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CPT code 15115: Epidermal graft, special sites, first 100 sq cm2026 Medicare rate & RVUs in Miami, FL

Reports the first 100 sq cm of epidermal autograft coverage on the face, scalp, neck, hands, feet, genitalia, or multiple digits.

CMS RVU26DEffective Oct 1, 2026One payment locality323 Medicare services in 2024

In Miami, FL, Medicare pays $977.98 for 15115 in the office and $757.54 when it’s performed in a hospital or facility.

$977.98Office (non-facility)
$757.54Hospital or facility
+13.4%vs the national office rate ($862.75)

Check a contract rate as a % of Medicare · 15115 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 15115 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 15115 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 15115 covers

A surgeon places an epidermal graft taken from the patient to cover a wound at a specified site: the face, scalp, neck, hands, feet, genitalia, or multiple digits. Plastic surgeons and burn surgeons may perform this coverage during operative treatment of burns or other wounds, in a hospital or ambulatory surgery setting. The special-site grouping distinguishes this code from epidermal grafting on the trunk, arms, or legs.

Report 15115 for the first 100 sq cm treated; for infants and children, the measure is each 1% of body area. Document the recipient site, grafted area, and patient age when the body-area measure is used. Code 15116 reports each additional unit. A 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, 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.

How Miami, FL compares for 15115

Across 109 of 109 payment localities, the office rate for 15115 runs from $770.96 in Arkansas to $1,064.30 in San Benito County, CA. Miami, FL pays $977.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

15115 in Miami, FL vs other payment areas
  1. Miami, FL · this page$977.98
  2. Fort Lauderdale, FL · Florida$919.90−$58.08
  3. Rest of Florida · Florida$875.85−$102.13
  4. Los Angeles, CA · California$935.35−$42.63
  5. Washington, DC area · District of Columbia$966.61−$11.37
  6. Chicago, IL · Illinois$950.09−$27.89
  7. Manhattan, NY · New York$993.55+$15.57

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

Every other payment area

15115 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$1,045.86$820.33
AlabamaAlabama$781.12$595.82
ArkansasArkansas$770.96$589.05
ArizonaArizona$840.18$634.98
Bakersfield, CACalifornia$886.21$654.12
Chico, CACalifornia$880.82$648.73
El Centro, CACalifornia$881.14$649.05
Fresno, CACalifornia$880.82$648.73

15115 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$770.96

$1,045.86

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

View every state and territory as a table
15115 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,045.861
AL$781.121
AR$770.961
AZ$840.181
CA$880.82–$1,064.3029
CO$880.801
CT$916.721
DC$966.611
DE$852.961
FL$875.85–$977.983
GA$828.39–$883.582
GU$895.011
HI$895.011
IA$787.601
ID$794.601
IL$861.12–$950.094
IN$798.451
KS$789.671
KY$809.421
LA$810.44–$845.962
MA$878.54–$954.512
MD$866.37–$966.613
ME$804.11–$835.322
MI$833.43–$891.412
MN$830.351
MO$801.53–$842.163
MS$786.111
MT$862.621
NC$810.801
ND$824.851
NE$789.841
NH$872.461
NJ$923.33–$959.282
NM$839.751
NV$852.521
NY$822.22–$1,022.495
OH$825.711
OK$802.341
OR$842.07–$900.192
PA$823.85–$899.362
PR$866.541
RI$877.081
SC$820.381
SD$820.381
TN$793.941
TX$819.38–$886.658
UT$830.351
VA$836.65–$966.612
VI$866.541
VT$826.911
WA$875.15–$967.402
WI$800.471
WV$833.711
WY$846.161

See 15115 in every payment locality

How the 15115 rate is calculated

Each of 15115’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 · 15115

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.00

11.00 RVUs× 1.000 GPCI

Practice expense12.92

12.92 RVUs× 1.000 GPCI

Malpractice1.91

1.91 RVUs× 1.000 GPCI

Adjusted RVUs

25.8300

Conversion factor

$33.4009

Medicare rate

$862.75

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,490

Code
15115
Physician work
11.00
Practice expense
12.92
Malpractice
1.91

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 15115 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work11.00× 1.00011.0000
Practice expense12.92× 1.04113.4497
Malpractice1.91× 2.5294.8304
Total RVUs29.2801
Conversion factor× 33.4009

Office rate, Miami, FL$977.98

Office: (11 × 1 + 12.92 × 1.041 + 1.91 × 2.529) × $33.4009 = $977.98

Facility: (11 × 1 + 6.58 × 1.041 + 1.91 × 2.529) × $33.4009 = $757.54

Open 15115 in the RVU calculator

Payment rules and modifiers for 15115

15115 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15115

Epidermal graft, special sites, first 100 sq cm

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 · 15115

Epidermal graft, special sites, first 100 sq cm

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

15115 without 51 · national office

$862.75

Epidermal graft, special sites, first 100 sq cm

15115-51 · Second procedure: 50%

$431.38

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

Codes related to 15115

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 15115
CodeHow it relatesOffice range, Miami, FL
Add-on codes
15116Epidermal graft, each additional 100 sq cmAdd-on code for each additional 100 sq cm or 1% of body area in infants and children.$195.91
Used instead
15110Epidermal graft, trunk, arms, or legsEpidermal autograft code for the trunk, arms, or legs.$1,030.90
15120Skin graft, special sites, initial areaSplit-thickness autograft code for the same special-site group.$977.39
15135Dermal autograft, specified sites, initial areaDermal autograft code for the same special-site group.$1,003.75
15130Dermal autograft, trunk, arms, or legsDermal autograft code for the trunk, arms, or legs.$859.89

How 15115 has changed in Miami, FL

15115 · Office / nonfacility

$977.98

Effective 2026-10-01

The base rate is $91.52 higher than on 2025-10-01, moving from $886.46 to $977.98 (10.3%).

