No office rate
Choose 15740 for an island flap based on its vascular attachment; 15750 describes a neurovascular pedicle flap.
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CMS RVU26D · Effective 2026-10-01
15740 Island flap Medicare reimbursement rates in New Mexico
Reports reconstruction of a tissue defect with an island of skin and underlying tissue moved on its attached vascular pedicle. Compare 15740 office and facility rates across CMS payment localities in New Mexico.
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 15740 in New Mexico?
New Mexico 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
$1011.71
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$738.20
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 15740: Island pedicle flap reconstruction
Reports reconstruction of a tissue defect with an island of skin and underlying tissue moved on its attached vascular pedicle.
The surgeon raises an island of skin with underlying tissue while preserving its vascular attachment, then moves it into a nearby defect. The flap provides tissue for coverage after excision, trauma, or another operation when a graft or simple closure would not adequately reconstruct the site. Plastic, facial plastic, otolaryngology, and hand surgeons may perform this procedure in an operating room or, for selected cases, an office procedure setting.
Report the code when the operative note supports transfer of an island flap on a subcutaneous vascular pedicle, rather than a free flap or a different named pedicle flap. Documentation should identify the defect, flap design and tissue transferred, preserved pedicle, and how the flap was inset. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. CMS restricts assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.
CMS billing rules for 15740
- 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 RVU11.51 · 37%
- Practice expense (office) RVU18.07 · 58%
- Malpractice RVU1.84 · 6%
2.4K
Medicare services in 2024 · #2331 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.
15740 compared with similar codes
Office rates for New Mexico, from the same CMS release.
$1,112.18
15731 identifies a forehead flap, a site-specific option for facial reconstruction. Use 15740 when the documented procedure is an island flap rather than that forehead-flap technique.
$736.95
14040 describes local tissue rearrangement. Choose 15740 when the surgeon transfers an island of tissue while maintaining its vascular pedicle.
Compare 15740 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
New Mexico →
Office / nonfacility
$1011.71
Facility
$738.20
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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 15740 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
1,535
- Code
- 15740
- Physician work
- 11.51
- Practice expense
- 18.07
- Malpractice
- 1.84
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.51 | × 1.000 | 11.5100 |
| Practice expense | 18.07 | × 0.917 | 16.5702 |
| Malpractice | 1.84 | × 1.201 | 2.2098 |
| Total RVUs | 30.2900 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$1011.71
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.51 | 1 |
| Practice expense | 18.07 | 0.917 |
| Malpractice | 1.84 | 1.201 |
(11.51 × 1 + 18.07 × 0.917 + 1.84 × 1.201) × $33.4009 = $1011.71
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.51 | 1 |
| Practice expense | 9.14 | 0.917 |
| Malpractice | 1.84 | 1.201 |
(11.51 × 1 + 9.14 × 0.917 + 1.84 × 1.201) × $33.4009 = $738.20
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.
15740 billing questions
How is an island pedicle flap different from local tissue rearrangement?
Use 15740 when the operative technique transfers an island of tissue on an attached vascular pedicle. Local tissue rearrangement codes describe a different advancement, rotation, or transposition approach.
When would 15750 be a better choice?
Compare the operative technique and the type of pedicle documented. 15750 describes a neurovascular pedicle flap; 15740 describes an island flap carried on its vascular pedicle.
Can modifier 50 be appended for flaps on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor or anatomy.
Does the code include related postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS applies a statutory restriction on assistant-at-surgery payment for 15740 and does not permit co-surgeons or team surgery.
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.
1,53215734,,Muscle-skin graft trunk,A,,22.43,14.11,NA,14.11,,4.98,41.52,41.52,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53315736,,Muscle-skin graft arm,A,,16.61,13.35,NA,13.35,,3.31,33.27,33.27,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53415738,,Muscle-skin graft leg,A,,18.56,12.20,NA,12.20,,3.62,34.38,34.38,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53515740,,Island pedicle flap graft,A,,11.51,18.07,,9.14,,1.84,31.42,22.49,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53615750,,Neurovascular pedicle flap,A,,12.64,10.10,NA,10.10,,2.40,25.14,25.14,0,090,0.10,0.71,0.19,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53715756,,Free myo/skin flap microvasc,A,,36.02,16.83,NA,16.83,,5.89,58.74,58.74,0,090,0.10,0.71,0.19,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53815757,,Free skin flap microvasc,A,,36.22,16.32,NA,16.32,,5.71,58.25,58.25,0,090,0.10,0.71,0.19,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210