CPT code 15111: Epidermal graft, additional trunk, arm, or leg area2026 Medicare rate & RVUs in Texas
Reports each additional measured area treated with an epidermal autograft on the trunk, arms, or legs, beyond the initial area.
Medicare pays $116.31–$127.00 for 15111 in the office in Texas, from Beaumont, TX to Houston, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 15111 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
$116.31 to $127.00
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $122.85 | $89.99 |
| Beaumont, TX | $116.31 | $88.05 |
| Brazoria, TX | $118.55 | $87.76 |
| Dallas, TX | $119.94 | $89.00 |
| Fort Worth, TX | $119.65 | $89.02 |
| Galveston, TX | $119.32 | $88.47 |
| Houston, TX | $127.00 | $96.16 |
| Rest of Texas | $117.80 | $88.32 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
15111 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 15110Epidermal graftTrunk, arms, or legs
- 15110 reports the initial epidermal autograft area on the trunk, arms, or legs; 15111 reports additional area and must accompany the primary code.
- 15101Skin graftAdditional area, trunk or limb
- 15101 reports additional split-thickness graft area. Choose the code matching the graft technique rather than the recipient site alone.
- 15116Epidermal graftEach additional 100 sq cm
- 15116 is the additional-area epidermal graft code for specified face, scalp, neck, hand, foot, or genital sites; 15111 is for the trunk, arms, or legs.
- 15131Dermal autograftEach additional 100 sq cm
- 15131 reports additional dermal autograft area on the trunk, arms, or legs, while 15111 is for epidermal autografting.
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.
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