CPT code 15100: Skin graft, trunk, arms, or legs2026 Medicare rate & RVUs in Houston, TX

Reports placement of a patient’s split-thickness skin graft on the trunk, arms, or legs, using the first area increment specified for the graft.

CMS RVU26DEffective Oct 1, 2026One payment locality9.8K Medicare services in 2024

In Houston, TX, Medicare pays $945.34 for 15100 in the office and $684.98 when it’s performed in a hospital or facility.

$945.34Office (non-facility)
$684.98Hospital or facility
+2.5%vs the national office rate ($922.53)

Check a contract rate as a % of Medicare · 15100 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 15100 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 15100 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 15100 covers

The surgeon takes a thin layer of the patient’s own skin from a donor site and places it over a recipient wound on the trunk, arm, or leg. Common situations include coverage after burn treatment, wound excision, or traumatic skin loss. The code identifies the graft by its split-thickness type and recipient location, not by the donor site. It covers the first 100 square centimeters, or the corresponding 1% of body surface area for infants and children.

Select the code using the recipient site, graft type, and documented treated area; report 15101 for additional area increments. Documentation should identify the recipient site, graft type, area, and harvest and placement performed. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Houston, TX compares for 15100

Across 109 of 109 payment localities, the office rate for 15100 runs from $815.96 in Arkansas to $1,165.48 in San Benito County, CA. Houston, TX pays $945.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

15100 in Houston, TX vs other payment areas
  1. Houston, TX · this page$945.34
  2. Austin, TX · Texas$947.02+$1.68
  3. Beaumont, TX · Texas$869.73−$75.61
  4. Brazoria, TX · Texas$906.25−$39.09
  5. Dallas, TX · Texas$914.23−$31.11
  6. Fort Worth, TX · Texas$909.69−$35.65
  7. Galveston, TX · Texas$910.38−$34.96

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

15100 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$888.99$640.16
Los Angeles, CACalifornia$1,012.48$702.30
Washington, DC areaDistrict of Columbia$1,042.63$733.76
Miami, FLFlorida$1,042.07$769.12
Chicago, ILIllinois$1,010.09$746.58
Manhattan, NYNew York$1,067.45$762.77
AlaskaAlaska$1,089.92$810.68
AlabamaAlabama$827.79$598.37

15100 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$815.96

$1,089.92

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
15100 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,089.921
AL$827.791
AR$815.961
AZ$896.721
CA$949.91–$1,165.4829
CO$946.761
CT$983.681
DC$1,042.631
DE$911.261
FL$931.02–$1,042.073
GA$876.85–$944.912
GU$969.161
HI$969.161
IA$838.471
ID$846.001
IL$911.78–$1,010.094
IN$850.581
KS$839.391
KY$857.571
LA$858.17–$899.562
MA$943.17–$1,032.802
MD$926.96–$1,042.633
ME$855.50–$894.162
MI$884.09–$947.522
MN$893.181
MO$846.85–$896.913
MS$831.321
MT$922.411
NC$863.561
ND$884.641
NE$841.551
NH$936.551
NJ$990.96–$1,033.002
NM$890.831
NV$912.421
NY$876.76–$1,099.225
OH$876.371
OK$850.911
OR$901.44–$970.902
PA$875.04–$962.642
PR$927.481
RI$939.471
SC$872.201
SD$880.171
TN$844.181
TX$869.73–$947.028
UT$883.841
VA$894.66–$1,042.632
VI$927.481
VT$885.651
WA$939.91–$1,048.742
WI$855.861
WV$879.761
WY$905.951

See 15100 in every payment locality

How the 15100 rate is calculated

Each of 15100’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 15100

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.65

9.65 RVUs× 1.000 GPCI

Practice expense16.06

16.06 RVUs× 1.000 GPCI

Malpractice1.91

1.91 RVUs× 1.000 GPCI

Adjusted RVUs

27.6200

Conversion factor

$33.4009

Medicare rate

$922.53

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,486

Code
15100
Physician work
9.65
Practice expense
16.06
Malpractice
1.91

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 15100 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work9.65× 1.0089.7272
Practice expense16.06× 0.99315.9476
Malpractice1.91× 1.3762.6282
Total RVUs28.3029
Conversion factor× 33.4009

Office rate, Houston, TX$945.34

Office: (9.65 × 1.008 + 16.06 × 0.993 + 1.91 × 1.376) × $33.4009 = $945.34

Facility: (9.65 × 1.008 + 8.21 × 0.993 + 1.91 × 1.376) × $33.4009 = $684.98

Open 15100 in the RVU calculator

Payment rules and modifiers for 15100

15100 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15100

Skin graft, trunk, arms, or legs

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 15100

Skin graft, trunk, arms, or legs

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

15100 without 51 · national office

$922.53

Skin graft, trunk, arms, or legs

15100-51 · Second procedure: 50%

$461.27

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 15100 has changed in Houston, TX

15100 · Office / nonfacility

$945.34

Effective 2026-10-01

The base rate is $67.88 higher than on 2025-10-01, moving from $877.46 to $945.34 (7.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $877.46changed to$945.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 9.90 changed to 9.65
    • Practice expense RVU 14.34 changed to 16.06
    • Malpractice RVU 1.92 changed to 1.91
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $902.12changed to$877.46

