This code is for a defined facial segment; 15780 is used when dermabrasion treats the entire face.
On this page
CMS RVU26D · Effective 2026-10-01
15781 Dermabrasion Medicare reimbursement rates in Illinois
Reports mechanical resurfacing of a defined facial area, such as treatment of selected facial scarring, rather than resurfacing the entire face. Compare 15781 office and facility rates across CMS payment localities in Illinois.
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 15781 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
$501.91–$548.31
4 of 4 localities have a supported rate.
Facility setting
$363.16–$395.57
4 of 4 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.
Where 15781 pays more and less in Illinois
4 payment localities
$501.91 to $548.31
Dermatology procedure
About 15781: Segmental facial dermabrasion
Reports mechanical resurfacing of a defined facial area, such as treatment of selected facial scarring, rather than resurfacing the entire face.
This service mechanically resurfaces a limited, defined portion of facial skin. Dermatologists and plastic surgeons may use it for localized facial scarring, including acne scars, when the treatment plan targets a segment rather than the whole face. The procedure is distinct from superficial abrasion of an individual lesion and from chemical resurfacing, which uses a peeling agent rather than an abrasive technique.
Select the code based on the treated area and method: a segment of the face, not the entire face or a nonfacial site. The operative note should identify the indication, facial area treated, extent of resurfacing, and technique. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeon and team-surgery payment is not permitted.
CMS billing rules for 15781
- 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 RVU4.89 · 31%
- Practice expense (office) RVU10.11 · 65%
- Malpractice RVU0.58 · 4%
289
Medicare services in 2024 · #4021 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.
15781 compared with similar codes
Office rates for Illinois, from the same CMS release.
Use 15782 for dermabrasion at a nonfacial site. This code applies to a segment of the face.
15783 identifies superficial dermabrasion at any site. Choose this code for segmental facial treatment when the service is not classified as superficial.
Chemical peel facial epidrm
15788 describes facial epidermal chemical resurfacing. This code represents mechanical dermabrasion of a facial segment.
Compare 15781 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
$548.31
Facility
$395.57
East St. Louis →
Office / nonfacility
$513.02
Facility
$373.20
Rest Of Illinois →
Office / nonfacility
$501.91
Facility
$363.16
Suburban Chicago →
Office / nonfacility
$545.60
Facility
$389.52
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15781 billing questions
How does this differ from total-face dermabrasion?
Use this code when resurfacing is limited to a segment of the face. Total-face resurfacing is reported with 15780.
Can modifier 50 be used for treatment on both sides of the face?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is statutorily restricted. Co-surgeons and team surgery are not permitted for this code under the CMS rules provided.
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.
