$29.36–$31.88
15786 covers abrasion of one lesion; 15787 is the add-on for each additional lesion.
On this page
CMS RVU26D · Effective 2026-10-01
15786 Lesion abrasion Medicare reimbursement rates in Georgia
Report this service for mechanical abrasion of one discrete lesion, such as a scar or keratosis, at any body site. Compare 15786 office and facility rates across CMS payment localities in Georgia.
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 15786 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$216.39–$236.20
2 of 2 localities have a supported rate.
Facility setting
$115.39–$121.16
2 of 2 localities have a supported rate.
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.
Dermatology procedure
About 15786: Single-lesion abrasion
Report this service for mechanical abrasion of one discrete lesion, such as a scar or keratosis, at any body site.
This service covers localized mechanical abrasion of one discrete lesion, such as a scar or keratosis, rather than resurfacing a broad facial or nonfacial area. A dermatologist or plastic surgeon may perform it in an office or procedure setting to abrade the targeted lesion. The treated lesion’s location does not change the code’s single-lesion scope.
Report one unit for the single lesion and document its site, the clinical indication, and the abrasion performed. Use the additional-lesion code for further lesions. The 10-day global period includes related postoperative visits 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 because this service is selected by lesion count, not paired anatomy. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 15786
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU2.03 · 29%
- Practice expense (office) RVU4.72 · 68%
- Malpractice RVU0.20 · 3%
475
Medicare services in 2024 · #3608 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.
15786 compared with similar codes
Office rates for Georgia, from the same CMS release.
$413.69–$449.41
Use 15783 for superficial dermabrasion at any site. Use 15786 when the service targets one discrete lesion.
$777.70–$842.75
15780 describes dermabrasion of the total face, not abrasion of a single lesion.
$444.19–$484.02
15782 describes dermabrasion of a nonfacial area; 15786 is selected for one discrete lesion at any site.
Compare 15786 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$236.20
Facility
$121.16
Rest Of Georgia →
Office / nonfacility
$216.39
Facility
$115.39
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15786 billing questions
When should I report 15786 rather than 15787?
Report 15786 for abrasion of the first, single lesion. Report 15787 for each additional lesion treated in the same session.
What documentation supports the single-lesion service?
Document the lesion’s location, the reason for treatment, and the abrasion performed. The record should make clear that one discrete lesion was treated.
Can modifier 50 be used for lesions on both sides?
No. Modifier 50 is inappropriate for this code; report according to the number of lesions treated.
Are postoperative visits separately reportable?
Related postoperative visits during the 10-day global period are included in the procedure.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service, and co-surgeon or team-surgery billing is not permitted.
How are other procedures performed 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.
1,55215781,,Dermabrasion segmental face,A,,4.89,10.11,,5.56,,0.58,15.58,11.03,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55315782,,Dermabrasion other than face,A,,4.33,9.48,,4.83,,0.43,14.24,9.59,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55415783,,Dermabrasion suprfl any site,A,,4.30,8.49,,4.46,,0.43,13.22,9.19,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55515786,,Abrasion lesion single,A,,2.03,4.72,,1.33,,0.20,6.95,3.56,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55615787,,Abrasion lesions add-on,A,,0.32,0.60,,0.09,,0.02,0.94,0.43,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55715788,,Chemical peel facial epidrm,R,,2.04,9.17,,3.60,,0.22,11.43,5.86,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55815789,,Chemical peel facial dermal,R,,4.79,10.42,,5.42,,0.50,15.71,10.71,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00