CPT code 15116: Epidermal graft, each additional 100 sq cm2026 Medicare rate & RVUs in Marin County, CA
Reports each additional 100 sq cm or part of epidermal autograft placed on the face, scalp, neck, hands, feet, genitalia, or multiple digits.
In Marin County, CA, Medicare pays $188.72 for 15116 in the office and $129.38 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 15116 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 15116 covers
This add-on represents additional epidermal autograft coverage on the face, scalp, neck, hands, feet, genitalia, or multiple digits. It is used when the recipient area at one of these sites exceeds the initial 100 sq cm covered by the primary service. Plastic surgeons, burn surgeons, and other clinicians performing skin-graft procedures may use it to report the additional treated area in an operating room or other procedural setting.
Report 15116 with 15115, counting each additional 100 sq cm or part thereof beyond the initial 100 sq cm. The operative record should identify the recipient site, epidermal graft type, and area treated so the additional area can be supported. CMS classifies 15116 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period.
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 Marin County, CA compares for 15116
Across 109 of 109 payment localities, the office rate for 15116 runs from $146.51 in Arkansas to $201.21 in Alaska. Marin County, CA pays $188.72. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Marin County, CA · this page$188.72
- Bakersfield, CA · California$165.09−$23.63
- Chico, CA · California$163.56−$25.16
- El Centro, CA · California$163.66−$25.06
- Fresno, CA · California$163.56−$25.16
- Hanford, CA · California$163.56−$25.16
- Los Angeles, CA · California$173.52−$15.20
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $163.56 | $117.44 |
| Merced, CACalifornia | $163.56 | $117.44 |
| Modesto, CACalifornia | $163.56 | $117.44 |
| Napa, CACalifornia | $181.10 | $125.63 |
| Oxnard, CACalifornia | $171.63 | $121.88 |
| Redding, CACalifornia | $163.56 | $117.44 |
| Rest of CaliforniaCalifornia | $163.56 | $117.44 |
| Riverside, CACalifornia | $169.57 | $123.45 |
| Sacramento, CACalifornia | $169.43 | $120.48 |
| Salinas, CACalifornia | $168.76 | $119.99 |
| San Diego, CACalifornia | $171.18 | $120.85 |
| San Francisco, CACalifornia | $188.08 | $128.74 |
| San Benito County, CACalifornia | $193.45 | $132.76 |
| Santa Clara County, CACalifornia | $190.85 | $130.16 |
| San Luis Obispo, CACalifornia | $166.33 | $118.40 |
| Santa Cruz, CACalifornia | $171.56 | $120.43 |
| Santa Maria, CACalifornia | $168.97 | $119.90 |
| Santa Rosa, CACalifornia | $173.13 | $121.45 |
| Stockton, CACalifornia | $163.56 | $117.44 |
| Vallejo, CACalifornia | $180.18 | $124.71 |
| Visalia, CACalifornia | $163.56 | $117.44 |
| Yuba City, CACalifornia | $163.56 | $117.44 |
| Washington, DC areaDistrict of Columbia | $182.66 | $133.08 |
| Miami, FLFlorida | $195.91 | $152.10 |
| Chicago, ILIllinois | $189.78 | $147.49 |
| Manhattan, NYNew York | $191.29 | $142.38 |
| AlaskaAlaska | $201.21 | $156.39 |
| AlabamaAlabama | $148.49 | $111.67 |
| ArkansasArkansas | $146.51 | $110.35 |
| ArizonaArizona | $159.97 | $119.19 |
| ColoradoColorado | $165.67 | $120.90 |
| ConnecticutConnecticut | $175.19 | $129.86 |
