CPT code 15111: Epidermal graft, additional trunk, arm, or leg area2026 Medicare rate & RVUs in South Carolina

Reports each additional measured area treated with an epidermal autograft on the trunk, arms, or legs, beyond the initial area.

CMS RVU26DEffective Oct 1, 2026One payment locality4.8K Medicare services in 2024

In South Carolina, Medicare pays $115.87 for 15111 in the office and $87.17 when it’s performed in a hospital or facility.

$115.87Office (non-facility)
$87.17Hospital or facility
−4.7%vs the national office rate ($121.58)

Check a contract rate as a % of Medicare · 15111 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 15111 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 15111 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 15111 covers

Code 15111 represents additional recipient-site area treated with an epidermal autograft on the trunk, an arm, or a leg. A surgeon or other qualified clinician prepares the wound and applies epidermal tissue or cells obtained from the patient. These grafts may be used when a wound requires epidermal coverage, including in burn and wound-care surgery, commonly in a hospital or ambulatory surgical setting.

Report this add-on code with the primary code for the initial treated area, 15110. Count each additional 100 square centimeters or part of that increment; for infants and children, the corresponding measure is each additional 1% of body surface area. The operative note should identify the recipient site, treated area, graft method, and total area supporting the reported units. CMS pays 15111 within the primary procedure’s global period, so it is not reported as a stand-alone service.

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 South Carolina compares for 15111

Across 109 of 109 payment localities, the office rate for 15111 runs from $108.09 in Arkansas to $148.42 in Alaska. South Carolina pays $115.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

15111 in South Carolina vs other payment areas
  1. South Carolina · this page$115.87
  2. Los Angeles, CA · California$128.01+$12.14
  3. Washington, DC area · District of Columbia$134.85+$18.98
  4. Miami, FL · Florida$144.97+$29.10
  5. Chicago, IL · Illinois$140.40+$24.53
  6. Manhattan, NY · New York$141.33+$25.46
  7. Alaska · Alaska$148.42+$32.55

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

Every other payment area

15111 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$109.56$82.38
ArkansasArkansas$108.09$81.41
ArizonaArizona$118.09$87.99
Bakersfield, CACalifornia$121.79$87.74
Chico, CACalifornia$120.65$86.60
El Centro, CACalifornia$120.72$86.67
Fresno, CACalifornia$120.65$86.60
Hanford, CACalifornia$120.65$86.60

15111 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.

$108.09

$148.42

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

View every state and territory as a table
15111 office rate range by state
State / territoryOffice rate rangeLocalities
AK$148.421
AL$109.561
AR$108.091
AZ$118.091
CA$120.65–$142.6529
CO$122.261
CT$129.381
DC$134.851
DE$119.891
FL$126.55–$144.973
GA$119.15–$125.342
GU$122.171
HI$122.171
IA$109.091
ID$110.391
IL$125.35–$140.404
IN$110.911
KS$110.071
KY$115.121
LA$115.54–$120.692
MA$122.21–$131.702
MD$121.60–$134.853
ME$112.48–$115.982
MI$119.26–$129.542
MN$113.081
MO$114.67–$119.333
MS$111.331
MT$121.551
NC$113.341
ND$113.251
NE$109.201
NH$121.771
NJ$129.71–$133.912
NM$120.461
NV$119.281
NY$115.04–$146.415
OH$117.571
OK$113.381
OR$117.22–$124.212
PA$116.92–$127.312
PR$121.891
RI$122.771
SC$115.871
SD$112.261
TN$110.771
TX$116.31–$127.008
UT$117.301
VA$116.65–$134.852
VI$121.891
VT$114.171
WA$121.52–$132.782
WI$109.881
WV$121.411
WY$117.931

See 15111 in every payment locality

How the 15111 rate is calculated

Each of 15111’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 · 15111

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.80

1.80 RVUs× 1.000 GPCI

Practice expense1.42

1.42 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

3.6400

Conversion factor

$33.4009

Medicare rate

$121.58

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

The exact South Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,489

Code
15111
Physician work
1.80
Practice expense
1.42
Malpractice
0.42

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 15111 in South Carolina
ComponentRVULocality factorAdjusted
Physician work1.80× 1.0001.8000
Practice expense1.42× 0.9241.3121
Malpractice0.42× 0.8500.3570
Total RVUs3.4691
Conversion factor× 33.4009

Office rate, South Carolina$115.87

Office: (1.8 × 1 + 1.42 × 0.924 + 0.42 × 0.85) × $33.4009 = $115.87

Facility: (1.8 × 1 + 0.49 × 0.924 + 0.42 × 0.85) × $33.4009 = $87.17

Open 15111 in the RVU calculator

Payment rules and modifiers for 15111

The CMS indicators that decide how 15111 is paid alongside other services.

CMS payment indicators · 15111

Epidermal graft, additional trunk, arm, or leg area

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

How 15111 has changed in South Carolina

15111 · Office / nonfacility

$115.87

Effective 2026-10-01

The base rate is $10.70 higher than on 2025-10-01, moving from $105.17 to $115.87 (10.2%).

