CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 15731 RVU and Medicare Payment (2026)
Forehead flap w/vasc pedicle — 14.02 work RVU, about $1,148.32 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 14.02
- PE RVU (non-facility)
- 18.22
- PE RVU (facility)
- 10.11
- MP RVU
- 2.14
- Office payment
- $1,148.32
- Facility payment
- $877.44
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 15731 in a non-facility setting with national GPCI: (14.02 + 18.22 + 2.14) × $33.4009 ≈ $1,148.32. The same code in a facility setting pays about $877.44 because facility PE RVU (10.11) replaces office PE RVU.
What changes by locality
GPCI moves 15731 non-facility payment from $1,027.85 to $1,435.65 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 15731?
14.02. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 15731 in 2026?
About $1,148.32 non-facility ($877.44 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (14.02) and malpractice RVU stay fixed; only practice expense changes (18.22 office vs 10.11 facility). That is the entire office-vs-facility payment gap.