$829.05
Use 15570 for a trunk recipient site; 15572 is for an arm or leg.
On this page
CMS RVU26D · Effective 2026-10-01
15570 Skin flap Medicare reimbursement rates in Arkansas
Reports creation of a direct or tubed skin pedicle flap on the trunk, with or without transfer, for reconstructive coverage of a defect. Compare 15570 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 15570 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$866.95
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$601.84
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Reconstructive surgery
About 15570: Trunk skin pedicle flap formation
Reports creation of a direct or tubed skin pedicle flap on the trunk, with or without transfer, for reconstructive coverage of a defect.
This service covers creating a skin flap that remains attached to its blood supply through a pedicle, with or without moving it to the recipient site. It is used for trunk reconstruction, such as coverage of a defect on the chest, back, or abdomen. Plastic and reconstructive surgeons commonly perform the procedure in a hospital or outpatient surgical setting when local tissue can be used to cover the defect while maintaining vascular attachment.
Select the code by the flap method and the trunk location, rather than by defect size alone; document the donor and recipient sites and how the flap is formed and transferred. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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, and co-surgeons and team surgery are not permitted.
CMS billing rules for 15570
- 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 RVU9.95 · 34%
- Practice expense (office) RVU17.44 · 59%
- Malpractice RVU1.99 · 7%
209
Medicare services in 2024 · #4283 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.
15570 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$589.98
Use 15570 for formation of a direct or tubed skin pedicle flap. Code 14000 describes adjacent tissue transfer on the trunk.
No office rate
Code 15570 describes a skin pedicle flap; 15734 describes a trunk flap using muscle or myocutaneous tissue.
$325.75
Code 15570 describes forming the trunk pedicle flap. Code 15600 describes a trunk flap delay or later pedicle division and inset.
Compare 15570 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$866.95
Facility
$601.84
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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 15570 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
1,520
- Code
- 15570
- Physician work
- 9.95
- Practice expense
- 17.44
- Malpractice
- 1.99
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.95 | × 1.000 | 9.9500 |
| Practice expense | 17.44 | × 0.859 | 14.9810 |
| Malpractice | 1.99 | × 0.515 | 1.0249 |
| Total RVUs | 25.9558 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$866.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.95 | 1 |
| Practice expense | 17.44 | 0.859 |
| Malpractice | 1.99 | 0.515 |
(9.95 × 1 + 17.44 × 0.859 + 1.99 × 0.515) × $33.4009 = $866.95
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.95 | 1 |
| Practice expense | 8.2 | 0.859 |
| Malpractice | 1.99 | 0.515 |
(9.95 × 1 + 8.2 × 0.859 + 1.99 × 0.515) × $33.4009 = $601.84
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.
15570 billing questions
When should I report 15570 rather than an adjacent tissue transfer code?
Report 15570 when the surgeon forms a direct or tubed skin pedicle flap for a trunk defect. Adjacent tissue transfer codes describe local tissue rearrangement rather than this pedicle-flap method.
How is 15570 different from 15572?
The recipient area determines the site-specific code: 15570 is for the trunk, while 15572 is for an arm or leg.
Can I report modifier 50 for a flap on each side of the trunk?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid for this procedure?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
1,51715276,,Skin sub graft f/n/hf/g addl,A,,0.49,0.45,,0.10,,0.07,1.01,0.66,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51815277,,Skn sub grft f/n/hf/g child,A,,3.90,6.20,,1.30,,0.71,10.81,5.91,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51915278,,Skn sub grft f/n/hf/g ch add,A,,0.98,1.85,,0.28,,0.20,3.03,1.46,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52015570,,Skin pedicle flap trunk,A,,9.95,17.44,,8.20,,1.99,29.38,20.14,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52115572,,Skin pedicle flap arms/legs,A,,9.87,16.35,,8.43,,1.76,27.98,20.06,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52215574,,Pedcle fh/ch/ch/m/n/ax/g/h/f,A,,10.43,14.25,,7.19,,1.53,26.21,19.15,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52315576,,Pedicle e/n/e/l/ntroral,A,,9.14,13.52,,6.60,,1.13,23.79,16.87,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541