CPT code 15120: Skin graft, special sites, initial area2026 Medicare rate & RVUs

Reports the initial split-thickness skin autograft area for reconstruction of the face, hands, feet, genitalia, or other designated sites.

CMS RVU26DEffective Oct 1, 2026109 payment localities7K Medicare services in 2024

Medicare pays $874.10 for 15120 nationally in the office and $614.91 in a hospital or facility. Local office rates run $778.75–$1,101.35.

Medicare rate · 15120

Skin graft, special sites, initial area

Office or facility?

Work RVUs
9.9
Total RVUs
26.17
Global days
090

National rate · 2026

$874.10

Office setting, before claim adjustments.

See every locality for 15120 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 15120 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 15120 covers

A split-thickness autograft transfers the patient’s own epidermis and part of the dermis from a donor site to a recipient wound. This code covers the initial area when the recipient site is the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, or multiple digits. Plastic and reconstructive surgeons, burn surgeons, and other surgeons may use it for burn wounds, traumatic defects, or defects after excision in hospital or outpatient settings.

Report 15120 for the first 100 square centimeters, or the corresponding 1% body-area increment for infants and children. Document the recipient site, graft type, total area treated, and the patient’s age when using the pediatric body-area basis. Code additional area with 15121. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, 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.

Where 15120 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$778.75 to $1101.35

$778.75$940.05$1101.35
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

15120 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$789.35$562.56
Alaska$1,046.78$770.74
Arizona$851.10$599.95
Arkansas$778.75$556.10
Atlanta, GA$893.86$630.52
Austin, TX$896.92$622.69
Bakersfield, CA$906.04$621.97
Baltimore area, MD$927.99$649.88
Beaumont, TX$826.23$590.36
Brazoria, TX$860.37$603.51

15120 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.

$778.75

$1,046.78

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

View every state and territory as a table
15120 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,046.781
AL$789.351
AR$778.751
AZ$851.101
CA$901.40–$1,101.3529
CO$897.441
CT$929.801
DC$985.151
DE$864.391
FL$879.97–$977.393
GA$831.74–$893.862
GU$918.171
HI$918.171
IA$799.711
ID$806.291
IL$862.21–$949.374
IN$810.421
KS$800.151
KY$815.201
LA$815.58–$852.662
MA$894.26–$976.532
MD$878.81–$985.153
ME$814.40–$849.612
MI$838.58–$894.342
MN$849.951
MO$805.21–$850.743
MS$791.921
MT$873.991
NC$821.691
ND$841.761
NE$802.591
NH$887.341
NJ$937.60–$976.872
NM$844.461
NV$865.501
NY$833.48–$1,034.345
OH$832.001
OK$809.641
OR$855.98–$919.732
PA$831.01–$910.612
PR$878.661
RI$890.641
SC$828.771
SD$837.951
TN$804.401
TX$826.23–$896.928
UT$839.211
VA$849.78–$985.152
VI$878.661
VT$842.321
WA$891.30–$991.672
WI$815.891
WV$833.511
WY$859.951

How the 15120 rate is calculated

Each of 15120’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 · 15120

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.90

9.90 RVUs× 1.000 GPCI

Practice expense14.64

14.64 RVUs× 1.000 GPCI

Malpractice1.63

1.63 RVUs× 1.000 GPCI

Adjusted RVUs

26.1700

Conversion factor

$33.4009

Medicare rate

$874.10

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

Payment rules and modifiers for 15120

15120 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15120

Skin graft, special sites, initial area

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 · 15120

Skin graft, special sites, initial area

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

15120 without 51 · national office

$874.10

Skin graft, special sites, initial area

15120-51 · Second procedure: 50%

$437.05

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

15120 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 15120

    Skin graft, special sites, initial area9.9 wRVU

    $874.10

  • 15100

    Skin graft, trunk, arms, or legs9.65 wRVU

    $922.53+$48.43

  • 15121

    Skin graft, additional area, selected sites1.95 wRVU

    $221.11−$652.99

  • 15115

    Epidermal graft, special sites, first 100 sq cm11 wRVU

    $862.75−$11.35

  • 15135

    Dermal autograft, specified sites, initial area10.75 wRVU

    $901.49+$27.39

How to choose

15100Skin graftTrunk, arms, or legs
Choose 15100 for split-thickness autografting of the trunk, arms, or legs. Choose 15120 for the designated special sites, including the face, hands, feet, and genitalia.
15121Skin graftAdditional area, selected sites
15120 reports the initial area; 15121 reports each additional area increment for the same special-site grafting service.
15115Epidermal graftSpecial sites, first 100 sq cm
15115 covers an epidermal graft to the special-site group. 15120 is for a split-thickness autograft, which includes part of the dermis.
15135Dermal autograftSpecified sites, initial area
15135 is for a dermal autograft to the special-site group. Select 15120 when the graft is split-thickness rather than dermal.

15120 billing questions

How does 15120 differ from 15100?

15120 is for the designated special sites, such as the face, hands, feet, and genitalia. 15100 is for trunk, arms, and legs.

When should 15121 be added?

Use 15121 for grafted area beyond the initial area reported with 15120. The record should support the additional area treated.

Can recipient-site preparation be reported separately?

When separately performed, recipient-site preparation may be reported with the applicable preparation code, such as 15004 for these sites. Document the preparation as a distinct service.

Should modifier 50 be used for grafts on both sides?

No. The CMS bilateral adjustment does not apply to 15120, and modifier 50 is inappropriate for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for the graft.

Is assistant-at-surgery payment available?

No. CMS lists a statutory restriction on assistant-at-surgery payment for 15120.

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 15120PPRRVU2026_Oct_nonQPP.csv, line 1,492 (RVU26D)

Open CMS sourceHow we calculate rates

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