CPT 15757
Global 090 ActiveFree skin flap microvasc
CPT 15757 Billing & Documentation Guide
CPT code 15757 (Free skin flap microvasc) is classified under Anesthesia with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 36.22, a non-facility practice expense RVU of 16.32, and a malpractice RVU of 5.71, a total non-facility RVU of 58.25 and facility RVU of 58.25. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1966.65, though rates vary from $1776.24 to $2500.29 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 15757, 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 15757 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 15757 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 15757
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 36.22 | 36.22 |
| Practice Expense RVU | 16.32 | 16.32 |
| Malpractice RVU | 5.71 | 5.71 |
| Total RVU | 58.25 | 58.25 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 15757
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 | $2001.56 | $2001.56 | $1930 - $2231.12 | 29 |
| Florida | $2127.97 | $2127.97 | $2017.55 - $2259.56 | 3 |
| Georgia | $1959.82 | $1959.82 | $1923.35 - $1996.29 | 2 |
| Illinois | $2105.18 | $2105.18 | $2005.55 - $2203.78 | 4 |
| Michigan | $1990.07 | $1990.07 | $1922.78 - $2057.36 | 2 |
| North Carolina | $1840.23 | $1840.23 | $1840.23 - $1840.23 | 1 |
| New York | $2134.54 | $2134.54 | $1861.7 - $2289.5 | 5 |
| Ohio | $1899.7 | $1899.7 | $1899.7 - $1899.7 | 1 |
| Pennsylvania | $1958.48 | $1958.48 | $1890.41 - $2026.54 | 2 |
| Texas | $1930.24 | $1930.24 | $1883 - $2023.18 | 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 15757
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 15757 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 15757
What does CPT code 15757 mean? +
CPT code 15757 represents: Free skin flap microvasc. It's in the Anesthesia category with a global period of 090.
What is the Medicare reimbursement for CPT 15757? +
The 2026 Medicare national average non-facility payment for CPT 15757 is $1966.65. Rates range from $1776.24 to $2500.29 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 15757? +
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 15757? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team