$1,104.52
Choose 15730 for a midface flap with its vascular pedicle preserved; choose 15731 for a forehead flap.
On this page
CMS RVU26D · Effective 2026-10-01
15730 Midface flap Medicare reimbursement rates in Utah
Reports reconstruction using midface tissue transferred to a facial defect while its vascular pedicle remains intact, commonly for cheek reconstruction. Compare 15730 office and facility rates across CMS payment localities in Utah.
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 15730 in Utah?
Utah 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
$1378.43
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$759.60
1 of 1 localities have a supported rate.
Payment area: Utah
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 15730: Midface flap with preserved vascular pedicle
Reports reconstruction using midface tissue transferred to a facial defect while its vascular pedicle remains intact, commonly for cheek reconstruction.
A midface flap moves nearby facial tissue into a defect while preserving its blood supply through an attached vascular pedicle. Plastic surgeons, facial plastic surgeons, and other reconstructive surgeons may use this approach to repair facial defects, including after tumor removal or trauma. The flap is living local tissue, not a detached skin or tissue graft.
Report 15730 when the operative technique and donor site support a midface flap with its vascular pedicle preserved. Documentation should identify the defect, flap location and design, tissue transferred, and preserved blood supply. The service has 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 15730
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.16 · 31%
- Practice expense (office) RVU28.48 · 66%
- Malpractice RVU1.49 · 3%
2.4K
Medicare services in 2024 · #2330 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.
15730 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
15733 describes a muscle, myocutaneous, or fasciocutaneous flap for the head and neck. 15730 is specific to a midface flap.
$1,006.97
15740 describes an island pedicle flap. Select 15730 when the operative flap is specifically a midface flap with its vascular pedicle preserved.
No office rate
15756 is for a free muscle or myocutaneous flap transferred with microvascular technique; 15730 retains the midface flap's vascular pedicle.
Compare 15730 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
Utah →
Office / nonfacility
$1378.43
Facility
$759.60
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 15730 in Utah.
PPRRVU2026_Oct_nonQPP.csv
1,529
- Code
- 15730
- Physician work
- 13.16
- Practice expense
- 28.48
- Malpractice
- 1.49
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.16 | × 1.000 | 13.1600 |
| Practice expense | 28.48 | × 0.940 | 26.7712 |
| Malpractice | 1.49 | × 0.898 | 1.3380 |
| Total RVUs | 41.2692 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$1378.43
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.16 | 1 |
| Practice expense | 28.48 | 0.94 |
| Malpractice | 1.49 | 0.898 |
(13.16 × 1 + 28.48 × 0.94 + 1.49 × 0.898) × $33.4009 = $1378.43
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.16 | 1 |
| Practice expense | 8.77 | 0.94 |
| Malpractice | 1.49 | 0.898 |
(13.16 × 1 + 8.77 × 0.94 + 1.49 × 0.898) × $33.4009 = $759.60
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.
15730 billing questions
How does 15730 differ from a forehead flap?
15730 describes a flap sourced from the midface with its vascular pedicle preserved. Use 15731 when the flap is sourced from the forehead.
Is this a flap or a graft?
It is a flap: transferred midface tissue remains connected to its vascular pedicle. A graft is detached from its blood supply when transferred.
Can modifier 50 be reported for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons are paid only with supporting documentation; team surgery is 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.
1,52615620,,Delay flap f/c/c/n/ax/g/h/f,A,,3.66,9.64,,4.88,,0.58,13.88,9.12,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52715630,,Delay flap eye/nos/ear/lip,A,,3.98,9.55,,4.80,,0.54,14.07,9.32,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52815650,,Transfer skin pedicle flap,A,,4.65,12.13,,5.94,,0.87,17.65,11.46,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,52915730,,Mdfc flap w/prsrv vasc pedcl,A,,13.16,28.48,,8.77,,1.49,43.13,23.42,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53015731,,Forehead flap w/vasc pedicle,A,,14.02,18.22,,10.11,,2.14,34.38,26.27,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53115733,,Musc myoq/fscq flp h&n pedcl,A,,15.29,9.32,NA,9.32,,2.58,27.19,27.19,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53215734,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985