No office rate
15734 is the regional flap code for the trunk; 15736 is for upper-extremity reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
15736 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1082.50
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 15736: Upper-extremity muscle or skin flap
Reports transfer of a muscle, muscle-and-skin, or fascia-and-skin flap to cover an upper-extremity defect while maintaining its blood supply.
Use 15736 for moving a muscle, muscle-and-skin, or fascia-and-skin flap to cover a defect in the upper extremity while maintaining its vascular connection. Plastic or reconstructive, hand, and orthopedic surgeons may perform this reconstruction after trauma, tumor removal, or another operation leaves exposed structures or inadequate soft-tissue coverage. It is a flap transfer, not a free flap requiring microvascular reconnection.
Choose the code by recipient anatomy and the flap technique documented in the operative report. Record the defect, flap composition and source, retained blood supply, and transfer performed. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 15736
- 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 RVU16.61 · 50%
- Practice expense (office) RVU13.35 · 40%
- Malpractice RVU3.31 · 10%
1.7K
Medicare services in 2024 · #2570 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.
15736 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
15738 applies to lower-extremity flap reconstruction. Use 15736 when the recipient defect is in the upper extremity.
No office rate
15756 describes a free muscle or myocutaneous flap with microvascular transfer. 15736 describes a flap that retains its vascular connection.
$1,033.48
15740 identifies an island pedicle flap. Select 15736 when the operative technique and flap composition match the upper-extremity muscle, myocutaneous, or fasciocutaneous flap service.
The same code, a different location
How does Wyoming** compare?
15736 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 15736
Office
Unavailable
Facility
$1007.53
No comparable office rate is available.
Arkansas
Arkansas · 15736
Office
Unavailable
Facility
$994.76
No comparable office rate is available.
Arizona
Arizona · 15736
Office
Unavailable
Facility
$1081.50
No comparable office rate is available.
Bakersfield
California · 15736
Office
Unavailable
Facility
$1121.37
No comparable office rate is available.
Chico
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
El Centro
California · 15736
Office
Unavailable
Facility
$1112.74
No comparable office rate is available.
Fresno
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Hanford-Corcoran
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Madera
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Merced
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Modesto
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Napa
California · 15736
Office
Unavailable
Facility
$1233.60
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 15736
Office
Unavailable
Facility
$1166.26
No comparable office rate is available.
Redding
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Rest Of California
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 15736
Office
Unavailable
Facility
$1147.79
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 15736
Office
Unavailable
Facility
$1152.60
No comparable office rate is available.
Salinas
California · 15736
Office
Unavailable
Facility
$1148.05
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 15736
Office
Unavailable
Facility
$1164.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 15736
Office
Unavailable
Facility
$1286.96
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 15736
Office
Unavailable
Facility
$1283.20
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 15736
Office
Unavailable
Facility
$1318.06
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 15736
Office
Unavailable
Facility
$1302.70
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 15736
Office
Unavailable
Facility
$1131.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 15736
Office
Unavailable
Facility
$1167.47
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 15736
Office
Unavailable
Facility
$1149.50
No comparable office rate is available.
Santa Rosa-Petaluma
California · 15736
Office
Unavailable
Facility
$1178.26
No comparable office rate is available.
Stockton
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Vallejo
California · 15736
Office
Unavailable
Facility
$1228.19
No comparable office rate is available.
Visalia
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Yuba City
California · 15736
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
Colorado
Colorado · 15736
Office
Unavailable
Facility
$1122.23
No comparable office rate is available.
Connecticut
Connecticut · 15736
Office
Unavailable
Facility
$1179.90
No comparable office rate is available.
Delaware
Delaware · 15736
Office
Unavailable
Facility
$1097.50
No comparable office rate is available.
Fort Lauderdale
Florida · 15736
Office
Unavailable
Facility
$1206.37
No comparable office rate is available.
Rest Of Florida
Florida · 15736
Office
Unavailable
Facility
$1147.24
No comparable office rate is available.
Atlanta
Georgia · 15736
Office
Unavailable
Facility
$1142.27
No comparable office rate is available.
Rest Of Georgia
Georgia · 15736
Office
Unavailable
Facility
$1084.32
No comparable office rate is available.
Hawaii, Guam
Hawaii · 15736
Office
Unavailable
Facility
$1125.79
No comparable office rate is available.
Iowa
Iowa · 15736
Office
Unavailable
Facility
$1006.68
No comparable office rate is available.
Idaho
Idaho · 15736
Office
Unavailable
Facility
$1017.31
No comparable office rate is available.
East St. Louis
Illinois · 15736
Office
Unavailable
Facility
$1187.68
No comparable office rate is available.
