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CMS RVU26D · Effective 2026-10-01

15845 Facial repair Medicare reimbursement rates in Indiana

Reconstructive surgery for facial paralysis involving skin and muscle repair, reported when the operative technique addresses the affected facial tissues. Compare 15845 office and facility rates across CMS payment localities in Indiana.

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 15845 in Indiana?

Indiana 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

No supported rate

Facility setting

$892.88

1 of 1 localities have a supported rate.

Payment area: Indiana

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.

Find 15845 in your payment locality →

Plastic surgery

About 15845: Facial paralysis skin and muscle repair

Reconstructive surgery for facial paralysis involving skin and muscle repair, reported when the operative technique addresses the affected facial tissues.

This reconstructive operation addresses facial tissue changes associated with facial paralysis through skin and muscle repair. It is typically performed by a plastic or reconstructive surgeon, or a facial plastic surgeon, in a facility setting. The clinical situation is persistent facial weakness or asymmetry for which the surgeon's operative plan includes repair of the affected facial tissues, rather than a cosmetic lift alone.

Report the code when the operative report supports the facial-paralysis indication and documents the skin and muscle work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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 multiple procedure reduction. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate for this code.

CMS billing rules for 15845

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU13.96 · 48%
  • Practice expense (office) RVU12.42 · 43%
  • Malpractice RVU2.59 · 9%

126

Medicare services in 2024 · #4693 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.

15845 compared with similar codes

Office rates for Indiana, from the same CMS release.

15840

Facial reanimation

Fascial graft

No office rate

Use 15845 when the documented repair involves skin and muscle. Code 15840 represents a different facial-paralysis graft technique.

15841

Facial reanimation

Muscle graft

No office rate

Both concern facial-paralysis reconstruction, but 15841 identifies a muscle-graft approach; select according to the operative method documented.

15842

Nerve graft

Facial paralysis, microsurgical

No office rate

Code 15842 describes microsurgical nerve graft work for facial paralysis. This code is for skin and muscle repair.

Compare 15845 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

Office and facility base rates · shared scale starting at $0

  • Indiana →

    Office / nonfacility

    Unavailable

    Facility

    $892.88

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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 15845 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

1,582

Code
15845
Physician work
13.96
Practice expense
12.42
Malpractice
2.59

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Facility calculation for 15845 in Indiana
ComponentRVULocality factorAdjusted
Physician work13.96× 1.00013.9600
Practice expense12.42× 0.92711.5133
Malpractice2.59× 0.4861.2587
Total RVUs26.7321
Conversion factor× 33.4009

Facility rate, Indiana$892.88

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work13.961
Practice expense12.420.927
Malpractice2.590.486

(13.96 × 1 + 12.42 × 0.927 + 2.59 × 0.486) × $33.4009 = $892.88

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.

15845 billing questions

How is this different from codes 15840–15842?

Choose based on the documented operative technique. This code represents facial-paralysis repair involving skin and muscle; codes 15840–15842 describe other graft approaches for facial paralysis.

Is this a cosmetic rhytidectomy code?

No. It applies to repair associated with facial paralysis, not a cosmetic forehead, cheek, chin, or neck lift.

Does the 90-day global period include postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used for bilateral facial work?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted.

What documentation supports reporting this code?

Document the facial-paralysis indication and the skin and muscle repair performed, including the operative technique and treated anatomy.

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.

RVUs for 15845PPRRVU2026_Oct_nonQPP.csv, line 1,582 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet