15946 excision isch pr ulc prep mus flp
Also known as: ischial muscle flap, ischial myocutaneous flap
Excision of ischial pressure ulcer with preparation and coverage using muscle flap for maximal vascularization and wound healing.
In Plain Language
Ischial ulcer with muscle flap repair
Clinical Context
Used for large ischial pressure ulcers where muscle flap provides superior blood supply. Highest success rate and lowest recurrence for extensive ischial wounds.
RVU Breakdown
| Work RVU | 23.52 |
| Total RVU | 23.52 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 23.52, this code ranks in the 87th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 15946?
CPT 15946 (excision isch pr ulc prep mus flp) is a Surgery code. Excision of ischial pressure ulcer with preparation and coverage using muscle flap for maximal vascularization and wound healing.
What is the wRVU value for CPT 15946?
The work RVU for CPT 15946 is 23.52. This code is primarily used by Plastic Surgery, Wound Care. It has a 90-day global period.
When is CPT 15946 used?
Used for large ischial pressure ulcers where muscle flap provides superior blood supply. Highest success rate and lowest recurrence for extensive ischial wounds.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.