| DelawareDelaware | $162.41 | $120.83 |
| Fort Lauderdale, FLFlorida | $180.62 | $137.99 |
| Rest of FloridaFlorida | $171.24 | $131.01 |
| Atlanta, GAGeorgia | $169.70 | $126.94 |
| Rest of GeorgiaGeorgia | $161.30 | $123.76 |
| Hawaii, Guam, HIHawaii | $165.62 | $117.77 |
| IowaIowa | $147.91 | $109.40 |
| IdahoIdaho | $149.65 | $110.93 |
| East St. Louis, ILIllinois | $178.48 | $139.76 |
| Rest of IllinoisIllinois | $169.59 | $131.17 |
| Suburban Chicago, ILIllinois | $181.42 | $138.20 |
| IndianaIndiana | $150.35 | $111.33 |
| KansasKansas | $149.20 | $111.16 |
| KentuckyKentucky | $155.92 | $118.51 |
| New Orleans, LALouisiana | $163.41 | $123.80 |
| Rest of LouisianaLouisiana | $156.47 | $119.22 |
| Metropolitan Boston, MAMassachusetts | $178.46 | $128.21 |
| Rest of MassachusettsMassachusetts | $165.59 | $121.27 |
| Baltimore area, MDMaryland | $175.11 | $129.95 |
| Rest of MarylandMaryland | $164.72 | $122.13 |
| Rest of MaineMaine | $152.44 | $113.72 |
| Southern Maine, MEMaine | $157.18 | $115.48 |
| Detroit, MIMichigan | $175.24 | $134.63 |
| Rest of MichiganMichigan | $161.47 | $123.05 |
| MinnesotaMinnesota | $153.37 | $110.06 |
| Metropolitan Kansas City, MOMissouri | $160.30 | $120.79 |
| Metropolitan St. Louis, MOMissouri | $161.61 | $121.54 |
| Rest of MissouriMissouri | $155.28 | $119.01 |
| MississippiMississippi | $150.82 | $114.59 |
| MontanaMontana | $164.63 | $122.54 |
| North CarolinaNorth Carolina | $153.60 | $114.33 |
| North DakotaNorth Dakota | $153.56 | $111.47 |
| NebraskaNebraska | $148.07 | $109.22 |
| New HampshireNew Hampshire | $164.97 | $121.16 |
| Northern New JerseyNew Jersey | $181.39 | $132.57 |
| Rest of New JerseyNew Jersey | $175.67 | $129.71 |
| New MexicoNew Mexico | $163.08 | $124.48 |
| NevadaNevada | $161.61 | $119.48 |
| NYC suburbs and Long Island, NYNew York | $198.10 | $148.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $178.39 | $132.30 |
| Queens, NYNew York | $189.88 | $140.14 |
| Rest of New YorkNew York | $155.89 | $115.91 |
| OhioOhio | $159.21 | $120.78 |
| OklahomaOklahoma | $153.60 | $116.02 |
| Portland, OROregon | $168.34 | $121.58 |
| Rest of OregonOregon | $158.85 | $116.94 |
| Metropolitan Philadelphia, PAPennsylvania | $172.39 | $128.58 |
| Rest of PennsylvaniaPennsylvania | $158.35 | $119.72 |
| Puerto RicoPuerto Rico | $165.09 | $122.55 |
| Rhode IslandRhode Island | $166.32 | $122.85 |
| South CarolinaSouth Carolina | $156.96 | $118.07 |
| South DakotaSouth Dakota | $152.25 | $110.16 |
| TennesseeTennessee | $150.14 | $111.88 |
| Austin, TXTexas | $166.44 | $121.91 |
| Beaumont, TXTexas | $157.54 | $119.24 |
| Brazoria, TXTexas | $160.62 | $118.92 |
| Dallas, TXTexas | $162.49 | $120.57 |
| Fort Worth, TXTexas | $162.08 | $120.59 |
| Galveston, TXTexas | $161.65 | $119.86 |
| Houston, TXTexas | $171.90 | $130.11 |
| Rest of TexasTexas | $159.56 | $119.63 |
| UtahUtah | $158.89 | $119.33 |
| VirginiaVirginia | $158.07 | $116.70 |
| Virgin Islands, VIUnited States Virgin Islands | $165.09 | $122.55 |
| VermontVermont | $154.78 | $113.12 |
| Rest of WashingtonWashington | $164.67 | $120.36 |
| King County, WAWashington | $179.95 | $128.31 |
| WisconsinWisconsin | $149.02 | $108.70 |
| West VirginiaWest Virginia | $164.28 | $127.71 |
| WyomingWyoming | $159.80 | $117.72 |
15116 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.
