CPT code 15110: Epidermal graft, trunk, arms, or legs2026 Medicare rate & RVUs in Texas

Reports epidermal autograft coverage of a wound on the trunk, arms, or legs for the initial area unit, including the applicable pediatric measure.

CMS RVU26DEffective Oct 1, 20268 payment localities601 Medicare services in 2024

Medicare pays $852.39–$926.90 for 15110 in the office in Texas, from Beaumont, TX to Houston, TX. Which amount applies depends on the service address.

$852.39–$926.90Office (non-facility)
$644.49–$700.04Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Texas
  2. What 15110 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 15110 covers

This service covers harvesting a patient's epidermal tissue and placing it as an autograft on a wound of the trunk, an arm, or a leg. Plastic surgeons, burn surgeons, and other physicians performing wound reconstruction may use it for wound coverage in an operating room or outpatient procedure setting. The code represents the initial area unit: 100 square centimeters, or 1% of body surface area for infants and children, as applicable to the patient and code family.

Select the code by graft type, recipient site, and treated area; document the wound location, graft method, and area treated. Report 15111 for additional area beyond the initial unit when its criteria are met. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and 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.

Where 15110 pays more and less in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 payment localities

$852.39 to $926.90

$852.39$889.64$926.90
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

8 of 8 payment localities

15110 office and facility rates by payment locality
Payment localityOfficeFacility
Austin, TX$919.41$677.70
Beaumont, TX$852.39$644.49
Brazoria, TX$882.36$655.96
Dallas, TX$890.77$663.22
Fort Worth, TX$887.03$661.77
Galveston, TX$886.81$659.95
Houston, TX$926.90$700.04
Rest of Texas$868.79$651.98

How the 15110 rate is calculated

Each of 15110’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 · 15110

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.70

10.70 RVUs× 1.000 GPCI

Practice expense14.05

14.05 RVUs× 1.000 GPCI

Malpractice2.19

2.19 RVUs× 1.000 GPCI

Adjusted RVUs

26.9400

Conversion factor

$33.4009

Medicare rate

$899.82

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

Payment rules and modifiers for 15110

15110 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15110

Epidermal 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 · 15110

Epidermal 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

15110 without 51 · national office

$899.82

Epidermal graft, trunk, arms, or legs

15110-51 · Second procedure: 50%

$449.91

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

15110 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 15110

    Epidermal graft, trunk, arms, or legs10.7 wRVU

    $899.82

  • 15100

    Skin graft, trunk, arms, or legs9.65 wRVU

    $922.53+$22.71

  • 15111

    Epidermal graft, additional trunk, arm, or leg area1.8 wRVU

    $121.58−$778.24

  • 15115

    Epidermal graft, special sites, first 100 sq cm11 wRVU

    $862.75−$37.07

  • 15130

    Dermal autograft, trunk, arms, or legs7.34 wRVU

    $771.23−$128.59

How to choose

15100Skin graftTrunk, arms, or legs
Use 15110 for an epidermal autograft and 15100 for a split-thickness autograft to the trunk, arms, or legs. The graft type distinguishes these codes.
15111Epidermal graftAdditional trunk, arm, or leg area
15110 reports the initial area unit; 15111 reports qualifying additional area. Do not substitute the add-on code for the initial service.
15115Epidermal graftSpecial sites, first 100 sq cm
Both codes describe epidermal autografts, but 15110 is for the trunk, arms, or legs. 15115 is for its specified face, scalp, neck, hand, foot, or genital sites.
15130Dermal autograftTrunk, arms, or legs
15130 is for a dermal autograft to the trunk, arms, or legs. Use 15110 when the graft is epidermal.

15110 billing questions

How does 15110 differ from 15100?

15110 is for an epidermal autograft; 15100 is for a split-thickness autograft. Choose based on the graft type documented, not simply the wound location or area.

When is 15111 reported with 15110?

15110 covers the initial area unit for the trunk, arms, or legs. Report 15111 for qualifying additional area beyond that initial unit.

Which recipient sites belong to 15110?

15110 covers the trunk, arms, and legs. Epidermal autografts to the face, scalp, neck, hands, feet, or genitalia are represented by the separate site-specific code 15115.

What documentation supports 15110?

Document the recipient site, epidermal graft type, wound treated, and graft area. For infants and children, capture the body-surface-area measure used for code selection.

How does the global period affect postoperative visits?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Medicare applies the standard multiple-procedure reduction when other procedures are performed in the same session.

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 15110PPRRVU2026_Oct_nonQPP.csv, line 1,488 (RVU26D)

Open CMS sourceHow we calculate rates

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