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

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 Virginia, Medicare pays $836.65 for 15115 in the office and $628.49 when it’s performed in a hospital or facility.

$836.65Office (non-facility)
$628.49Hospital or facility
−3.0%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 Virginia
  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 Virginia 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. Virginia pays $836.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

15115 in Virginia vs other payment areas
  1. Virginia · this page$836.65
  2. Los Angeles, CA · California$935.35+$98.70
  3. Washington, DC area · District of Columbia$966.61+$129.96
  4. Miami, FL · Florida$977.98+$141.33
  5. Chicago, IL · Illinois$950.09+$113.44
  6. Manhattan, NY · New York$993.55+$156.90
  7. Alaska · Alaska$1,045.86+$209.21

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

Every other payment area

15115 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 15115 in Virginia
ComponentRVULocality factorAdjusted
Physician work11.00× 1.00011.0000
Practice expense12.92× 0.98312.7004
Malpractice1.91× 0.7061.3485
Total RVUs25.0488
Conversion factor× 33.4009

Office rate, Virginia$836.65

Office: (11 × 1 + 12.92 × 0.983 + 1.91 × 0.706) × $33.4009 = $836.65

Facility: (11 × 1 + 6.58 × 0.983 + 1.91 × 0.706) × $33.4009 = $628.49

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, Virginia
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.$158.07
Used instead
15110Epidermal graft, trunk, arms, or legsEpidermal autograft code for the trunk, arms, or legs.$870.34
15120Skin graft, special sites, initial areaSplit-thickness autograft code for the same special-site group.$849.78
15135Dermal autograft, specified sites, initial areaDermal autograft code for the same special-site group.$877.37
15130Dermal autograft, trunk, arms, or legsDermal autograft code for the trunk, arms, or legs.$749.79

How 15115 has changed in Virginia

15115 · Office / nonfacility

$836.65

Effective 2026-10-01

The base rate is $63.09 higher than on 2025-10-01, moving from $773.56 to $836.65 (8.2%).

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

    $773.56changed to$836.65

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $790.09changed to$773.56

    • 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

    $777.20changed to$790.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $799.25changed to$777.20

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $818.18changed to$799.25

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $823.78changed to$818.18

    • 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

    $815.74changed to$823.78

    • 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 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $806.36changed to$815.74

    • 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 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $798.46changed to$806.36

    • 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

    $808.00changed to$798.46

    • 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 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $823.87changed to$808.00

    • 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 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $830.09changed to$823.87

    • 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

    $825.96changed to$830.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $860.29changed to$825.96

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $853.94changed to$860.29

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $853.94

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$836.65$628.49RVU26D
2026-07-01$836.65$628.49RVU26C
2026-04-01$836.65$628.49RVU26B
2026-01-01$836.65$628.49RVU26A
2025-10-01$773.56$667.57RVU25D
2025-07-01$773.56$667.57RVU25C
2025-04-01$773.56$667.57RVU25B
2025-01-01$773.56$667.57RVU25A
2024-10-01$790.09$678.07RVU24D
2024-07-01$790.09$678.07RVU24C
2024-04-01$790.09$678.07RVU24B
2024-03-09$790.09$678.07RVU24AR
2024-01-01$777.20$667.01RVU24A
2023-10-01$799.25$683.51RVU23D
2023-07-01$799.25$683.51RVU23C
2023-04-01$799.25$683.51RVU23B
2023-01-01$799.25$683.51RVU23A
2022-10-01$818.18$695.94RVU22D
2022-07-01$818.18$695.94RVU22C
2022-04-01$818.18$695.94RVU22B
2022-01-01$818.18$695.94RVU22A
2021-10-01$823.78$699.49RVU21D
2021-07-01$823.78$699.49RVU21C
2021-04-01$823.78$699.49RVU21B
2021-01-01$823.78$699.49RVU21A
2020-10-01$815.74$703.08RVU20D
2020-07-01$815.74$703.08RVU20C
2020-04-01$815.74$703.08RVU20B
2020-01-01$815.74$703.08RVU20A
2019-10-01$806.36$700.47RVU19D
2019-07-01$806.36$700.47RVU19C
2019-04-01$806.36$700.47RVU19B
2019-01-01$806.36$700.47RVU19A
2018-10-01$798.46$698.36RVU18D
2018-07-01$798.46$698.36RVU18C
2018-04-01$798.46$698.36RVU18B
2018-01-01$798.46$698.36RVU18AR1
2017-10-01$808.00$707.61RVU17D
2017-07-01$808.00$707.61RVU17C
2017-04-01$808.00$707.61RVU17B
2017-01-01$808.00$707.61RVU17A
2016-10-01$823.87$721.80RVU16D
2016-07-01$823.87$721.80RVU16C
2016-04-01$823.87$721.80RVU16B
2016-01-01$823.87$721.80RVU16A
2015-10-01$830.09$726.59RVU15D
2015-07-01$830.09$726.59RVU15C
2015-04-01$825.96$722.97RVU15B
2015-01-01$825.96$722.97RVU15A
2014-10-01$860.29$755.68RVU14D
2014-07-01$860.29$755.68RVU14C
2014-04-01$860.29$755.68RVU14B
2014-01-01$860.29$755.68RVU14A
2013-10-01$853.94$742.92RVU13D
2013-07-01$853.94$742.92RVU13C
2013-04-01$853.94$742.92RVU13B
2013-01-01$853.94$742.92RVU13AR

Price 15115 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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