$146.51
$201.21
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $201.21 | 1 |
| AL | $148.49 | 1 |
| AR | $146.51 | 1 |
| AZ | $159.97 | 1 |
| CA | $163.56–$193.45 | 29 |
| CO | $165.67 | 1 |
| CT | $175.19 | 1 |
| DC | $182.66 | 1 |
| DE | $162.41 | 1 |
| FL | $171.24–$195.91 | 3 |
| GA | $161.30–$169.70 | 2 |
| GU | $165.62 | 1 |
| HI | $165.62 | 1 |
| IA | $147.91 | 1 |
| ID | $149.65 | 1 |
| IL | $169.59–$189.78 | 4 |
| IN | $150.35 | 1 |
| KS | $149.20 | 1 |
| KY | $155.92 | 1 |
| LA | $156.47–$163.41 | 2 |
| MA | $165.59–$178.46 | 2 |
| MD | $164.72–$182.66 | 3 |
| ME | $152.44–$157.18 | 2 |
| MI | $161.47–$175.24 | 2 |
| MN | $153.37 | 1 |
| MO | $155.28–$161.61 | 3 |
| MS | $150.82 | 1 |
| MT | $164.63 | 1 |
| NC | $153.60 | 1 |
| ND | $153.56 | 1 |
| NE | $148.07 | 1 |
| NH | $164.97 | 1 |
| NJ | $175.67–$181.39 | 2 |
| NM | $163.08 | 1 |
| NV | $161.61 | 1 |
| NY | $155.89–$198.10 | 5 |
| OH | $159.21 | 1 |
| OK | $153.60 | 1 |
| OR | $158.85–$168.34 | 2 |
| PA | $158.35–$172.39 | 2 |
| PR | $165.09 | 1 |
| RI | $166.32 | 1 |
| SC | $156.96 | 1 |
| SD | $152.25 | 1 |
| TN | $150.14 | 1 |
| TX | $157.54–$171.90 | 8 |
| UT | $158.89 | 1 |
| VA | $158.07–$182.66 | 2 |
| VI | $165.09 | 1 |
| VT | $154.78 | 1 |
| WA | $164.67–$179.95 | 2 |
| WI | $149.02 | 1 |
| WV | $164.28 | 1 |
| WY | $159.80 | 1 |
How the 15116 rate is calculated
Each of 15116’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 · 15116
RVUs × geographic indexes × conversion factor
Work2.44
2.44 RVUs× 1.000 GPCI
Practice expense1.93
1.93 RVUs× 1.000 GPCI
Malpractice0.56
0.56 RVUs× 1.000 GPCI
Adjusted RVUs
4.9300
Conversion factor
$33.4009
Medicare rate
$164.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Marin County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,491
- Code
- 15116
- Physician work
- 2.44
- Practice expense
- 1.93
- Malpractice
- 0.56
GPCI2026.csv
25
- Locality
- Marin County, CA
- Physician work
- 1.095
- Practice expense
- 1.410
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.095 | 2.6718 |
| Practice expense | 1.93 | × 1.410 | 2.7213 |
| Malpractice | 0.56 | × 0.459 | 0.2570 |
| Total RVUs | 5.6501 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Marin County, CA$188.72
Office: (2.44 × 1.095 + 1.93 × 1.41 + 0.56 × 0.459) × $33.4009 = $188.72
Facility: (2.44 × 1.095 + 0.67 × 1.41 + 0.56 × 0.459) × $33.4009 = $129.38
Payment rules and modifiers for 15116
The CMS indicators that decide how 15116 is paid alongside other services.
CMS payment indicators · 15116
Epidermal graft, each additional 100 sq cm
| 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) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 15116 has changed in Marin County, CA
15116 · Office / nonfacility
$188.72
Effective 2026-10-01
The base rate is $20.62 higher than on 2025-10-01, moving from $168.10 to $188.72 (12.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$168.10changed to$188.72
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.50 changed to 2.44
- Practice expense RVU 1.56 changed to 1.93
- Work GPCI 1.088 changed to 1.095
- Practice expense GPCI 1.419 changed to 1.410
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$171.89changed to$168.10
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.54 changed to 1.56
- Malpractice RVU 0.55 changed to 0.56
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$169.08changed to$171.89
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$173.38changed to$169.08
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.56 changed to 1.54
- Work GPCI 1.082 changed to 1.088
- Practice expense GPCI 1.374 changed to 1.419
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$187.78changed to$173.38
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.89 changed to 1.56
- Malpractice RVU 0.44 changed to 0.55
- Work GPCI 1.077 changed to 1.082
- Practice expense GPCI 1.329 changed to 1.374
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$187.80changed to$187.78
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.45 changed to 0.44
- Work GPCI 1.071 changed to 1.077
- Practice expense GPCI 1.311 changed to 1.329
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$191.66changed to$187.80
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.87 changed to 1.89
- Malpractice RVU 0.44 changed to 0.45
- Work GPCI 1.068 changed to 1.071
- Practice expense GPCI 1.299 changed to 1.311
- Malpractice GPCI 0.481 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$190.36changed to$191.66
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.88 changed to 1.87
- Malpractice RVU 0.42 changed to 0.44
- Work GPCI 1.065 changed to 1.068
- Practice expense GPCI 1.291 changed to 1.299
- Malpractice GPCI 0.458 changed to 0.481
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$191.07changed to$190.36
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.92 changed to 1.88
- Malpractice RVU 0.43 changed to 0.42
- Work GPCI 1.062 changed to 1.065
- Practice expense GPCI 1.279 changed to 1.291
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$182.68changed to$191.07
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.77 changed to 1.92
- Malpractice RVU 0.41 changed to 0.43
- Work GPCI 1.058 changed to 1.062
- Practice expense GPCI 1.271 changed to 1.279
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$182.68
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $188.72 | $129.38 | RVU26D |
| 2026-07-01 | $188.72 | $129.38 | RVU26C |
| 2026-04-01 | $188.72 | $129.38 | RVU26B |
| 2026-01-01 | $188.72 | $129.38 | RVU26A |
| 2025-10-01 | $168.10 | $145.61 | RVU25D |
| 2025-07-01 | $168.10 | $145.61 | RVU25C |
| 2025-04-01 | $168.10 | $145.61 | RVU25B |
| 2025-01-01 | $168.10 | $145.61 | RVU25A |
| 2024-10-01 | $171.89 | $149.22 | RVU24D |
| 2024-07-01 | $171.89 | $149.22 | RVU24C |
| 2024-04-01 | $171.89 | $149.22 | RVU24B |
| 2024-03-09 | $171.89 | $149.22 | RVU24AR |
| 2024-01-01 | $169.08 | $146.78 | RVU24A |
| 2023-10-01 | $173.38 | $151.49 | RVU23D |
| 2023-07-01 | $173.38 | $151.49 | RVU23C |
| 2023-04-01 | $173.38 | $151.49 | RVU23B |
| 2023-01-01 | $173.38 | $151.49 | RVU23A |
| 2022-10-01 | $187.78 | $167.08 | RVU22D |
| 2022-07-01 | $187.78 | $167.08 | RVU22C |
| 2022-04-01 | $187.78 | $167.08 | RVU22B |
| 2022-01-01 | $187.78 | $167.08 | RVU22A |
| 2021-10-01 | $187.80 | $168.13 | RVU21D |
| 2021-07-01 | $187.80 | $168.13 | RVU21C |
| 2021-04-01 | $187.80 | $168.13 | RVU21B |
| 2021-01-01 | $187.80 | $168.13 | RVU21A |
| 2020-10-01 | $191.66 | $171.97 | RVU20D |
| 2020-07-01 | $191.66 | $171.97 | RVU20C |
| 2020-04-01 | $191.66 | $171.97 | RVU20B |
| 2020-01-01 | $191.66 | $171.97 | RVU20A |
| 2019-10-01 | $190.36 | $170.82 | RVU19D |
| 2019-07-01 | $190.36 | $170.82 | RVU19C |
| 2019-04-01 | $190.36 | $170.82 | RVU19B |
| 2019-01-01 | $190.36 | $170.82 | RVU19A |
| 2018-10-01 | $191.07 | $170.81 | RVU18D |
| 2018-07-01 | $191.07 | $170.81 | RVU18C |
| 2018-04-01 | $191.07 | $170.81 | RVU18B |
| 2018-01-01 | $191.07 | $170.81 | RVU18AR1 |
| 2017-10-01 | $182.68 | $164.44 | RVU17D |
| 2017-07-01 | $182.68 | $164.44 | RVU17C |
| 2017-04-01 | $182.68 | $164.44 | RVU17B |
| 2017-01-01 | $182.68 | $164.44 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Marin County, CA rate applies
Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Alto
- Belvedere
- Black Point-Green Point
- Bolinas
- Corte Madera
- Dillon Beach
- Fairfax
- Inverness
15116 billing questions
Can 15116 be reported by itself?
No. It is an add-on code and is reported with 15115, which covers the initial 100 sq cm or less at the specified sites.
How many units of 15116 should be reported?
Report one unit for each additional 100 sq cm or part thereof beyond the initial 100 sq cm. Document the total recipient area treated.
How does 15116 differ from 15115?
15115 covers the initial 100 sq cm or less of epidermal autograft at the specified sites. 15116 reports the additional area beyond that initial amount.
What documentation supports 15116?
The operative note should identify the recipient site, confirm the epidermal autograft, and record the grafted area, including the amount beyond the initial 100 sq cm.
When is 15121 used instead?
15121 reports additional split-thickness autograft area at the same designated sites. Choose the code that matches the graft type documented for the 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
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