Rest Of Illinois
Illinois · 15736
Office
Unavailable
Facility
$1134.70
No comparable office rate is available.
Suburban Chicago
Illinois · 15736
Office
Unavailable
Facility
$1212.52
No comparable office rate is available.
Indiana
Indiana · 15736
Office
Unavailable
Facility
$1021.87
No comparable office rate is available.
Kansas
Kansas · 15736
Office
Unavailable
Facility
$1013.61
No comparable office rate is available.
Kentucky
Kentucky · 15736
Office
Unavailable
Facility
$1052.36
No comparable office rate is available.
New Orleans
Louisiana · 15736
Office
Unavailable
Facility
$1099.98
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 15736
Office
Unavailable
Facility
$1055.33
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 15736
Office
Unavailable
Facility
$1208.34
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 15736
Office
Unavailable
Facility
$1121.31
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 15736
Office
Unavailable
Facility
$1178.88
No comparable office rate is available.
Rest Of Maryland
Maryland · 15736
Office
Unavailable
Facility
$1113.08
No comparable office rate is available.
Rest Of Maine
Maine · 15736
Office
Unavailable
Facility
$1033.79
No comparable office rate is available.
Southern Maine
Maine · 15736
Office
Unavailable
Facility
$1066.44
No comparable office rate is available.
Detroit
Michigan · 15736
Office
Unavailable
Facility
$1171.48
No comparable office rate is available.
Rest Of Michigan
Michigan · 15736
Office
Unavailable
Facility
$1086.72
No comparable office rate is available.
Minnesota
Minnesota · 15736
Office
Unavailable
Facility
$1046.35
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 15736
Office
Unavailable
Facility
$1081.51
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 15736
Office
Unavailable
Facility
$1090.07
No comparable office rate is available.
Rest Of Missouri
Missouri · 15736
Office
Unavailable
Facility
$1046.84
No comparable office rate is available.
Mississippi
Mississippi · 15736
Office
Unavailable
Facility
$1020.41
No comparable office rate is available.
Montana**
Montana · 15736
Office
Unavailable
Facility
$1111.03
No comparable office rate is available.
North Carolina
North Carolina · 15736
Office
Unavailable
Facility
$1041.46
No comparable office rate is available.
North Dakota**
North Dakota · 15736
Office
Unavailable
Facility
$1045.58
No comparable office rate is available.
Nebraska
Nebraska · 15736
Office
Unavailable
Facility
$1008.15
No comparable office rate is available.
New Hampshire
New Hampshire · 15736
Office
Unavailable
Facility
$1115.71
No comparable office rate is available.
Northern Nj
New Jersey · 15736
Office
Unavailable
Facility
$1225.06
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 15736
Office
Unavailable
Facility
$1185.19
No comparable office rate is available.
New Mexico
New Mexico · 15736
Office
Unavailable
Facility
$1096.46
No comparable office rate is available.
Nevada**
Nevada · 15736
Office
Unavailable
Facility
$1093.23
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 15736
Office
Unavailable
Facility
$1325.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 15736
Office
Unavailable
Facility
$1201.79
No comparable office rate is available.
Queens
New York · 15736
Office
Unavailable
Facility
$1276.77
No comparable office rate is available.
Rest Of New York
New York · 15736
Office
Unavailable
Facility
$1056.12
No comparable office rate is available.
Ohio
Ohio · 15736
Office
Unavailable
Facility
$1073.34
No comparable office rate is available.
Oklahoma
Oklahoma · 15736
Office
Unavailable
Facility
$1038.88
No comparable office rate is available.
Portland
Oregon · 15736
Office
Unavailable
Facility
$1141.32
No comparable office rate is available.
Rest Of Oregon
Oregon · 15736
Office
Unavailable
Facility
$1076.63
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 15736
Office
Unavailable
Facility
$1160.85
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 15736
Office
Unavailable
Facility
$1068.60
No comparable office rate is available.
Puerto Rico
Puerto Rico · 15736
Office
Unavailable
Facility
$1114.49
No comparable office rate is available.
Rhode Island
Rhode Island · 15736
Office
Unavailable
Facility
$1124.56
No comparable office rate is available.
South Carolina
South Carolina · 15736
Office
Unavailable
Facility
$1060.78
No comparable office rate is available.
South Dakota**
South Dakota · 15736
Office
Unavailable
Facility
$1037.84
No comparable office rate is available.
Tennessee
Tennessee · 15736
Office
Unavailable
Facility
$1019.48
No comparable office rate is available.
