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

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, 2026One payment locality40 Medicare services in 2024

In Houston, TX, Medicare pays $786.78 for 15130 in the office and $567.54 when it’s performed in a hospital or facility.

$786.78Office (non-facility)
$567.54Hospital or facility
+2.0%vs the national office rate ($771.23)

Check a contract rate as a % of Medicare · 15130 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 15130 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 15130 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 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.

How Houston, TX compares for 15130

Across 109 of 109 payment localities, the office rate for 15130 runs from $681.54 in Arkansas to $989.86 in San Benito County, CA. Houston, TX pays $786.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

15130 in Houston, TX vs other payment areas
  1. Houston, TX · this page$786.78
  2. Austin, TX · Texas$794.47+$7.69
  3. Beaumont, TX · Texas$724.74−$62.04
  4. Brazoria, TX · Texas$758.94−$27.84
  5. Dallas, TX · Texas$765.11−$21.67
  6. Fort Worth, TX · Texas$760.88−$25.90
  7. Galveston, TX · Texas$762.07−$24.71

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

Every other payment area

15130 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$742.32$532.80
Los Angeles, CACalifornia$854.15$592.96
Washington, DC areaDistrict of Columbia$875.17$615.10
Miami, FLFlorida$859.89$630.06
Chicago, ILIllinois$833.74$611.86
Manhattan, NYNew York$891.26$634.71
AlaskaAlaska$904.83$669.69
AlabamaAlabama$691.54$498.35

15130 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.

$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

See 15130 in every payment locality

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.

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,494

Code
15130
Physician work
7.34
Practice expense
14.40
Malpractice
1.35

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 15130 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work7.34× 1.0087.3987
Practice expense14.40× 0.99314.2992
Malpractice1.35× 1.3761.8576
Total RVUs23.5555
Conversion factor× 33.4009

Office rate, Houston, TX$786.78

Office: (7.34 × 1.008 + 14.4 × 0.993 + 1.35 × 1.376) × $33.4009 = $786.78

Facility: (7.34 × 1.008 + 7.79 × 0.993 + 1.35 × 1.376) × $33.4009 = $567.54

Open 15130 in the RVU calculator

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

Codes related to 15130

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

Codes related to 15130
CodeHow it relatesOffice range, Houston, TX
Add-on codes
15131Dermal autograft, each additional 100 sq cmAdd-on code for each additional dermal graft area increment on the trunk, arms, or legs.$106.54
Same family
15135Dermal autograft, specified sites, initial areaDermal autograft code for face, scalp, neck, hands, feet, or genitalia.$921.16
Used instead
15100Skin graft, trunk, arms, or legsDescribes a split-thickness rather than dermal autograft for the trunk, arms, or legs.$945.34
15110Epidermal graft, trunk, arms, or legsDescribes an epidermal autograft for the trunk, arms, or legs.$926.90
Often billed with
15002Wound preparation, trunk, arms, or legsMay describe separately performed recipient-site preparation on the trunk, arms, or legs.$370.63

How 15130 has changed in Houston, TX

15130 · Office / nonfacility

$786.78

Effective 2026-10-01

The base rate is $62.28 higher than on 2025-10-01, moving from $724.50 to $786.78 (8.6%).

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

    $724.50changed to$786.78

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.53 changed to 7.34
    • Practice expense RVU 12.78 changed to 14.40
    • Malpractice RVU 1.38 changed to 1.35
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $744.71changed to$724.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.74 changed to 12.78
    • Malpractice RVU 1.39 changed to 1.38

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $732.56changed to$744.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $754.14changed to$732.56

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.80 changed to 12.74
    • Malpractice RVU 1.34 changed to 1.39
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $761.66changed to$754.14

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.63 changed to 12.80
    • Malpractice RVU 1.38 changed to 1.34
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $763.48changed to$761.66

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.54 changed to 12.63
    • Malpractice RVU 1.34 changed to 1.38

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $756.19changed to$763.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.78 changed to 12.54
    • Malpractice RVU 1.32 changed to 1.34
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $692.00changed to$756.19

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.08 changed to 11.78
    • Malpractice RVU 1.41 changed to 1.32
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $683.12changed to$692.00

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.82 changed to 10.08
    • Malpractice RVU 1.45 changed to 1.41

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $688.08changed to$683.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.03 changed to 9.82
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $691.02changed to$688.08

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.20 changed to 10.03
    • Malpractice RVU 1.43 changed to 1.45
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $700.04changed to$691.02

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.39 changed to 10.20
    • Malpractice RVU 1.42 changed to 1.43

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $696.56changed to$700.04

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $690.30changed to$696.56

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.26 changed to 10.39
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $688.50changed to$690.30

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.25 changed to 10.26
    • Malpractice RVU 1.48 changed to 1.42
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $688.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$786.78$567.54RVU26D
2026-07-01$786.78$567.54RVU26C
2026-04-01$786.78$567.54RVU26B
2026-01-01$786.78$567.54RVU26A
2025-10-01$724.50$609.65RVU25D
2025-07-01$724.50$609.65RVU25C
2025-04-01$724.50$609.65RVU25B
2025-01-01$724.50$609.65RVU25A
2024-10-01$744.71$621.51RVU24D
2024-07-01$744.71$621.51RVU24C
2024-04-01$744.71$621.51RVU24B
2024-03-09$744.71$621.51RVU24AR
2024-01-01$732.56$611.37RVU24A
2023-10-01$754.14$622.27RVU23D
2023-07-01$754.14$622.27RVU23C
2023-04-01$754.14$622.27RVU23B
2023-01-01$754.14$622.27RVU23A
2022-10-01$761.66$621.71RVU22D
2022-07-01$761.66$621.71RVU22C
2022-04-01$761.66$621.71RVU22B
2022-01-01$761.66$621.71RVU22A
2021-10-01$763.48$622.02RVU21D
2021-07-01$763.48$622.02RVU21C
2021-04-01$763.48$622.02RVU21B
2021-01-01$763.48$622.02RVU21A
2020-10-01$756.19$627.72RVU20D
2020-07-01$756.19$627.72RVU20C
2020-04-01$756.19$627.72RVU20B
2020-01-01$756.19$627.72RVU20A
2019-10-01$692.00$580.40RVU19D
2019-07-01$692.00$580.40RVU19C
2019-04-01$692.00$580.40RVU19B
2019-01-01$692.00$580.40RVU19A
2018-10-01$683.12$577.83RVU18D
2018-07-01$683.12$577.83RVU18C
2018-04-01$683.12$577.83RVU18B
2018-01-01$683.12$577.83RVU18AR1
2017-10-01$688.08$581.98RVU17D
2017-07-01$688.08$581.98RVU17C
2017-04-01$688.08$581.98RVU17B
2017-01-01$688.08$581.98RVU17A
2016-10-01$691.02$584.76RVU16D
2016-07-01$691.02$584.76RVU16C
2016-04-01$691.02$584.76RVU16B
2016-01-01$691.02$584.76RVU16A
2015-10-01$700.04$591.23RVU15D
2015-07-01$700.04$591.23RVU15C
2015-04-01$696.56$588.29RVU15B
2015-01-01$696.56$588.29RVU15A
2014-10-01$690.30$584.20RVU14D
2014-07-01$690.30$584.20RVU14C
2014-04-01$690.30$584.20RVU14B
2014-01-01$690.30$584.20RVU14A
2013-10-01$688.50$574.29RVU13D
2013-07-01$688.50$574.29RVU13C
2013-04-01$688.50$574.29RVU13B
2013-01-01$688.50$574.29RVU13AR

Price 15130 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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