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CMS RVU26D · Effective 2026-10-01

15630 in Wyoming**

Office / nonfacility

$465.26

Base rate per service

Facility setting

$306.61

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 15630: Facial flap delay or sectioning

Reports a staged flap delay or pedicle sectioning involving the eyelid, nose, ear, or lip during reconstructive surgery.

Code 15630 covers a surgical stage that delays a flap or divides or sections its pedicle at the eyelid, nose, ear, or lip. In staged reconstruction, a surgeon may return to divide a previously transferred flap after it has developed blood supply from recipient tissues; nasal reconstruction with a staged forehead flap is a common example. Plastic and reconstructive surgeons, facial plastic surgeons, and oculoplastic surgeons may perform this work in an operating room or other surgical setting.

Report the code for the delay or sectioning stage, not for the original flap creation or transfer. The operative report should identify the flap, site, and work performed. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 15630

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 RVU3.98 · 28%
  • Practice expense (office) RVU9.55 · 68%
  • Malpractice RVU0.54 · 4%

5.2K

Medicare services in 2024 · #1844 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.

15630 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

15620

Flap delay

Face, neck, hand, foot, other sites

$458.57

15630 identifies work at the eyelid, nose, ear, or lip. Select 15620 for the other regions named in that code’s descriptor.

15610

Flap delay

Arms or legs

$387.81

15610 identifies flap delay or sectioning on the arms or legs; 15630 is for the specified eyelid, nose, ear, and lip sites.

15650

Pedicle flap transfer

Distant donor-to-recipient transfer

$581.97

15650 describes transfer of a skin pedicle flap. Use 15630 for flap delay or pedicle sectioning rather than the transfer itself.

The same code, a different location

How does Wyoming** compare?

15630 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $465.26

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

    $527.71

    $62.45 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $535.95

    $70.69 higher than Wyoming**

  4. Miami

    $510.61

    $45.35 higher than Wyoming**

  5. Chicago

    $495.83

    $30.57 higher than Wyoming**

  6. Manhattan

    $540.70

    $75.44 higher than Wyoming**

  7. Alaska*

    $549.05

    $83.79 higher than Wyoming**

Other payment areas listed in Wyoming 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, 15630 ranges from $416.23 in Arkansas to $617.19 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

  • Alabama

    Alabama · 15630

    Office

    $422.25

    Facility

    $283.43

    $43.01 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 15630

    Office

    $416.23

    Facility

    $279.94

    $49.03 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 15630

    Office

    $457.47

    Facility

    $303.73

    $7.79 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 15630

    Office

    $496.05

    Facility

    $322.16

    $30.79 higher than Wyoming** for the office setting.

  • Chico

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • El Centro

    California · 15630

    Office

    $494.55

    Facility

    $320.67

    $29.29 higher than Wyoming** for the office setting.

  • Fresno

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Madera

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Merced

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Modesto

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Napa

    California · 15630

    Office

    $570.89

    Facility

    $361.78

    $105.63 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 15630

    Office

    $524.93

    Facility

    $337.40

    $59.67 higher than Wyoming** for the office setting.

  • Redding

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 15630

    Office

    $500.31

    Facility

    $326.43

    $35.05 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 15630

    Office

    $518.36

    Facility

    $333.85

    $53.10 higher than Wyoming** for the office setting.

  • Salinas

    California · 15630

    Office

    $516.42

    Facility

    $332.54

    $51.16 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 15630

    Office

    $528.20

    Facility

    $338.45

    $62.94 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 15630

    Office

    $603.60

    Facility

    $379.90

    $138.34 higher than Wyoming** for the office setting.

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

    California · 15630

    Office

    $602.99

    Facility

    $379.29

    $137.73 higher than Wyoming** for the office setting.

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

    California · 15630

    Office

    $617.19

    Facility

    $388.41

    $151.93 higher than Wyoming** for the office setting.

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

    California · 15630

    Office

    $614.69

    Facility

    $385.91

    $149.43 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 15630

    Office

    $508.18

    Facility

    $327.47

    $42.92 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 15630

    Office

    $532.95

    Facility

    $340.19

    $67.69 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 15630

    Office

    $518.25

    Facility

    $333.26

    $52.99 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 15630

    Office

    $538.30

    Facility

    $343.47

    $73.04 higher than Wyoming** for the office setting.

  • Stockton

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Vallejo

    California · 15630

    Office

    $570.00

    Facility

    $360.90

    $104.74 higher than Wyoming** for the office setting.

  • Visalia

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Yuba City

    California · 15630

    Office

    $494.46

    Facility

    $320.58

    $29.20 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 15630

    Office

    $488.01

    Facility

    $319.20

    $22.75 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 15630

    Office

    $500.96

    Facility

    $330.09

    $35.70 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 15630

    Office

    $464.97

    Facility

    $308.22

    $0.29 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 15630

    Office

    $488.67

    Facility

    $327.95

    $23.41 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 15630

    Office

    $464.99

    Facility

    $313.31

    $0.27 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 15630

    Office

    $479.08

    Facility

    $317.89

    $13.82 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 15630

    Office

    $438.96

    Facility

    $297.44

    $26.30 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 15630

    Office

    $506.06

    Facility

    $325.67

    $40.80 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 15630

    Office

    $431.96

    Facility

    $286.79

    $33.30 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 15630

    Office

    $434.93

    Facility

    $288.97

    $30.33 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 15630

    Office

    $462.72

    Facility

    $316.76

    $2.54 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 15630

    Office

    $452.35

    Facility

    $307.50

    $12.91 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 15630

    Office

    $493.42

    Facility

    $330.48

    $28.16 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 15630

    Office

    $437.39

    Facility

    $290.32

    $27.87 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 15630

    Office

    $430.38

    Facility

    $286.96

    $34.88 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 15630

    Office

    $433.01

    Facility

    $291.97

    $32.25 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 15630

    Office

    $453.58

    Facility

    $304.29

    $11.68 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 15630

    Office

    $432.51

    Facility

    $292.10

    $32.75 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 15630

    Office

    $535.30

    Facility

    $345.87

    $70.04 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 15630

    Office

    $485.32

    Facility

    $318.26

    $20.06 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 15630

    Office

    $499.64

    Facility

    $329.40

    $34.38 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 15630

    Office

    $473.63

    Facility

    $313.07

    $8.37 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 15630

    Office

    $437.61

    Facility

    $291.65

    $27.65 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 15630

    Office

    $460.42

    Facility

    $303.20

    $4.84 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 15630

    Office

    $471.16

    Facility

    $318.06

    $5.90 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 15630

    Office

    $444.53

    Facility

    $299.67

    $20.73 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 15630

    Office

    $466.50

    Facility

    $303.25

    $1.24 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 15630

    Office

    $450.08

    Facility

    $301.10

    $15.18 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 15630

    Office

    $454.68

    Facility

    $303.64

    $10.58 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 15630

    Office

    $425.46

    Facility

    $288.70

    $39.80 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 15630

    Office

    $420.91

    Facility

    $284.30

    $44.35 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 15630

    Office

    $469.91

    Facility

    $311.26

    $4.65 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 15630

    Office

    $442.07

    Facility

    $294.04

    $23.19 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 15630

    Office

    $459.24

    Facility

    $300.58

    $6.02 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 15630

    Office

    $434.17

    Facility

    $287.73

    $31.09 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 15630

    Office

    $480.77

    Facility

    $315.62

    $15.51 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 15630

    Office

    $530.59

    Facility

    $346.55

    $65.33 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 15630

    Office

    $506.36

    Facility

    $333.11

    $41.10 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 15630

    Office

    $447.10

    Facility

    $301.61

    $18.16 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 15630

    Office

    $467.26

    Facility

    $308.44

    $2.00 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 15630

    Office

    $554.20

    Facility

    $365.56

    $88.94 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 15630

    Office

    $510.02

    Facility

    $336.30

    $44.76 higher than Wyoming** for the office setting.

  • Queens

    New York · 15630

    Office

    $544.48

    Facility

    $356.96

    $79.22 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 15630

    Office

    $448.64

    Facility

    $297.92

    $16.62 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 15630

    Office

    $442.34

    Facility

    $297.49

    $22.92 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 15630

    Office

    $431.80

    Facility

    $290.12

    $33.46 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 15630

    Office

    $502.87

    Facility

    $326.60

    $37.61 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 15630

    Office

    $463.32

    Facility

    $305.30

    $1.94 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 15630

    Office

    $488.90

    Facility

    $323.74

    $23.64 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 15630

    Office

    $442.80

    Facility

    $297.16

    $22.46 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 15630

    Office

    $473.19

    Facility

    $312.79

    $7.93 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 15630

    Office

    $481.05

    Facility

    $317.16

    $15.79 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 15630

    Office

    $443.00

    Facility

    $296.41

    $22.26 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 15630

    Office

    $457.97

    Facility

    $299.32

    $7.29 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 15630

    Office

    $432.57

    Facility

    $288.36

    $32.69 lower than Wyoming** for the office setting.

