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CMS RVU26D · Effective 2026-10-01

15834 Skin excision Medicare reimbursement rates in New Jersey

Surgical removal of redundant skin and associated tissue at the hip, commonly performed for body contouring after substantial weight loss. Compare 15834 office and facility rates across CMS payment localities in New Jersey.

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 15834 in New Jersey?

New Jersey 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

$866.06–$896.32

2 of 2 localities have a supported rate.

Lowest: Rest Of New Jersey

Highest: Northern Nj

A spread of $30.26 per service.

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 15834 in your payment locality →

Plastic surgery

About 15834: Excision of excessive hip skin

Surgical removal of redundant skin and associated tissue at the hip, commonly performed for body contouring after substantial weight loss.

Code 15834 describes surgery to remove redundant skin and associated superficial tissue from the hip region. Plastic surgeons commonly perform it in an operating room for patients with substantial skin laxity, including after major weight loss. The procedure addresses the hip site; excess tissue confined to the thigh, buttock, or abdomen is classified by its own anatomic code. A circumferential body-contouring operation may involve more than one of these areas.

Report the hip service when the operative documentation identifies the hip as the treated site and supports the extent of excision. Document the clinical context, findings, and work performed, especially when distinct adjacent areas are also treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 15834

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 RVU11.87 · 49%
  • Practice expense (office) RVU10.24 · 42%
  • Malpractice RVU2.19 · 9%

27

Medicare services in 2024 · #5723 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.

15834 compared with similar codes

Office rates for New Jersey, from the same CMS release.

15832

Thigh lift

Excess skin excision

No office rate

Use 15832 when the excision is at the thigh; use 15834 when the treated site is the hip.

15835

Skin excision

Buttock

No office rate

Use 15835 for excision at the buttock rather than the hip region.

15830

Exc excessive skin abdomen

No office rate

Use 15830 for excessive skin excision of the abdomen, not the hip.

15839

Excess skin excision

Other anatomical area

$1,029.70–$1,073.26

Use 15839 for an excision site not otherwise named in the series; 15834 specifically identifies the hip.

Compare 15834 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

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

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15834 billing questions

How do I distinguish this code from the thigh or buttock codes?

Select the code for the anatomic site actually treated. Use 15834 for the hip region, rather than assigning hip tissue to the thigh or buttock code based only on proximity.

Can hip excision be reported with excision at another body site?

It may be reported with a separately performed procedure on a distinct site, such as the abdomen or buttock, when the operative report clearly documents each area and service. CMS applies the multiple-procedure reduction when procedures are performed in the same session.

How should bilateral hip treatment be reported?

CMS identifies this as a bilateral procedure; report both sides with modifier 50. The bilateral payment rule is 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 or co-surgeon be billed?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules for this code.

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 15834PPRRVU2026_Oct_nonQPP.csv, line 1,573 (RVU26D)