$342.97
15600 is for flap delay or sectioning on the trunk. Use 15620 when the flap site is the face, scalp, neck, axilla, genitalia, hand, or foot.
On this page
CMS RVU26D · Effective 2026-10-01
15620 Flap delay Medicare reimbursement rates in Nebraska
Reports staged delay or division and inset of a flap involving the face, scalp, neck, axilla, genitalia, hand, or foot. Compare 15620 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 15620 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
$426.76
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$280.02
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 15620: Regional flap delay or sectioning
Reports staged delay or division and inset of a flap involving the face, scalp, neck, axilla, genitalia, hand, or foot.
This code covers a staged operation that delays a flap’s blood supply or sections a previously created flap, with division and inset. The covered sites are the face, scalp, neck, axilla, genitalia, hands, and feet. Plastic and reconstructive surgeons commonly perform this work in an operating room as part of staged reconstruction, such as preparing local tissue for later movement or completing a flap stage.
Select the code by the flap’s anatomic site, distinguishing these locations from the trunk, arms or legs, and eyelids, nose, ears, or lips. The operative report should identify the flap and site and describe the delay or sectioning, division, and inset performed. This major surgery code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 15620
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.66 · 26%
- Practice expense (office) RVU9.64 · 69%
- Malpractice RVU0.58 · 4%
666
Medicare services in 2024 · #3307 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.
15620 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$360.00
15610 covers flap delay or sectioning on the arms or legs; 15620 covers its specified non-limb sites, including the hands and feet.
$434.17
15630 is for eyelid, nose, ear, or lip flap work. Other facial sites, as well as scalp, neck, axilla, genitalia, hands, and feet, fit 15620.
$540.25
15650 describes transfer of a skin pedicle flap. 15620 describes delaying or sectioning a flap, including division and inset, at its specified sites.
Compare 15620 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
$426.76
Facility
$280.02
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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 15620 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
1,526
- Code
- 15620
- Physician work
- 3.66
- Practice expense
- 9.64
- Malpractice
- 0.58
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.66 | × 1.000 | 3.6600 |
| Practice expense | 9.64 | × 0.923 | 8.8977 |
| Malpractice | 0.58 | × 0.378 | 0.2192 |
| Total RVUs | 12.7770 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$426.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.66 | 1 |
| Practice expense | 9.64 | 0.923 |
| Malpractice | 0.58 | 0.378 |
(3.66 × 1 + 9.64 × 0.923 + 0.58 × 0.378) × $33.4009 = $426.76
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.66 | 1 |
| Practice expense | 4.88 | 0.923 |
| Malpractice | 0.58 | 0.378 |
(3.66 × 1 + 4.88 × 0.923 + 0.58 × 0.378) × $33.4009 = $280.02
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.
15620 billing questions
When is 15620 used instead of 15630?
Use 15620 for flap work involving the face, scalp, neck, axilla, genitalia, hands, or feet. Eyelid, nose, ear, or lip flap work falls under 15630.
How does 15620 differ from 15610?
The distinction is the flap site: 15620 covers the face, scalp, neck, axilla, genitalia, hands, and feet; 15610 covers the arms or legs.
Is flap transfer included in 15620?
15620 describes flap delay or sectioning with division and inset at the listed sites. Code 15650 describes transfer of a skin pedicle flap and represents a different service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 15620 paid with other procedures in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 15620. 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.
1,52315576,,Pedicle e/n/e/l/ntroral,A,,9.14,13.52,,6.60,,1.13,23.79,16.87,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52415600,,Delay flap trunk,A,,1.96,8.85,,4.04,,0.37,11.18,6.37,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52515610,,Delay flap arms/legs,A,,2.46,8.84,,4.17,,0.42,11.72,7.05,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52615620,,Delay flap f/c/c/n/ax/g/h/f,A,,3.66,9.64,,4.88,,0.58,13.88,9.12,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52715630,,Delay flap eye/nos/ear/lip,A,,3.98,9.55,,4.80,,0.54,14.07,9.32,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52815650,,Transfer skin pedicle flap,A,,4.65,12.13,,5.94,,0.87,17.65,11.46,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52915730,,Mdfc flap w/prsrv vasc pedcl,A,,13.16,28.48,,8.77,,1.49,43.13,23.42,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,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