No office rate
Both are for coccygeal pressure ulcers. Select 15922 for flap closure and 15920 for primary suture closure.
On this page
CMS RVU26D · Effective 2026-10-01
15922 Pressure ulcer excision Medicare reimbursement rates in Maine
Excision of a coccygeal pressure ulcer with flap closure is reported when reconstruction uses a flap rather than direct primary suturing. Compare 15922 office and facility rates across CMS payment localities in Maine.
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 15922 in Maine?
Maine 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
No supported rate
Facility setting
$680.98–$705.00
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.
Wound surgery
About 15922: Coccygeal ulcer excision with flap
Excision of a coccygeal pressure ulcer with flap closure is reported when reconstruction uses a flap rather than direct primary suturing.
This operation removes a pressure ulcer over the coccyx, or tailbone, and closes the resulting defect with a flap. It is typically performed by a surgeon, such as a plastic or reconstructive surgeon, for a patient with a pressure wound requiring operative excision and tissue coverage. The service is generally provided in an operating room, often in a hospital setting.
Report 15922 when the ulcer is coccygeal and closure is by flap; documentation should establish the ulcer site, excision, and flap closure. The code carries 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 procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 15922
- 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 RVU10.12 · 46%
- Practice expense (office) RVU9.89 · 45%
- Malpractice RVU1.88 · 9%
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.
15922 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
This code describes sacral pressure ulcer excision with skin flap closure; 15922 is for the coccygeal site.
No office rate
This code is for sacral ulcer excision with preparation of a muscle flap. 15922 describes coccygeal ulcer excision with flap closure.
Compare 15922 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
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$680.98
Southern Maine →
Office / nonfacility
Unavailable
Facility
$705.00
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15922 billing questions
How does 15922 differ from 15920?
Both describe excision of a coccygeal pressure ulcer. Use 15922 when the defect is closed with a flap; 15920 describes primary suture closure.
Does this code include flap closure?
Yes. The flap closure is part of the service represented by 15922; documentation should identify the flap reconstruction performed.
Which code applies to a sacral pressure ulcer?
Choose a sacral ulcer code, such as 15934 for sacral ulcer excision with skin flap closure. Code 15922 is for the coccygeal site.
Can modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
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.
1,59115878,,Suction lipectomy upr extrem,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59215879,,Suction lipectomy lwr extrem,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59315920,,Exc coccygl pr ulc prim sutr,A,,8.08,8.57,NA,8.57,,2.16,18.81,18.81,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59415922,,Exc coccygl pr ulc flap clsr,A,,10.12,9.89,NA,9.89,,1.88,21.89,21.89,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59515931,,Exc sacral pr ulc prim sutr,A,,9.82,7.93,NA,7.93,,2.41,20.16,20.16,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59615933,,Exc sac pr ulc prim str ostc,A,,11.48,10.51,NA,10.51,,2.65,24.64,24.64,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,59715934,,Exc sacral pr ulc skn flap,A,,13.34,10.78,NA,10.78,,2.48,26.60,26.60,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00