No office rate
15835 identifies buttock skin excision; 15834 identifies the hip as the treated site. Use the documented operative site to distinguish them.
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CMS RVU26D · Effective 2026-10-01
15835 Skin excision Medicare reimbursement rates in Kansas
Removal of redundant skin from the buttock is reported when the operative work is directed to excess skin at this specific anatomic site. Compare 15835 office and facility rates across CMS payment localities in Kansas.
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 15835 in Kansas?
Kansas 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
$772.85
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Plastic surgery
About 15835: Excision of excessive buttock skin
Removal of redundant skin from the buttock is reported when the operative work is directed to excess skin at this specific anatomic site.
CPT 15835 describes an operation to remove excessive skin from the buttock. Plastic surgeons commonly perform this work for redundant tissue that affects the buttock’s contour, including after substantial weight loss. The operative report should identify the buttock as the treated site and describe the skin excised and the procedure performed. This code is site-specific; excess skin removed from a separately treated hip or thigh is represented by a different code in the same family.
Report the code for the buttock work performed, supported by the operative documentation. It has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When 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. Modifier 50 is inappropriate for this code. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 15835
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.67 · 50%
- Practice expense (office) RVU10.27 · 41%
- Malpractice RVU2.35 · 9%
11
Medicare services in 2024 · #6157 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.
15835 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
15832 is for excessive skin of the thigh. Report 15835 when the excision is on the buttock.
$873.93
15839 covers excessive skin in another area. The buttock has its own site-specific code, 15835.
15830
No office rateExc excessive skin abdomen
15830 identifies abdominal skin excision, not buttock excision. Choose based on the site documented in the operative report.
Compare 15835 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
Kansas →
Office / nonfacility
Unavailable
Facility
$772.85
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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 15835 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
1,574
- Code
- 15835
- Physician work
- 12.67
- Practice expense
- 10.27
- Malpractice
- 2.35
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.67 | × 1.000 | 12.6700 |
| Practice expense | 10.27 | × 0.904 | 9.2841 |
| Malpractice | 2.35 | × 0.504 | 1.1844 |
| Total RVUs | 23.1385 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$772.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.67 | 1 |
| Practice expense | 10.27 | 0.904 |
| Malpractice | 2.35 | 0.504 |
(12.67 × 1 + 10.27 × 0.904 + 2.35 × 0.504) × $33.4009 = $772.85
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.
15835 billing questions
How do I distinguish this code from the hip or thigh skin-excision codes?
Use 15835 when the excision is on the buttock. The hip and thigh have separate site-specific codes, 15834 and 15832.
Can modifier 50 be used for both buttocks?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
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, and other procedures are subject to the standard multiple-procedure reduction.
When is an assistant at surgery payable?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 15835?
The operative report should identify the buttock as the treated site and describe the redundant skin removed and the work performed.
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.
1,57115832,,Exc excessive skin thigh,A,,12.53,10.33,NA,10.33,,2.36,25.22,25.22,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,57215833,,Exc excessive skin leg,A,,11.60,10.14,NA,10.14,,2.15,23.89,23.89,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,57315834,,Exc excessive skin hip,A,,11.87,10.24,NA,10.24,,2.19,24.30,24.30,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,57415835,,Exc excessive skin buttock,A,,12.67,10.27,NA,10.27,,2.35,25.29,25.29,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,57515836,,Exc excessive skin arm,A,,10.34,9.56,NA,9.56,,1.92,21.82,21.82,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,57615837,,Exc excsv skin forearm/hand,A,,9.31,17.02,,8.67,,1.73,28.06,19.71,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,57715838,,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
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958