Austin
Texas · 15736
Office
Unavailable
Facility
$1125.62
No comparable office rate is available.
Beaumont
Texas · 15736
Office
Unavailable
Facility
$1063.27
No comparable office rate is available.
Brazoria
Texas · 15736
Office
Unavailable
Facility
$1087.35
No comparable office rate is available.
Dallas
Texas · 15736
Office
Unavailable
Facility
$1098.76
No comparable office rate is available.
Fort Worth
Texas · 15736
Office
Unavailable
Facility
$1095.74
No comparable office rate is available.
Galveston
Texas · 15736
Office
Unavailable
Facility
$1093.55
No comparable office rate is available.
Houston
Texas · 15736
Office
Unavailable
Facility
$1154.13
No comparable office rate is available.
Rest Of Texas
Texas · 15736
Office
Unavailable
Facility
$1077.78
No comparable office rate is available.
Utah
Utah · 15736
Office
Unavailable
Facility
$1073.22
No comparable office rate is available.
Virginia
Virginia · 15736
Office
Unavailable
Facility
$1071.16
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 15736
Office
Unavailable
Facility
$1114.49
No comparable office rate is available.
Vermont
Vermont · 15736
Office
Unavailable
Facility
$1052.17
No comparable office rate is available.
Rest Of Washington
Washington · 15736
Office
Unavailable
Facility
$1115.67
No comparable office rate is available.
Seattle (King Cnty)
Washington · 15736
Office
Unavailable
Facility
$1219.98
No comparable office rate is available.
Wisconsin
Wisconsin · 15736
Office
Unavailable
Facility
$1016.01
No comparable office rate is available.
West Virginia
West Virginia · 15736
Office
Unavailable
Facility
$1100.48
No comparable office rate is available.
See how rates vary across the country
15736 · 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?
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 15736 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1190.75
$1082.50 × 110% = $1190.75
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 15736 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,533
- Code
- 15736
- Physician work
- 16.61
- Practice expense
- 13.35
- Malpractice
- 3.31
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.61 | × 1.000 | 16.6100 |
| Practice expense | 13.35 | × 1.000 | 13.3500 |
| Malpractice | 3.31 | × 0.740 | 2.4494 |
| Total RVUs | 32.4094 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1082.50
Open 15736 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.61 | 1 |
| Practice expense | 13.35 | 1 |
| Malpractice | 3.31 | 0.74 |
(16.61 × 1 + 13.35 × 1 + 3.31 × 0.74) × $33.4009 = $1082.50
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
15736 · 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 | $1082.50 | RVU26D |
| 2026-07-01 | Not available in this setting | $1082.50 | RVU26C |
| 2026-04-01 | Not available in this setting | $1082.50 | RVU26B |
| 2026-01-01 | Not available in this setting | $1082.50 | RVU26A |
| 2025-10-01 | Not available in this setting | $1161.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $1161.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $1161.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $1161.84 | RVU25A |
15736 billing questions
How is 15736 distinguished from a free flap code?
15736 describes an upper-extremity flap that retains its vascular connection. A free muscle or myocutaneous flap with microvascular transfer is reported with 15756.
Which nearby code applies to a trunk or leg flap?
Use 15734 for the corresponding muscle, myocutaneous, or fasciocutaneous flap work on the trunk, and 15738 for the lower extremity. The recipient site determines which regional code fits.
Should modifier 50 be appended for work on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What operative details support reporting 15736?
Document the upper-extremity defect, the flap’s tissue composition and source, its maintained blood supply, and the transfer used to provide coverage.
How do assistant and co-surgeon services affect payment?
Medicare does not pay an assistant-at-surgery service for this code. Co-surgeon payment requires supporting documentation, and team surgery is 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.
1,53015731,,Forehead flap w/vasc pedicle,A,,14.02,18.22,,10.11,,2.14,34.38,26.27,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53115733,,Musc myoq/fscq flp h&n pedcl,A,,15.29,9.32,NA,9.32,,2.58,27.19,27.19,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53215734,,Muscle-skin graft trunk,A,,22.43,14.11,NA,14.11,,4.98,41.52,41.52,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53315736,,Muscle-skin graft arm,A,,16.61,13.35,NA,13.35,,3.31,33.27,33.27,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53415738,,Muscle-skin graft leg,A,,18.56,12.20,NA,12.20,,3.62,34.38,34.38,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53515740,,Island pedicle flap graft,A,,11.51,18.07,,9.14,,1.84,31.42,22.49,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53615750,,Neurovascular pedicle flap,A,,12.64,10.10,NA,10.10,,2.40,25.14,25.14,0,090,0.10,0.71,0.19,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,