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CMS RVU26D · Effective 2026-10-01

15823 Upper eyelid surgery Medicare reimbursement rates in Nevada

Reports upper eyelid surgery to remove excess skin that weighs down the lid, typically when documented functional impairment supports the procedure. Compare 15823 office and facility rates across CMS payment localities in Nevada.

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 15823 in Nevada?

Nevada 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

$630.10

1 of 1 localities have a supported rate.

Payment area: Nevada**

One mapped payment locality.

Facility setting

$478.65

1 of 1 localities have a supported rate.

Payment area: Nevada**

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.

Find 15823 in your payment locality →

Oculoplastic surgery

About 15823: Upper eyelid blepharoplasty for functional skin excess

Reports upper eyelid surgery to remove excess skin that weighs down the lid, typically when documented functional impairment supports the procedure.

This procedure removes excess upper eyelid skin that hangs over or weighs down the lid. Ophthalmologists, oculoplastic surgeons, and plastic surgeons commonly perform it for patients with functional concerns such as restricted superior vision from drooping eyelid skin. It may be performed in an office-based surgical setting or an operating room, depending on the case and setting.

Choose this code when the record supports excess upper-lid skin affecting function, rather than an upper eyelid procedure without that feature. Document the eyelid findings and the functional impact; examination findings and visual-field information may support medical necessity. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

CMS billing rules for 15823

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
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 RVU6.64 · 35%
  • Practice expense (office) RVU11.73 · 62%
  • Malpractice RVU0.58 · 3%

108.4K

Medicare services in 2024 · #532 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.

15823 compared with similar codes

Office rates for Nevada, from the same CMS release.

15822

Upper eyelid surgery

Without lid-weighting excess skin

$469.19

Choose 15823 when excess upper-lid skin weighs down the lid; 15822 is the upper eyelid sibling without that distinguishing feature.

15820

Lower eyelid surgery

Lower eyelid

$585.88

15820 is for lower eyelid surgery. Use 15823 for the upper eyelid when excess skin affects lid function.

15821

Lower eyelid surgery

Prominent fat-pad prolapse

$631.05

15821 concerns lower eyelid surgery involving a prominent fat pad; 15823 addresses functionally significant excess skin of the upper eyelid.

Compare 15823 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

Office and facility base rates · shared scale starting at $0

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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 15823 in Nevada**.

PPRRVU2026_Oct_nonQPP.csv

1,564

Code
15823
Physician work
6.64
Practice expense
11.73
Malpractice
0.58

GPCI2026.csv

73

Locality
Nevada**
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office / nonfacility calculation for 15823 in Nevada**
ComponentRVULocality factorAdjusted
Physician work6.64× 1.0006.6400
Practice expense11.73× 1.00111.7417
Malpractice0.58× 0.8330.4831
Total RVUs18.8649
Conversion factor× 33.4009

Office / nonfacility rate, Nevada**$630.10

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.641
Practice expense11.731.001
Malpractice0.580.833

(6.64 × 1 + 11.73 × 1.001 + 0.58 × 0.833) × $33.4009 = $630.10

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.641
Practice expense7.21.001
Malpractice0.580.833

(6.64 × 1 + 7.2 × 1.001 + 0.58 × 0.833) × $33.4009 = $478.65

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.

15823 billing questions

How does this differ from 15822?

Use 15823 when excess upper-lid skin weighs down the lid. Code 15822 describes upper eyelid surgery without that distinguishing feature.

What documentation supports reporting 15823?

Document the excess upper-lid skin, the effect on eyelid function, and relevant clinical findings. Visual-field information may help show the functional impact.

Can 15823 be reported with lower eyelid surgery?

It may be reported with a separately performed lower eyelid procedure when both services are supported. The multiple procedure reduction applies when procedures are performed in the same session.

How is bilateral 15823 reported?

Report bilateral surgery with modifier 50. CMS pays the bilateral procedure at 150%.

Are an assistant surgeon or co-surgeon payable?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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.

RVUs for 15823PPRRVU2026_Oct_nonQPP.csv, line 1,564 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet