$579.93–$615.62
Choose 15821 when the lower-lid procedure involves an extensive herniated fat pad; 15820 is for lower-lid surgery without that feature.
On this page
CMS RVU26D · Effective 2026-10-01
15820 Lower eyelid surgery Medicare reimbursement rates in Missouri
Reports surgical reshaping of a lower eyelid, generally for redundant skin or age-related fullness, when the documented findings support this level rather than extensive fat-pad treatment. Compare 15820 office and facility rates across CMS payment localities in Missouri.
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 15820 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$536.98–$570.55
3 of 3 localities have a supported rate.
Facility setting
$418.36–$439.55
3 of 3 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 15820 pays more and less in Missouri
3 payment localities
$536.98 to $570.55
Oculoplastic surgery
About 15820: Lower eyelid blepharoplasty
Reports surgical reshaping of a lower eyelid, generally for redundant skin or age-related fullness, when the documented findings support this level rather than extensive fat-pad treatment.
This procedure surgically reshapes the lower eyelid, commonly to address loose or redundant skin and age-related fullness. It is typically performed by an ophthalmic plastic surgeon, plastic surgeon, or other qualified physician in an outpatient operating facility. The operative note should identify the lower eyelid treated and describe the findings and work performed.
Select this code for lower-lid surgery without the extensive herniated fat-pad feature that distinguishes 15821. Document laterality, the clinical indication, relevant skin or contour findings, and the procedure’s extent. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 15820
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU6.11 · 35%
- Practice expense (office) RVU11.02 · 63%
- Malpractice RVU0.48 · 3%
181
Medicare services in 2024 · #4414 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.
15820 compared with similar codes
Office rates for Missouri, from the same CMS release.
$429.11–$457.02
15822 treats the upper eyelid. Use 15820 when the operative site is the lower eyelid.
$578.38–$614.18
15823 addresses excessive skin of the upper eyelid; 15820 is for surgical reshaping of the lower eyelid.
Compare 15820 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$565.37
Facility
$436.15
Metropolitan St. Louis →
Office / nonfacility
$570.55
Facility
$439.55
Rest Of Missouri →
Office / nonfacility
$536.98
Facility
$418.36
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15820 billing questions
How does 15820 differ from 15821?
Use 15820 for lower-lid surgery without an extensive herniated fat pad. The extensive fat-pad feature points to 15821.
Can 15820 be reported for both lower eyelids?
Yes, when both sides are treated. Report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
What should the operative note support?
Document the lower-lid site and laterality, relevant skin or contour findings, clinical indication, and the extent of the work. For selection against 15821, describe whether an extensive herniated fat pad was treated.
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.
1,55815789,,Chemical peel facial dermal,R,,4.79,10.42,,5.42,,0.50,15.71,10.71,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55915792,,Chem peel nonfacial epidrm,R,,1.81,7.85,,3.73,,0.21,9.87,5.75,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,56015793,,Chemical peel nonfacial drm,A,,3.86,9.78,,5.21,,0.45,14.09,9.52,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,56115820,,Blepharoplasty lower eyelid,A,,6.11,11.02,,6.90,,0.48,17.61,13.49,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,56215821,,Blepharp lwr eyelid fat pad,A,,6.67,11.67,,7.16,,0.65,18.99,14.48,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,56315822,,Blepharoplasty upper eyelid,A,,4.50,9.13,,5.66,,0.49,14.12,10.65,0,090,0.10,0.71,0.19,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,56415823,,Blepharp upr eyelid xcsv skn,A,,6.64,11.73,,7.20,,0.58,18.95,14.42,0,090,0.10,0.71,0.19,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00