CPT 15750
Global 090 ActiveNeurovascular pedicle flap
CPT 15750 Billing & Documentation Guide
CPT code 15750 (Neurovascular pedicle flap) is classified under Anesthesia with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 12.64, a non-facility practice expense RVU of 10.1, and a malpractice RVU of 2.4, a total non-facility RVU of 25.14 and facility RVU of 25.14. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $851.5, though rates vary from $753.25 to $1036.73 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 15750, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 15750 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 15750 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 15750
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 12.64 | 12.64 |
| Practice Expense RVU | 10.1 | 10.1 |
| Malpractice RVU | 2.4 | 2.4 |
| Total RVU | 25.14 | 25.14 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 15750
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $879.97 | $879.97 | $842.07 - $998.05 | 29 |
| Florida | $916.71 | $916.71 | $865.18 - $976.1 | 3 |
| Georgia | $840.57 | $840.57 | $818.66 - $862.48 | 2 |
| Illinois | $902.82 | $902.82 | $855.48 - $948.15 | 4 |
| Michigan | $851.79 | $851.79 | $820.69 - $882.88 | 2 |
| North Carolina | $788.16 | $788.16 | $788.16 - $788.16 | 1 |
| New York | $927.53 | $927.53 | $799.02 - $999.18 | 5 |
| Ohio | $810.99 | $810.99 | $810.99 - $810.99 | 1 |
| Pennsylvania | $842.12 | $842.12 | $807.63 - $876.6 | 2 |
| Texas | $831.09 | $831.09 | $803.65 - $870.86 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 15750
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 15750 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01951 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01952 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 15750
What does CPT code 15750 mean? +
CPT code 15750 represents: Neurovascular pedicle flap. It's in the Anesthesia category with a global period of 090.
What is the Medicare reimbursement for CPT 15750? +
The 2026 Medicare national average non-facility payment for CPT 15750 is $851.5. Rates range from $753.25 to $1036.73 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 15750? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 15750? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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