral ulcer excision and muscle or myocutaneous flap preparation. Report 15937 when the operation also includes ostectomy; 15936 is the related code without ostectomy.
Can the flap work be billed separately?
The code describes the ulcer excision with muscle or myocutaneous flap preparation. Review the operative report before considering separate reporting for other services performed during the same session.
Should modifier 50 be used for ulcers on both sides?
No. The descriptor and anatomy make bilateral adjustment inappropriate for this code.
Can an assistant surgeon be paid for this operation?
Medicare payment for an assistant at surgery is barred for this code. Co-surgeon payment is limited to cases with supporting documentation.
What documentation supports reporting 15937?
The operative report should identify the sacral ulcer, excision of the ulcer, removal of sacral bone, and preparation of a muscle or myocutaneous flap.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
1,59715934,,Exc sacral pr ulc skn flap,A,,13.34,10.78,NA,10.78,,2.48,26.60,26.60,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59815935,,Exc sac pr ulc skn flp ostc,A,,15.39,13.04,NA,13.04,,2.86,31.29,31.29,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59915936,,Exc sac pr ulc prep mus flap,A,,12.83,9.28,NA,9.28,,2.98,25.09,25.09,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60015937,,Exc sac pr ulc prep mus ostc,A,,14.76,10.05,NA,10.05,,2.72,27.53,27.53,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60115940,,Exc ischial pr ulc prim sutr,A,,9.95,7.67,NA,7.67,,2.27,19.89,19.89,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60215941,,Exc isch pr ulc prm sut ostc,A,,12.10,11.58,NA,11.58,,2.25,25.93,25.93,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60315944,,Exc isch pr ulc skn flp clsr,A,,12.13,11.10,NA,11.10,,2.25,25.48,25.48,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536