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

    $105.17changed to$115.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.85 changed to 1.80
    • Practice expense RVU 1.15 changed to 1.42
    • Malpractice RVU 0.43 changed to 0.42
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $107.04changed to$105.17

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.12 changed to 1.15
    • Malpractice RVU 0.42 changed to 0.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $105.30changed to$107.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $107.04changed to$105.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.10 changed to 1.12
    • Malpractice RVU 0.41 changed to 0.42
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817
  5. January 1, 2023

    RVU23A

    $107.94changed to$107.04

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.09 changed to 1.10
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $107.80changed to$107.94

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.08 changed to 1.09
    • Malpractice RVU 0.38 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $110.82changed to$107.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.05 changed to 1.08
    • Malpractice RVU 0.43 changed to 0.38
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $109.55changed to$110.82

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.42 changed to 0.43
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $111.02changed to$109.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.08 changed to 1.05
    • Malpractice RVU 0.45 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $110.09changed to$111.02

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.05 changed to 1.08
    • Malpractice RVU 0.41 changed to 0.45
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $111.35changed to$110.09

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.06 changed to 1.05
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $111.61changed to$111.35

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.04 changed to 1.06
    • Malpractice RVU 0.43 changed to 0.41

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $111.05changed to$111.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $107.86changed to$111.05

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.03 changed to 1.04
    • Malpractice RVU 0.36 changed to 0.43
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $105.54changed to$107.86

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.16 changed to 1.03
    • Malpractice RVU 0.38 changed to 0.36
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $105.54

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$115.87$87.17RVU26D
2026-07-01$115.87$87.17RVU26C
2026-04-01$115.87$87.17RVU26B
2026-01-01$115.87$87.17RVU26A
2025-10-01$105.17$93.94RVU25D
2025-07-01$105.17$93.94RVU25C
2025-04-01$105.17$93.94RVU25B
2025-01-01$105.17$93.94RVU25A
2024-10-01$107.04$95.80RVU24D
2024-07-01$107.04$95.80RVU24C
2024-04-01$107.04$95.80RVU24B
2024-03-09$107.04$95.80RVU24AR
2024-01-01$105.30$94.23RVU24A
2023-10-01$107.04$96.89RVU23D
2023-07-01$107.04$96.89RVU23C
2023-04-01$107.04$96.89RVU23B
2023-01-01$107.04$96.89RVU23A
2022-10-01$107.94$97.32RVU22D
2022-07-01$107.94$97.32RVU22C
2022-04-01$107.94$97.32RVU22B
2022-01-01$107.94$97.32RVU22A
2021-10-01$107.80$97.71RVU21D
2021-07-01$107.80$97.71RVU21C
2021-04-01$107.80$97.71RVU21B
2021-01-01$107.80$97.71RVU21A
2020-10-01$110.82$100.67RVU20D
2020-07-01$110.82$100.67RVU20C
2020-04-01$110.82$100.67RVU20B
2020-01-01$110.82$100.67RVU20A
2019-10-01$109.55$99.04RVU19D
2019-07-01$109.55$99.04RVU19C
2019-04-01$109.55$99.04RVU19B
2019-01-01$109.55$99.04RVU19A
2018-10-01$111.02$100.18RVU18D
2018-07-01$111.02$100.18RVU18C
2018-04-01$111.02$100.18RVU18B
2018-01-01$111.02$100.18RVU18AR1
2017-10-01$110.09$99.62RVU17D
2017-07-01$110.09$99.62RVU17C
2017-04-01$110.09$99.62RVU17B
2017-01-01$110.09$99.62RVU17A
2016-10-01$111.35$101.22RVU16D
2016-07-01$111.35$101.22RVU16C
2016-04-01$111.35$101.22RVU16B
2016-01-01$111.35$101.22RVU16A
2015-10-01$111.61$101.12RVU15D
2015-07-01$111.61$101.12RVU15C
2015-04-01$111.05$100.62RVU15B
2015-01-01$111.05$100.62RVU15A
2014-10-01$107.86$97.74RVU14D
2014-07-01$107.86$97.74RVU14C
2014-04-01$107.86$97.74RVU14B
2014-01-01$107.86$97.74RVU14A
2013-10-01$105.54$94.41RVU13D
2013-07-01$105.54$94.41RVU13C
2013-04-01$105.54$94.41RVU13B
2013-01-01$105.54$94.41RVU13AR

Price 15111 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

15111 billing questions

When should 15111 be reported instead of 15110?

Use 15110 for the initial treated area on the trunk, arms, or legs. Report 15111 for each additional area increment beyond that initial amount.

Can 15111 be submitted without 15110?

No. It is an add-on code and must be billed with the primary procedure for the initial area, 15110.

How are units determined?

Count each additional 100 square centimeters or part of that increment. For infants and children, count each additional 1% of body surface area.

What documentation supports the units?

Document the recipient site and the measured area treated, including the total area that supports the initial and additional increments. Identify the epidermal graft method used.

Is 15111 paid outside the primary procedure's global period?

No. CMS pays this add-on code within the global period of the primary procedure.

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 15111PPRRVU2026_Oct_nonQPP.csv, line 1,489 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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