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

    $886.46changed to$977.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 11.28 changed to 11.00
    • Practice expense RVU 11.49 changed to 12.92
    • Malpractice RVU 1.73 changed to 1.91
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $906.59changed to$886.46

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.30 changed to 11.49
    • Malpractice RVU 1.74 changed to 1.73

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $891.79changed to$906.59

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $911.86changed to$891.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.02 changed to 11.30
    • Malpractice RVU 1.69 changed to 1.74
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $935.35changed to$911.86

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.82 changed to 11.02
    • Malpractice RVU 1.78 changed to 1.69
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $938.32changed to$935.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.84 changed to 10.82
    • Malpractice RVU 1.72 changed to 1.78

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $920.80changed to$938.32

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.05 changed to 10.84
    • Malpractice RVU 1.51 changed to 1.72
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $910.70changed to$920.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.88 changed to 10.05
    • Malpractice RVU 1.49 changed to 1.51
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $900.64changed to$910.70

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.71 changed to 9.88
    • Malpractice RVU 1.46 changed to 1.49

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $915.87changed to$900.64

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.06 changed to 9.71
    • Malpractice RVU 1.53 changed to 1.46
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $941.18changed to$915.87

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.55 changed to 10.06
    • Malpractice RVU 1.65 changed to 1.53
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $950.90changed to$941.18

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.60 changed to 10.55
    • Malpractice RVU 1.70 changed to 1.65

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $946.17changed to$950.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1005.75changed to$946.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.59 changed to 10.60
    • Malpractice RVU 1.77 changed to 1.70
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1018.54changed to$1005.75

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.76 changed to 11.59
    • Malpractice RVU 1.85 changed to 1.77
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1018.54

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$977.98$757.54RVU26D
2026-07-01$977.98$757.54RVU26C
2026-04-01$977.98$757.54RVU26B
2026-01-01$977.98$757.54RVU26A
2025-10-01$886.46$775.84RVU25D
2025-07-01$886.46$775.84RVU25C
2025-04-01$886.46$775.84RVU25B
2025-01-01$886.46$775.84RVU25A
2024-10-01$906.59$789.67RVU24D
2024-07-01$906.59$789.67RVU24C
2024-04-01$906.59$789.67RVU24B
2024-03-09$906.59$789.67RVU24AR
2024-01-01$891.79$776.78RVU24A
2023-10-01$911.86$792.03RVU23D
2023-07-01$911.86$792.03RVU23C
2023-04-01$911.86$792.03RVU23B
2023-01-01$911.86$792.03RVU23A
2022-10-01$935.35$809.68RVU22D
2022-07-01$935.35$809.68RVU22C
2022-04-01$935.35$809.68RVU22B
2022-01-01$935.35$809.68RVU22A
2021-10-01$938.32$810.53RVU21D
2021-07-01$938.32$810.53RVU21C
2021-04-01$938.32$810.53RVU21B
2021-01-01$938.32$810.53RVU21A
2020-10-01$920.80$804.16RVU20D
2020-07-01$920.80$804.16RVU20C
2020-04-01$920.80$804.16RVU20B
2020-01-01$920.80$804.16RVU20A
2019-10-01$910.70$800.19RVU19D
2019-07-01$910.70$800.19RVU19C
2019-04-01$910.70$800.19RVU19B
2019-01-01$910.70$800.19RVU19A
2018-10-01$900.64$796.17RVU18D
2018-07-01$900.64$796.17RVU18C
2018-04-01$900.64$796.17RVU18B
2018-01-01$900.64$796.17RVU18AR1
2017-10-01$915.87$810.79RVU17D
2017-07-01$915.87$810.79RVU17C
2017-04-01$915.87$810.79RVU17B
2017-01-01$915.87$810.79RVU17A
2016-10-01$941.18$833.92RVU16D
2016-07-01$941.18$833.92RVU16C
2016-04-01$941.18$833.92RVU16B
2016-01-01$941.18$833.92RVU16A
2015-10-01$950.90$842.14RVU15D
2015-07-01$950.90$842.14RVU15C
2015-04-01$946.17$837.95RVU15B
2015-01-01$946.17$837.95RVU15A
2014-10-01$1,005.75$894.30RVU14D
2014-07-01$1,005.75$894.30RVU14C
2014-04-01$1,005.75$894.30RVU14B
2014-01-01$1,005.75$894.30RVU14A
2013-10-01$1,018.54$898.77RVU13D
2013-07-01$1,018.54$898.77RVU13C
2013-04-01$1,018.54$898.77RVU13B
2013-01-01$1,018.54$898.77RVU13AR

Price 15115 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

15115 billing questions

When should 15115 be chosen instead of 15110?

Use 15115 for epidermal autograft coverage on the face, scalp, neck, hands, feet, genitalia, or multiple digits. Code 15110 is for the trunk, arms, or legs.

How are additional grafted areas reported?

15115 represents the first 100 sq cm, or each 1% of body area for an infant or child. Report 15116 for each additional unit.

How does 15115 differ from 15120?

Both cover the special-site group, but 15115 is for an epidermal autograft and 15120 is for a split-thickness autograft.

What documentation supports the area reported?

Record the recipient site and the area covered. For an infant or child, document the body-area percentage used to determine the unit count.

Can modifier 50 be used for grafting both sides?

No. The CMS bilateral adjustment does not apply to 15115, and modifier 50 is inappropriate.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. The 90-day global period includes the day-before preoperative visit and related postoperative care.

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 15115PPRRVU2026_Oct_nonQPP.csv, line 1,490 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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