$931.17
Use 15570 for a pedicle flap involving the trunk; use 15572 for an arm or leg.
On this page
CMS RVU26D · Effective 2026-10-01
15572 Skin flap Medicare reimbursement rates in Ohio
Reports formation of a skin pedicle flap for coverage of an arm or leg defect, whether or not the flap is transferred during the session. Compare 15572 office and facility rates across CMS payment localities in Ohio.
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 15572 in Ohio?
Ohio 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
$887.52
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$646.00
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
Plastic and reconstructive surgery
About 15572: Pedicle flap, arm or leg
Reports formation of a skin pedicle flap for coverage of an arm or leg defect, whether or not the flap is transferred during the session.
A surgeon raises a skin flap while maintaining its vascular attachment, creating a direct or tubed pedicle for reconstruction of an arm or leg defect. The service may be used for soft-tissue coverage after limb trauma, excision, or tissue loss. Plastic and reconstructive surgeons commonly perform these procedures; hand or orthopedic surgeons may perform them when reconstructing limb defects.
Select this code when the flap service is for an arm or leg, and document the defect, flap design, donor and recipient sites, and whether transfer occurred. The CMS global period is 90 days: the day-before preoperative visit and related postoperative care through day 90 are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Medicare assistant-at-surgery payment is barred by statutory restriction; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 15572
- 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 RVU9.87 · 35%
- Practice expense (office) RVU16.35 · 58%
- Malpractice RVU1.76 · 6%
594
Medicare services in 2024 · #3402 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.
15572 compared with similar codes
Office rates for Ohio, from the same CMS release.
$834.44
Use 15574 for its specified non-limb regions, such as the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot.
$755.62
Use 15576 for eyelid, nose, ear, lip, or intraoral sites rather than an arm or leg.
Compare 15572 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
Ohio →
Office / nonfacility
$887.52
Facility
$646.00
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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 15572 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
1,521
- Code
- 15572
- Physician work
- 9.87
- Practice expense
- 16.35
- Malpractice
- 1.76
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.87 | × 1.000 | 9.8700 |
| Practice expense | 16.35 | × 0.913 | 14.9276 |
| Malpractice | 1.76 | × 1.008 | 1.7741 |
| Total RVUs | 26.5716 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$887.52
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.87 | 1 |
| Practice expense | 16.35 | 0.913 |
| Malpractice | 1.76 | 1.008 |
(9.87 × 1 + 16.35 × 0.913 + 1.76 × 1.008) × $33.4009 = $887.52
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.87 | 1 |
| Practice expense | 8.43 | 0.913 |
| Malpractice | 1.76 | 1.008 |
(9.87 × 1 + 8.43 × 0.913 + 1.76 × 1.008) × $33.4009 = $646.00
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.
15572 billing questions
How do I distinguish this code from 15570 or 15574?
Choose by the anatomical region involved: this code is for an arm or leg, while 15570 is for the trunk and 15574 covers other specified regions.
Can this code be reported when the flap is formed but not transferred?
Yes. The service includes flap formation whether or not transfer takes place during that session.
What should the operative report document?
Document the limb defect, flap design and vascular attachment, donor and recipient sites, and whether the flap was transferred.
How does the 90-day global period affect related care?
The day-before preoperative visit and related postoperative care through day 90 are included in the global period.
Can an assistant or co-surgeon be billed for this procedure?
Medicare assistant-at-surgery payment is barred by statutory restriction. Co-surgeon and team-surgery billing 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.
1,51815277,,Skn sub grft f/n/hf/g child,A,,3.90,6.20,,1.30,,0.71,10.81,5.91,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51915278,,Skn sub grft f/n/hf/g ch add,A,,0.98,1.85,,0.28,,0.20,3.03,1.46,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52015570,,Skin pedicle flap trunk,A,,9.95,17.44,,8.20,,1.99,29.38,20.14,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52115572,,Skin pedicle flap arms/legs,A,,9.87,16.35,,8.43,,1.76,27.98,20.06,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52215574,,Pedcle fh/ch/ch/m/n/ax/g/h/f,A,,10.43,14.25,,7.19,,1.53,26.21,19.15,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52315576,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703