$332.44
Both describe recipient-site preparation, but 15002 applies to the trunk, arms, and legs. Select 15004 for the face, head and neck, genitalia, hands, feet, or multiple digits.
On this page
CMS RVU26D · Effective 2026-10-01
15004 Wound preparation Medicare reimbursement rates in Nebraska
Reports surgical preparation of a wound recipient site on specified complex body areas before grafting or reconstruction, measured by the prepared area. Compare 15004 office and facility rates across CMS payment localities in Nebraska.
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 15004 in Nebraska?
Nebraska 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
$373.55
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$211.39
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Reconstructive surgery
About 15004: Recipient site preparation, complex anatomic sites
Reports surgical preparation of a wound recipient site on specified complex body areas before grafting or reconstruction, measured by the prepared area.
This service prepares a wound bed on the face, scalp, eyelids, mouth, neck, ears, around the eyes, genitalia, hands, feet, or multiple digits. The surgeon excises nonviable wound tissue, burn eschar, or scar, including involved subcutaneous tissue, to create a suitable recipient site for reconstruction. Plastic surgeons, burn surgeons, and other surgeons performing reconstruction may provide it in an operating room or another appropriate procedural setting. The code represents site preparation, not placement of a graft or other reconstructive material.
Report 15004 for the first 100 sq cm, or the applicable 1% body-surface-area unit for infants and children; use 15005 for each additional unit. Document the anatomic site, prepared area, tissue removed, and the operative work that created the recipient bed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 15004
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 RVU4.47 · 37%
- Practice expense (office) RVU7.02 · 58%
- Malpractice RVU0.62 · 5%
42K
Medicare services in 2024 · #852 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.
15004 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$112.82
15004 covers the initial area unit at its specified sites. Use 15005 for each additional area unit, not as a replacement for the initial-unit code.
$802.59
15004 prepares the recipient bed by excising wound tissue, eschar, or scar. 15120 represents split-thickness skin graft placement at specified anatomic sites.
Compare 15004 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
Nebraska →
Office / nonfacility
$373.55
Facility
$211.39
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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 15004 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
1,468
- Code
- 15004
- Physician work
- 4.47
- Practice expense
- 7.02
- Malpractice
- 0.62
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.47 | × 1.000 | 4.4700 |
| Practice expense | 7.02 | × 0.923 | 6.4795 |
| Malpractice | 0.62 | × 0.378 | 0.2344 |
| Total RVUs | 11.1838 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$373.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.47 | 1 |
| Practice expense | 7.02 | 0.923 |
| Malpractice | 0.62 | 0.378 |
(4.47 × 1 + 7.02 × 0.923 + 0.62 × 0.378) × $33.4009 = $373.55
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.47 | 1 |
| Practice expense | 1.76 | 0.923 |
| Malpractice | 0.62 | 0.378 |
(4.47 × 1 + 1.76 × 0.923 + 0.62 × 0.378) × $33.4009 = $211.39
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.
15004 billing questions
When should 15004 be chosen instead of 15002?
Use 15004 for recipient-site preparation on the face, scalp, eyelids, mouth, neck, ears, around the eyes, genitalia, hands, feet, or multiple digits. Code 15002 is for the corresponding preparation on the trunk, arms, or legs.
How is additional prepared area reported?
Report 15004 for the initial area unit and 15005 for each additional 100 sq cm, or applicable additional 1% body-surface-area unit for infants and children. The operative report should support the measured area.
Does 15004 include placement of a skin graft?
No. It represents preparation of the recipient bed, not graft placement. When a graft is also placed, the graft service is represented by its applicable graft code.
Can modifier 50 be used for preparation on both sides?
No. CMS identifies bilateral adjustment as inappropriate for 15004. Report the service according to the prepared area and applicable code-family instructions.
What same-day care is included in the payment?
The 0-day global period includes same-day preoperative and postoperative care. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are 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.
1,4651494F,,Cognit assessed and reviewed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,46615002,,Wound prep trk/arm/leg,A,,3.56,6.66,,1.69,,0.65,10.87,5.90,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,46715003,,Wound prep addl 100 cm,A,,0.78,1.28,,0.23,,0.18,2.24,1.19,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,46815004,,Wound prep f/n/hf/g,A,,4.47,7.02,,1.76,,0.62,12.11,6.85,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,46915005,,Wnd prep f/n/hf/g addl cm,A,,1.56,1.83,,0.44,,0.34,3.73,2.34,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,4701500F,,Symptom&sign symm polyneuro,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,47115011,,Hrv skn cll ssp agrft 1st 25,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068