CPT code 15130: Dermal autograft, trunk, arms, or legs2026 Medicare rate & RVUs

Reports placement of a patient-derived dermal graft on the trunk, arms, or legs when the treated area reaches the initial size threshold.

CMS RVU26DEffective Oct 1, 2026109 payment localities40 Medicare services in 2024

Medicare pays $771.23 for 15130 nationally in the office and $550.45 in a hospital or facility. Local office rates run $681.54–$989.86.

Medicare rate · 15130

Dermal autograft, trunk, arms, or legs

Office or facility?

Work RVUs
7.34
Total RVUs
23.09
Global days
090

National rate · 2026

$771.23

Office setting, before claim adjustments.

See every locality for 15130 →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 15130 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 15130 covers

A surgeon places dermis harvested from the patient onto a wound or defect on the trunk, an arm, or a leg. Plastic and burn surgeons commonly use dermal autografting to reconstruct deep burns or other wounds where a dermal graft is selected. This code covers the initial 100 square centimeters of treated area, or the corresponding 1% body surface area threshold for infants and children.

Report the code for the initial area and use 15131 for each additional area increment. Document the graft type, recipient site, and measured area; for infants and children, document the body surface area treated. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Measure the graft area rather than appending modifier 50. Medicare does not pay an assistant at surgery for this code; 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 15130 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

$681.54 to $989.86

$681.54$835.70$989.86
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

15130 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$691.54$498.35
Alaska$904.83$669.69
Arizona$749.82$535.89
Arkansas$681.54$491.89
Atlanta, GA$788.72$564.41
Austin, TX$794.47$560.89
Bakersfield, CA$804.43$562.45
Baltimore area, MD$820.95$584.05
Beaumont, TX$724.74$523.83
Brazoria, TX$758.94$540.15

15130 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.

$681.54

$904.83

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

View every state and territory as a table
15130 office rate range by state
State / territoryOffice rate rangeLocalities
AK$904.831
AL$691.541
AR$681.541
AZ$749.821
CA$800.65–$989.8629
CO$795.081
CT$822.631
DC$875.171
DE$762.131
FL$772.74–$859.893
GA$727.94–$788.722
GU$818.141
HI$818.141
IA$703.151
ID$708.991
IL$754.77–$833.744
IN$712.941
KS$702.691
KY$714.011
LA$714.02–$748.982
MA$791.49–$869.632
MD$775.75–$875.173
ME$715.70–$750.262
MI$735.20–$785.332
MN$753.431
MO$703.68–$748.233
MS$692.601
MT$771.141
NC$722.721
ND$744.441
NE$706.151
NH$785.311
NJ$829.66–$866.692
NM$740.371
NV$764.181
NY$733.79–$916.465
OH$729.741
OK$709.711
OR$755.91–$816.992
PA$729.31–$804.062
PR$775.841
RI$786.891
SC$727.911
SD$741.291
TN$706.581
TX$724.74–$794.478
UT$737.771
VA$749.79–$875.172
VI$775.841
VT$744.141
WA$789.13–$884.412
WI$719.821
WV$727.651
WY$759.501

How the 15130 rate is calculated

Each of 15130’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 · 15130

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.34

7.34 RVUs× 1.000 GPCI

Practice expense14.40

14.40 RVUs× 1.000 GPCI

Malpractice1.35

1.35 RVUs× 1.000 GPCI

Adjusted RVUs

23.0900

Conversion factor

$33.4009

Medicare rate

$771.23

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

Payment rules and modifiers for 15130

15130 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15130

Dermal autograft, trunk, arms, or legs

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 · 15130

Dermal autograft, trunk, arms, or legs

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

15130 without 51 · national office

$771.23

Dermal autograft, trunk, arms, or legs

15130-51 · Second procedure: 50%

$385.62

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

15130 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 15130

    Dermal autograft, trunk, arms, or legs7.34 wRVU

    $771.23

  • 15131

    Dermal autograft, each additional 100 sq cm1.46 wRVU

    $103.21−$668.02

  • 15100

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

    $922.53+$151.30

  • 15110

    Epidermal graft, trunk, arms, or legs10.7 wRVU

    $899.82+$128.59

  • 15135

    Dermal autograft, specified sites, initial area10.75 wRVU

    $901.49+$130.26

How to choose

15131Dermal autograftEach additional 100 sq cm
15130 represents the initial graft area; 15131 represents each additional area increment in the same anatomic region.
15100Skin graftTrunk, arms, or legs
Choose 15100 for a split-thickness autograft on the trunk, arms, or legs; 15130 is for a dermal autograft.
15110Epidermal graftTrunk, arms, or legs
Choose 15110 for an epidermal autograft on the trunk, arms, or legs rather than a dermal autograft.
15135Dermal autograftSpecified sites, initial area
15135 is the dermal autograft code for face, scalp, neck, hands, feet, or genitalia; 15130 is for the trunk, arms, or legs.

15130 billing questions

When should 15130 be selected instead of 15100?

Use 15130 when the graft is a dermal autograft. Code 15100 describes a split-thickness autograft for the trunk, arms, or legs.

How is the initial graft area measured?

This code covers the initial 100 square centimeters, or the corresponding 1% body surface area for infants and children. Record the treated area and use 15131 for each additional increment.

Can 15131 be reported with 15130?

Yes. Report 15131 for each additional area increment beyond the initial area represented by 15130.

Should modifier 50 be appended for grafts on both sides?

No. Report the treated graft area; the descriptor and anatomy do not call for modifier 50.

What postoperative care is included?

The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.

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 15130PPRRVU2026_Oct_nonQPP.csv, line 1,494 (RVU26D)

Open CMS sourceHow we calculate rates

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