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

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

CMS RVU26DEffective Oct 1, 2026One payment locality7K Medicare services in 2024

In Montana, Medicare pays $873.99 for 15120 in the office and $614.80 when it’s performed in a hospital or facility.

$873.99Office (non-facility)
$614.80Hospital or facility
−0.0%vs the national office rate ($874.10)

Check a contract rate as a % of Medicare · 15120 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 15120 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 15120 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 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.

How Montana compares for 15120

Across 109 of 109 payment localities, the office rate for 15120 runs from $778.75 in Arkansas to $1,101.35 in San Benito County, CA. Montana pays $873.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

15120 in Montana vs other payment areas
  1. Montana · this page$873.99
  2. Los Angeles, CA · California$958.85+$84.86
  3. Washington, DC area · District of Columbia$985.15+$111.16
  4. Miami, FL · Florida$977.39+$103.40
  5. Chicago, IL · Illinois$949.37+$75.38
  6. Manhattan, NY · New York$1,006.38+$132.39
  7. Alaska · Alaska$1,046.78+$172.79

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

Every other payment area

15120 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$789.35$562.56
ArkansasArkansas$778.75$556.10
ArizonaArizona$851.10$599.95
Bakersfield, CACalifornia$906.04$621.97
Chico, CACalifornia$901.40$617.33
El Centro, CACalifornia$901.68$617.60
Fresno, CACalifornia$901.40$617.33
Hanford, CACalifornia$901.40$617.33

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

See 15120 in every payment locality

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,492

Code
15120
Physician work
9.90
Practice expense
14.64
Malpractice
1.63

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 15120 in Montana
ComponentRVULocality factorAdjusted
Physician work9.90× 1.0009.9000
Practice expense14.64× 1.00014.6400
Malpractice1.63× 0.9981.6267
Total RVUs26.1667
Conversion factor× 33.4009

Office rate, Montana$873.99

Office: (9.9 × 1 + 14.64 × 1 + 1.63 × 0.998) × $33.4009 = $873.99

Facility: (9.9 × 1 + 6.88 × 1 + 1.63 × 0.998) × $33.4009 = $614.80

Open 15120 in the RVU calculator

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

How 15120 has changed in Montana

15120 · Office / nonfacility

$873.99

Effective 2026-10-01

The base rate is $50.97 higher than on 2025-10-01, moving from $823.02 to $873.99 (6.2%).

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

    $823.02changed to$873.99

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.15 changed to 9.90
    • Practice expense RVU 13.69 changed to 14.64
    • Malpractice RVU 1.64 changed to 1.63
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $846.28changed to$823.02

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 13.64 changed to 13.69
    • Malpractice RVU 1.67 changed to 1.64

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $832.46changed to$846.28

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $857.15changed to$832.46

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 13.55 changed to 13.64
    • Malpractice RVU 1.63 changed to 1.67
  5. January 1, 2023

    RVU23A

    $866.62changed to$857.15

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 13.29 changed to 13.55
    • Malpractice RVU 1.64 changed to 1.63
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $870.35changed to$866.62

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 13.24 changed to 13.29
    • Malpractice RVU 1.59 changed to 1.64

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $896.81changed to$870.35

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 12.60 changed to 13.24
    • Malpractice RVU 1.61 changed to 1.59
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $914.05changed to$896.81

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 12.44 changed to 12.60
    • Malpractice RVU 1.70 changed to 1.61
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $910.17changed to$914.05

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.36 changed to 12.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $895.91changed to$910.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.37 changed to 12.36
    • Malpractice RVU 1.71 changed to 1.70
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $882.17changed to$895.91

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.38 changed to 12.37
    • Malpractice RVU 1.72 changed to 1.71
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $882.79changed to$882.17

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 12.37 changed to 12.38
    • Malpractice RVU 1.67 changed to 1.72

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $878.40changed to$882.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $875.41changed to$878.40

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 12.33 changed to 12.37
    • Malpractice RVU 1.68 changed to 1.67
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $873.41changed to$875.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.58 changed to 12.33
    • Malpractice RVU 1.76 changed to 1.68
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $873.41

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$873.99$614.80RVU26D
2026-07-01$873.99$614.80RVU26C
2026-04-01$873.99$614.80RVU26B
2026-01-01$873.99$614.80RVU26A
2025-10-01$823.02$674.23RVU25D
2025-07-01$823.02$674.23RVU25C
2025-04-01$823.02$674.23RVU25B
2025-01-01$823.02$674.23RVU25A
2024-10-01$846.28$688.83RVU24D
2024-07-01$846.28$688.83RVU24C
2024-04-01$846.28$688.83RVU24B
2024-03-09$846.28$688.83RVU24AR
2024-01-01$832.46$677.58RVU24A
2023-10-01$857.15$695.51RVU23D
2023-07-01$857.15$695.51RVU23C
2023-04-01$857.15$695.51RVU23B
2023-01-01$857.15$695.51RVU23A
2022-10-01$866.62$701.20RVU22D
2022-07-01$866.62$701.20RVU22C
2022-04-01$866.62$701.20RVU22B
2022-01-01$866.62$701.20RVU22A
2021-10-01$870.35$702.17RVU21D
2021-07-01$870.35$702.17RVU21C
2021-04-01$870.35$702.17RVU21B
2021-01-01$870.35$702.17RVU21A
2020-10-01$896.81$737.65RVU20D
2020-07-01$896.81$737.65RVU20C
2020-04-01$896.81$737.65RVU20B
2020-01-01$896.81$737.65RVU20A
2019-10-01$914.05$759.80RVU19D
2019-07-01$914.05$759.80RVU19C
2019-04-01$914.05$759.80RVU19B
2019-01-01$914.05$759.80RVU19A
2018-10-01$910.17$758.97RVU18D
2018-07-01$910.17$758.97RVU18C
2018-04-01$910.17$758.97RVU18B
2018-01-01$910.17$758.97RVU18AR1
2017-10-01$895.91$746.25RVU17D
2017-07-01$895.91$746.25RVU17C
2017-04-01$895.91$746.25RVU17B
2017-01-01$895.91$746.25RVU17A
2016-10-01$882.17$733.23RVU16D
2016-07-01$882.17$733.23RVU16C
2016-04-01$882.17$733.23RVU16B
2016-01-01$882.17$733.23RVU16A
2015-10-01$882.79$733.31RVU15D
2015-07-01$882.79$733.31RVU15C
2015-04-01$878.40$729.66RVU15B
2015-01-01$878.40$729.66RVU15A
2014-10-01$875.41$728.54RVU14D
2014-07-01$875.41$728.54RVU14C
2014-04-01$875.41$728.54RVU14B
2014-01-01$875.41$728.54RVU14A
2013-10-01$873.41$715.21RVU13D
2013-07-01$873.41$715.21RVU13C
2013-04-01$873.41$715.21RVU13B
2013-01-01$873.41$715.21RVU13AR

Price 15120 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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