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CPT 15840 · Surgery

Nerve palsy fascial graft

Facial nerve graft repair procedures show a potential difference of $2,770 between Medicare's $890.88 benchmark and hospital outpatient rates of $3,660.97, making bill verification essential before treatment.

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Nerve palsy fascial graft
Non-facility$99Medicare facility$891ASC rate$2.0KHospital outpatient$3.7K$3.6K difference between lowest and highest rate
$891
Medicare facility rate
$99
Non-facility rate
$1,957
ASC rate
$1,704
ASC vs hospital gap

Code 15840 covers surgical repair using tissue grafts to restore facial nerve function, typically performed when facial paralysis affects muscle movement and facial expressions. Patients commonly include those with Bell's palsy, facial trauma, or nerve damage from tumor removal. This procedure charges approximately 12.5x the Medicare reimbursement rate, with potential billing differences of $4,200 between outpatient and inpatient settings.

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The $1,704 gap between ASC and hospital outpatient for Nerve palsy fascial graft is one of the most common billing discrepancies we identify.
Compare by care setting
The same procedure costs different amounts depending on where you receive care.
$3,661
Hospital Outpatient rate for Nerve palsy fascial graft
Medicare facility benchmark: $891
Regional rate comparison — Nerve palsy fascial graft
Top 5 lowest and highest localities by Medicare facility rate
National avg $891REST OF ILLINOIS, IL$1,029DETROIT, MI$1,083QUEENS, NY$1,095MIAMI, FL$1,355CHICAGO, IL$1,279NYC SUBURBS/LONG ISLAND, NY$1,221

Facility rate

$891

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

4

24 data points

Key insights for CPT 15840

ASC vs hospital outpatient savings

$1,704

Having this done at an ambulatory surgery center costs $1,957 vs $3,661 at a hospital outpatient

Facility vs office setting

$792 difference

Non-facility setting is less expensive for this procedure

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Facility (physician office)$891+800%
Non-facility (office)$99Lowest
Outpatient (APC)$3,661+3598%
Ambulatory surgery (ASC)$1,957+1877%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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