No office rate
Both describe ischial ulcer excision with skin-flap closure; this code includes ostectomy, while 15944 does not.
On this page
CMS RVU26D · Effective 2026-10-01
15945 Skin flap closure Medicare reimbursement rates in Oregon
Reports excision of an ischial pressure ulcer with removal of underlying bone and closure using a skin flap, typically for a complex wound. Compare 15945 office and facility rates across CMS payment localities in Oregon.
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 15945 in Oregon?
Oregon 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
$900.59–$956.68
2 of 2 localities have a supported rate.
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.
Pressure ulcer surgery
About 15945: Ischial pressure ulcer excision with skin flap and ostectomy
Reports excision of an ischial pressure ulcer with removal of underlying bone and closure using a skin flap, typically for a complex wound.
This service treats a pressure ulcer over the ischium by excising the ulcer, removing underlying bone, and closing the defect with a skin flap. It is typically performed by a surgeon experienced in wound reconstruction, such as a plastic surgeon, in a hospital setting. The operation is generally used for a deep, complex wound requiring both bone removal and flap coverage; the operative report should identify the ischial site and describe the excision, ostectomy, and flap used.
Report this code when the documented procedure includes all three elements: ulcer excision, ostectomy, and skin-flap closure. A different code may be appropriate when the site, closure method, or inclusion of ostectomy differs. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 15945
- 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
- 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 RVU13.41 · 48%
- Practice expense (office) RVU11.85 · 43%
- Malpractice RVU2.49 · 9%
86
Medicare services in 2024 · #4988 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.
15945 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
Both include ischial ulcer excision and ostectomy. Choose 15941 when the defect is closed with primary suture rather than a skin flap.
No office rate
This code specifies skin-flap closure. Code 15946 is for an ischial ulcer closed with a muscle or myocutaneous flap.
No office rate
Both include skin-flap closure and ostectomy, but 15935 is for a sacral ulcer; this code is for an ischial ulcer.
Compare 15945 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
Portland →
Office / nonfacility
Unavailable
Facility
$956.68
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$900.59
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15945 billing questions
When should this code be chosen over 15944?
Use this code when ostectomy is performed along with excision of the ischial ulcer and skin-flap closure. Code 15944 describes the skin-flap approach without the ostectomy element.
Can the ostectomy or flap closure be reported separately?
The code describes the combined ulcer excision, ostectomy, and skin-flap closure service. Do not separately report one of those elements as though it were outside the described operation.
Does modifier 50 apply when both sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting this code?
The operative report should identify the ischial pressure ulcer and document its excision, removal of underlying bone, and closure with a skin flap.
How are assistant surgeons and co-surgeons handled?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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.
1,60115940,,Exc ischial pr ulc prim sutr,A,,9.95,7.67,NA,7.67,,2.27,19.89,19.89,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60215941,,Exc isch pr ulc prm sut ostc,A,,12.10,11.58,NA,11.58,,2.25,25.93,25.93,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60315944,,Exc isch pr ulc skn flp clsr,A,,12.13,11.10,NA,11.10,,2.25,25.48,25.48,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60415945,,Exc isch pr ulc skn flp ostc,A,,13.41,11.85,NA,11.85,,2.49,27.75,27.75,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60515946,,Exc isch pr ulc prep mus flp,A,,23.52,15.33,NA,15.33,,4.88,43.73,43.73,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60615950,,Exc trchntr pr ulc prim sutr,A,,7.83,8.34,NA,8.34,,1.45,17.62,17.62,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60715951,,Exc trchntr pr ulc ostc,A,,11.29,11.28,NA,11.28,,2.09,24.66,24.66,0,090,0.10,0.71,0.19,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00