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 14.30 changed to 14.34
    • Malpractice RVU 1.93 changed to 1.92

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $887.40changed to$902.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $908.81changed to$887.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.27 changed to 14.30
    • Malpractice RVU 1.90 changed to 1.93
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409
  5. January 1, 2023

    RVU23A

    $915.06changed to$908.81

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.08 changed to 14.27
    • Malpractice RVU 1.93 changed to 1.90
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $914.97changed to$915.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 13.91 changed to 14.08
    • Malpractice RVU 1.88 changed to 1.93

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $909.62changed to$914.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.06 changed to 13.91
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $894.18changed to$909.62

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 12.80 changed to 13.06
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $888.51changed to$894.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.69 changed to 12.80
    • Malpractice RVU 1.86 changed to 1.88

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $885.01changed to$888.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.66 changed to 12.69
    • Malpractice RVU 1.89 changed to 1.86
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $881.43changed to$885.01

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.63 changed to 12.66
    • Malpractice RVU 1.91 changed to 1.89
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $884.66changed to$881.43

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 12.66 changed to 12.63
    • Malpractice RVU 1.88 changed to 1.91

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $880.26changed to$884.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $873.55changed to$880.26

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 12.55 changed to 12.66
    • Malpractice RVU 1.86 changed to 1.88
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $875.98changed to$873.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.93 changed to 12.55
    • Malpractice RVU 1.95 changed to 1.86
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $875.98

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$945.34$684.98RVU26D
2026-07-01$945.34$684.98RVU26C
2026-04-01$945.34$684.98RVU26B
2026-01-01$945.34$684.98RVU26A
2025-10-01$877.46$732.11RVU25D
2025-07-01$877.46$732.11RVU25C
2025-04-01$877.46$732.11RVU25B
2025-01-01$877.46$732.11RVU25A
2024-10-01$902.12$747.87RVU24D
2024-07-01$902.12$747.87RVU24C
2024-04-01$902.12$747.87RVU24B
2024-03-09$902.12$747.87RVU24AR
2024-01-01$887.40$735.66RVU24A
2023-10-01$908.81$747.33RVU23D
2023-07-01$908.81$747.33RVU23C
2023-04-01$908.81$747.33RVU23B
2023-01-01$908.81$747.33RVU23A
2022-10-01$915.06$745.56RVU22D
2022-07-01$915.06$745.56RVU22C
2022-04-01$915.06$745.56RVU22B
2022-01-01$915.06$745.56RVU22A
2021-10-01$914.97$744.42RVU21D
2021-07-01$914.97$744.42RVU21C
2021-04-01$914.97$744.42RVU21B
2021-01-01$914.97$744.42RVU21A
2020-10-01$909.62$753.17RVU20D
2020-07-01$909.62$753.17RVU20C
2020-04-01$909.62$753.17RVU20B
2020-01-01$909.62$753.17RVU20A
2019-10-01$894.18$746.47RVU19D
2019-07-01$894.18$746.47RVU19C
2019-04-01$894.18$746.47RVU19B
2019-01-01$894.18$746.47RVU19A
2018-10-01$888.51$745.70RVU18D
2018-07-01$888.51$745.70RVU18C
2018-04-01$888.51$745.70RVU18B
2018-01-01$888.51$745.70RVU18AR1
2017-10-01$885.01$744.87RVU17D
2017-07-01$885.01$744.87RVU17C
2017-04-01$885.01$744.87RVU17B
2017-01-01$885.01$744.87RVU17A
2016-10-01$881.43$742.03RVU16D
2016-07-01$881.43$742.03RVU16C
2016-04-01$881.43$742.03RVU16B
2016-01-01$881.43$742.03RVU16A
2015-10-01$884.66$744.40RVU15D
2015-07-01$884.66$744.40RVU15C
2015-04-01$880.26$740.70RVU15B
2015-01-01$880.26$740.70RVU15A
2014-10-01$873.55$736.52RVU14D
2014-07-01$873.55$736.52RVU14C
2014-04-01$873.55$736.52RVU14B
2014-01-01$873.55$736.52RVU14A
2013-10-01$875.98$729.05RVU13D
2013-07-01$875.98$729.05RVU13C
2013-04-01$875.98$729.05RVU13B
2013-01-01$875.98$729.05RVU13AR

Price 15100 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

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15100 billing questions

When is 15100 used instead of 15120?

Use 15100 for a split-thickness graft placed on the trunk, arms, or legs. Code 15120 applies to the specified face, scalp, neck, hands, feet, or genital sites.

How is additional graft area reported?

15100 covers the first 100 square centimeters, or 1% of body surface area for infants and children. Report 15101 for additional area increments and document the total treated area.

Does 15100 include harvesting the donor skin?

The service includes taking and placing the patient’s split-thickness graft. Document the donor and recipient sites and the grafting work performed.

Can recipient-site preparation be reported separately?

A distinct surgical preparation of the recipient site may be reported with the graft when performed and documented; 15002 describes preparation on the trunk, arms, or legs.

Should modifier 50 be used for grafts on both sides?

No. CMS identifies bilateral adjustment as inappropriate for 15100. The descriptor and anatomy do not support modifier 50.

Can an assistant or co-surgeon be paid for 15100?

Medicare payment to an assistant at surgery is restricted for this service. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 15100PPRRVU2026_Oct_nonQPP.csv, line 1,486 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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