CPT 15792
Global 090Chem peel nonfacial epidrm
CPT 15792 Billing & Documentation Guide
CPT code 15792 (Chem peel nonfacial epidrm) is classified under Anesthesia with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.81, a non-facility practice expense RVU of 7.85, and a malpractice RVU of 0.21, a total non-facility RVU of 9.87 and facility RVU of 5.75. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $341.33, though rates vary from $289.3 to $448.95 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 15792, 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 15792 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Restricted coverage (special situations)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 15792 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 15792
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.81 | 1.81 |
| Practice Expense RVU | 7.85 | 3.73 |
| Malpractice RVU | 0.21 | 0.21 |
| Total RVU | 9.87 | 5.75 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 15792
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 | $376.68 | $213.85 | $352.61 - $448.95 | 29 |
| Florida | $337.18 | $199.11 | $321.66 - $351.14 | 3 |
| Georgia | $319.08 | $187.8 | $302.7 - $335.45 | 2 |
| Illinois | $327.42 | $194.45 | $310.8 - $342.58 | 4 |
| Michigan | $316.53 | $187.32 | $307.76 - $325.3 | 2 |
| North Carolina | $309.57 | $181.18 | $309.57 - $309.57 | 1 |
| New York | $365.36 | $211.84 | $314.47 - $389.1 | 5 |
| Ohio | $306.91 | $181.27 | $306.91 - $306.91 | 1 |
| Pennsylvania | $325.32 | $190.53 | $307.78 - $342.86 | 2 |
| Texas | $325.44 | $189.95 | $305.57 - $344.2 | 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 15792
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 15792 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 15792
What does CPT code 15792 mean? +
CPT code 15792 represents: Chem peel nonfacial epidrm. It's in the Anesthesia category with a global period of 090.
What is the Medicare reimbursement for CPT 15792? +
The 2026 Medicare national average non-facility payment for CPT 15792 is $341.33. Rates range from $289.3 to $448.95 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 15792? +
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 15792? +
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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