  • Austin

    Texas · 15630

    Office

    $486.66

    Facility

    $318.80

    $21.40 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 15630

    Office

    $439.96

    Facility

    $295.59

    $25.30 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 15630

    Office

    $464.18

    Facility

    $306.95

    $1.08 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 15630

    Office

    $467.31

    Facility

    $309.29

    $2.05 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 15630

    Office

    $464.35

    Facility

    $307.92

    $0.91 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 15630

    Office

    $465.68

    Facility

    $308.14

    $0.42 higher than Wyoming** for the office setting.

  • Houston

    Texas · 15630

    Office

    $475.56

    Facility

    $318.02

    $10.30 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 15630

    Office

    $451.93

    Facility

    $301.37

    $13.33 lower than Wyoming** for the office setting.

  • Utah

    Utah · 15630

    Office

    $448.97

    Facility

    $299.84

    $16.29 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 15630

    Office

    $459.23

    Facility

    $303.27

    $6.03 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 15630

    Office

    $473.19

    Facility

    $312.79

    $7.93 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 15630

    Office

    $457.85

    Facility

    $300.78

    $7.41 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 15630

    Office

    $484.27

    Facility

    $317.21

    $19.01 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 15630

    Office

    $545.70

    Facility

    $351.04

    $80.44 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 15630

    Office

    $444.07

    Facility

    $292.08

    $21.19 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 15630

    Office

    $435.94

    Facility

    $298.07

    $29.32 lower than Wyoming** for the office setting.

See how rates vary across the country

15630 · 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.

$416.23

$555.83

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$549.051
AL$422.251
AR$416.231
AZ$457.471
CA$494.46–$617.1929
CO$488.011
CT$500.961
DC$535.951
DE$464.971
FL$464.99–$510.613
GA$438.96–$479.082
GU$506.061
HI$506.061
IA$431.961
ID$434.931
IL$452.35–$495.834
IN$437.391
KS$430.381
KY$433.011
LA$432.51–$453.582
MA$485.32–$535.302
MD$473.63–$535.953
ME$437.61–$460.422
MI$444.53–$471.162
MN$466.501
MO$425.46–$454.683
MS$420.911
MT$469.911
NC$442.071
ND$459.241
NE$434.171
NH$480.771
NJ$506.36–$530.592
NM$447.101
NV$467.261
NY$448.64–$554.205
OH$442.341
OK$431.801
OR$463.32–$502.872
PA$442.80–$488.902
PR$473.191
RI$481.051
SC$443.001
SD$457.971
TN$432.571
TX$439.96–$486.668
UT$448.971
VA$459.23–$535.952
VI$473.191
VT$457.851
WA$484.27–$545.702
WI$444.071
WV$435.941
WY$465.261

Explore 15630 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 15630 in Wyoming**, the physician’s office rate is $465.26 and the facility-setting rate is $306.61: a difference of $158.65.

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 15630 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$511.79

$465.26 × 110% = $511.79

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.

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 15630 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

1,527

Code
15630
Physician work
3.98
Practice expense
9.55
Malpractice
0.54

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 15630 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work3.98× 1.0003.9800
Practice expense9.55× 1.0009.5500
Malpractice0.54× 0.7400.3996
Total RVUs13.9296
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$465.26

Open 15630 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.981
Practice expense9.551
Malpractice0.540.74

(3.98 × 1 + 9.55 × 1 + 0.54 × 0.74) × $33.4009 = $465.26

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.981
Practice expense4.81
Malpractice0.540.74

(3.98 × 1 + 4.8 × 1 + 0.54 × 0.74) × $33.4009 = $306.61

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

15630 · Office / nonfacility

$465.26

Effective 2026-10-01

The base rate is $17.78 higher than on 2025-10-01, moving from $447.48 to $465.26 (4.0%).

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

    $447.48changed to$465.26

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.08 changed to 3.98
    • Practice expense RVU 9.34 changed to 9.55
    • Malpractice RVU 0.56 changed to 0.54
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $447.48

    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$465.26$306.61RVU26D
2026-07-01$465.26$306.61RVU26C
2026-04-01$465.26$306.61RVU26B
2026-01-01$465.26$306.61RVU26A
2025-10-01$447.48$333.94RVU25D
2025-07-01$447.48$333.94RVU25C
2025-04-01$447.48$333.94RVU25B
2025-01-01$447.48$333.94RVU25A

15630 billing questions

How does 15630 differ from other flap-delay codes?

Use 15630 for delay or sectioning at the eyelid, nose, ear, or lip. Codes 15600, 15610, and 15620 identify other anatomic regions.

Does 15630 describe the original flap transfer?

No. It describes a flap-delay or sectioning stage. The operative report should distinguish that work from the earlier creation or transfer of the flap.

Are routine postoperative visits separately included?

Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.

Should modifier 50 be appended for work on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 15630. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 15630PPRRVU2026_Oct_nonQPP.csv, line 1,527 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet