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CPT code 15116: Epidermal graft, each additional 100 sq cm2026 Medicare rate & RVUs in Puerto Rico

Reports each additional 100 sq cm or part of epidermal autograft placed on the face, scalp, neck, hands, feet, genitalia, or multiple digits.

CMS RVU26DEffective Oct 1, 2026One payment locality274 Medicare services in 2024

In Puerto Rico, Medicare pays $165.09 for 15116 in the office and $122.55 when it’s performed in a hospital or facility.

$165.09Office (non-facility)
$122.55Hospital or facility
+0.3%vs the national office rate ($164.67)

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.

We’ll open 15116 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 15116 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 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 Puerto Rico 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. Puerto Rico pays $165.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

15116 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$165.09
  2. Los Angeles, CA · California$173.52+$8.43
  3. Washington, DC area · District of Columbia$182.66+$17.57
  4. Miami, FL · Florida$195.91+$30.82
  5. Chicago, IL · Illinois$189.78+$24.69
  6. Manhattan, NY · New York$191.29+$26.20
  7. Alaska · Alaska$201.21+$36.12

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

Every other payment area

15116 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$148.49$111.67
ArkansasArkansas$146.51$110.35
ArizonaArizona$159.97$119.19
Bakersfield, CACalifornia$165.09$118.96
Chico, CACalifornia$163.56$117.44
El Centro, CACalifornia$163.66$117.53
Fresno, CACalifornia$163.56$117.44
Hanford, CACalifornia$163.56$117.44

15116 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.

$146.51

$201.21

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

View every state and territory as a table
15116 office rate range by state
State / territoryOffice rate rangeLocalities
AK$201.211
AL$148.491
AR$146.511
AZ$159.971
CA$163.56–$193.4529
CO$165.671
CT$175.191
DC$182.661
DE$162.411
FL$171.24–$195.913
GA$161.30–$169.702
GU$165.621
HI$165.621
IA$147.911
ID$149.651
IL$169.59–$189.784
IN$150.351
KS$149.201
KY$155.921
LA$156.47–$163.412
MA$165.59–$178.462
MD$164.72–$182.663
ME$152.44–$157.182
MI$161.47–$175.242
MN$153.371
MO$155.28–$161.613
MS$150.821
MT$164.631
NC$153.601
ND$153.561
NE$148.071
NH$164.971
NJ$175.67–$181.392
NM$163.081
NV$161.611
NY$155.89–$198.105
OH$159.211
OK$153.601
OR$158.85–$168.342
PA$158.35–$172.392
PR$165.091
RI$166.321
SC$156.961
SD$152.251
TN$150.141
TX$157.54–$171.908
UT$158.891
VA$158.07–$182.662
VI$165.091
VT$154.781
WA$164.67–$179.952
WI$149.021
WV$164.281
WY$159.801

See 15116 in every payment locality

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

Office or facility?

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 15116 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work2.44× 1.0002.4400
Practice expense1.93× 1.0111.9512
Malpractice0.56× 0.9850.5516
Total RVUs4.9428
Conversion factor× 33.4009

Office rate, Puerto Rico$165.09

Office: (2.44 × 1 + 1.93 × 1.011 + 0.56 × 0.985) × $33.4009 = $165.09

Facility: (2.44 × 1 + 0.67 × 1.011 + 0.56 × 0.985) × $33.4009 = $122.55

Open 15116 in the RVU calculator

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

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)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 15116

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

Codes related to 15116
CodeHow it relatesOffice range, Puerto Rico
Add-on codes
15115Epidermal graft, special sites, first 100 sq cmPrimary epidermal autograft code for the initial 100 sq cm or less at the specified sites.$866.54
Used instead
15110Epidermal graft, trunk, arms, or legsEpidermal autograft for trunk, arms, or legs, rather than the sites covered by 15115.$903.89
15111Epidermal graft, additional trunk, arm, or leg areaAdditional epidermal graft area for trunk, arms, or legs.$121.89
15120Skin graft, special sites, initial areaInitial split-thickness autograft area at the same designated sites.$878.66
15121Skin graft, additional area, selected sitesAdditional split-thickness autograft area at the same designated sites.$222.47
15136Dermal autograft, each additional areaAdditional dermal autograft area at the same designated sites.$101.89

How 15116 has changed in Puerto Rico

15116 · Office / nonfacility

$165.09

Effective 2026-10-01

The base rate is $15.62 higher than on 2025-10-01, moving from $149.47 to $165.09 (10.5%).

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

    $149.47changed to$165.09

    • 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
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $152.82changed to$149.47

    • 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.

  3. March 9, 2024

    RVU24AR

    $150.32changed to$152.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $156.34changed to$150.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.56 changed to 1.54
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $156.22changed to$156.34

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $167.46changed to$156.22

    • 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
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $169.19changed to$167.46

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.45 changed to 0.44

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $173.94changed to$169.19

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $173.31changed to$173.94

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $174.93changed to$173.31

    • 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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $153.54changed to$174.93

    • 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
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $128.77changed to$153.54

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.31 changed to 1.77
    • Malpractice RVU 0.59 changed to 0.41
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $141.99changed to$128.77

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.88 changed to 1.31
    • Malpractice RVU 0.43 changed to 0.59

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $141.28changed to$141.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $127.09changed to$141.28

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.33 changed to 1.88
    • Malpractice RVU 0.47 changed to 0.43
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $123.35changed to$127.09

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.48 changed to 1.33
    • Malpractice RVU 0.49 changed to 0.47
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $123.35

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$165.09$122.55RVU26D
2026-07-01$165.09$122.55RVU26C
2026-04-01$165.09$122.55RVU26B
2026-01-01$165.09$122.55RVU26A
2025-10-01$149.47$133.51RVU25D
2025-07-01$149.47$133.51RVU25C
2025-04-01$149.47$133.51RVU25B
2025-01-01$149.47$133.51RVU25A
2024-10-01$152.82$136.73RVU24D
2024-07-01$152.82$136.73RVU24C
2024-04-01$152.82$136.73RVU24B
2024-03-09$152.82$136.73RVU24AR
2024-01-01$150.32$134.50RVU24A
2023-10-01$156.34$140.29RVU23D
2023-07-01$156.22$140.29RVU23C
2023-04-01$156.22$140.29RVU23B
2023-01-01$156.22$140.29RVU23A
2022-10-01$167.46$151.76RVU22D
2022-07-01$167.46$151.76RVU22C
2022-04-01$167.46$151.76RVU22B
2022-01-01$167.46$151.76RVU22A
2021-10-01$169.19$154.07RVU21D
2021-07-01$169.19$154.07RVU21C
2021-04-01$169.19$154.07RVU21B
2021-01-01$169.19$154.07RVU21A
2020-10-01$173.94$158.66RVU20D
2020-07-01$173.94$158.66RVU20C
2020-04-01$173.94$158.66RVU20B
2020-01-01$173.94$158.66RVU20A
2019-10-01$173.31$158.07RVU19D
2019-07-01$173.31$158.07RVU19C
2019-04-01$173.31$158.07RVU19B
2019-01-01$173.31$158.07RVU19A
2018-10-01$174.93$158.98RVU18D
2018-07-01$174.93$158.98RVU18C
2018-04-01$174.93$158.98RVU18B
2018-01-01$174.93$158.98RVU18AR1
2017-10-01$153.54$141.26RVU17D
2017-07-01$153.54$141.26RVU17C
2017-04-01$153.54$141.26RVU17B
2017-01-01$153.54$141.26RVU17A
2016-10-01$128.77$118.17RVU16D
2016-07-01$128.77$118.17RVU16C
2016-04-01$128.77$118.17RVU16B
2016-01-01$128.77$118.17RVU16A
2015-10-01$141.99$131.35RVU15D
2015-07-01$141.99$131.35RVU15C
2015-04-01$141.28$130.69RVU15B
2015-01-01$141.28$130.69RVU15A
2014-10-01$127.09$116.68RVU14D
2014-07-01$127.09$116.68RVU14C
2014-04-01$127.09$116.68RVU14B
2014-01-01$127.09$116.68RVU14A
2013-10-01$123.35$112.05RVU13D
2013-07-01$123.35$112.05RVU13C
2013-04-01$123.35$112.05RVU13B
2013-01-01$123.35$112.05RVU13AR

Price 15116 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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
RVUs for 15116PPRRVU2026_Oct_nonQPP.csv, line 1,491 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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