CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 15758 RVU and Medicare Payment (2026)
Free fascial flap microvasc — 35.98 work RVU, about $1,941.26 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 35.98
- PE RVU (non-facility)
- 16.41
- PE RVU (facility)
- 16.41
- MP RVU
- 5.73
- Office payment
- $1,941.26
- Facility payment
- $1,941.26
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 15758 in a non-facility setting with national GPCI: (35.98 + 16.41 + 5.73) × $33.4009 ≈ $1,941.26. The same code in a facility setting pays about $1,941.26 because facility PE RVU (16.41) replaces office PE RVU.
What changes by locality
GPCI moves 15758 non-facility payment from $1,771.15 to $2,491.84 across CMS localities — from Arkansas to Alaska. 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 15758?
35.98. 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 15758 in 2026?
About $1,941.26 non-facility ($1,941.26 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 (35.98) and malpractice RVU stay fixed; only practice expense changes (16.41 office vs 16.41 facility). That is the entire office-vs-facility payment gap.