No office rate
Choose 15840 for a fascia-graft procedure for nerve palsy; 15841 is the muscle-graft approach.
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CMS RVU26D · Effective 2026-10-01
15841 Facial reanimation Medicare reimbursement rates in Illinois
Reports muscle grafting or transfer to address facial nerve palsy, restoring facial movement or improving symmetry through reconstructive surgery. Compare 15841 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 15841 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
No supported rate
Facility setting
$1619.22–$1793.40
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 15841 pays more and less in Illinois
Reconstructive surgery
About 15841: Muscle graft for facial nerve palsy
Reports muscle grafting or transfer to address facial nerve palsy, restoring facial movement or improving symmetry through reconstructive surgery.
This operation uses muscle tissue to improve facial movement or symmetry affected by facial nerve palsy. A reconstructive or plastic surgeon typically performs the procedure in an operating room, transferring or grafting muscle as part of facial reanimation. The operative approach and donor muscle depend on the patient’s paralysis and the reconstruction planned; the service is distinct from a fascia graft or a microsurgical muscle graft.
Report 15841 when the documented procedure is the muscle-graft approach for nerve palsy. The operative report should identify the palsy, the muscle tissue used, the recipient area, and the reconstructive work performed. 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 the same session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 15841
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU25.34 · 54%
- Practice expense (office) RVU17.28 · 37%
- Malpractice RVU4.71 · 10%
21
Medicare services in 2024 · #5883 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.
15841 compared with similar codes
Office rates for Illinois, from the same CMS release.
No office rate
Choose 15842 when the nerve-palsy graft uses a microsurgical approach; 15841 describes the muscle-graft approach.
$849.44–$931.41
67912 treats lagophthalmos with an eyelid procedure. It is not the muscle-graft facial reanimation service reported with 15841.
Compare 15841 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
Unavailable
Facility
$1793.40
East St. Louis →
Office / nonfacility
Unavailable
Facility
$1694.21
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$1619.22
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$1723.82
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15841 billing questions
How is 15841 distinguished from 15840?
15841 is the muscle-graft approach for nerve palsy. Code 15840 describes the fascia-graft approach; select based on the tissue and procedure documented.
When is 15842 more appropriate?
Use 15842 for the microsurgical graft approach for nerve palsy. The operative report should support that technique rather than a non-microsurgical muscle graft.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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.
1,57715838,,Exc excsv submental fat pad,A,,8.04,8.44,NA,8.44,,1.48,17.96,17.96,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,57815839,,Exc excessive skn other area,A,,10.24,16.54,,8.25,,1.93,28.71,20.42,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,57915840,,Nerve palsy fascial graft,A,,14.62,9.65,NA,9.65,,2.27,26.54,26.54,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,58015841,,Nerve palsy muscle graft,A,,25.34,17.28,NA,17.28,,4.71,47.33,47.33,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,58115842,,Nerve palsy microsurg graft,A,,39.98,23.36,NA,23.36,,7.43,70.77,70.77,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,58215845,,Skin and muscle repair face,A,,13.96,12.42,NA,12.42,,2.59,28.97,28.97,0,090,0.10,0.71,0.19,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,58315847,,Exc skin abd add-on,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00