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CPT code 15131: Dermal autograft, each additional 100 sq cm2026 Medicare rate & RVUs in Puerto Rico

Reports each additional 100 square centimeters, or part of that increment, of dermal autograft placed on the trunk, arms, or legs.

CMS RVU26DEffective Oct 1, 2026One payment locality17 Medicare services in 2024

In Puerto Rico, Medicare pays $103.58 for 15131 in the office and $75.22 when it’s performed in a hospital or facility.

$103.58Office (non-facility)
$75.22Hospital or facility
+0.4%vs the national office rate ($103.21)

Check a contract rate as a % of Medicare · 15131 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 15131 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 15131 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 15131 covers

This add-on code covers additional recipient-site area treated with a dermal autograft on the trunk, an arm, or a leg. A surgeon, commonly a plastic, reconstructive, or burn surgeon, may use the graft to cover a wound after burn injury, trauma, or excision. The graft is the patient’s own dermal tissue; the code distinguishes this method from split-thickness and epidermal grafting.

Report 15131 with the primary dermal autograft code 15130 when the treated area extends beyond the first 100 square centimeters. Each additional 100 square centimeters, or part of that increment, is reported as an additional unit. The operative report should identify the graft type, recipient-site location, and total area treated so the initial and additional portions can be supported. CMS classifies this 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 15131

Across 109 of 109 payment localities, the office rate for 15131 runs from $92.54 in Arkansas to $126.67 in Alaska. Puerto Rico pays $103.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

15131 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$103.58
  2. Los Angeles, CA · California$110.66+$7.08
  3. Washington, DC area · District of Columbia$114.97+$11.39
  4. Miami, FL · Florida$118.36+$14.78
  5. Chicago, IL · Illinois$115.03+$11.45
  6. Manhattan, NY · New York$118.83+$15.25
  7. Alaska · Alaska$126.67+$23.09

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

Every other payment area

15131 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$93.72$69.17
ArkansasArkansas$92.54$68.44
ArizonaArizona$100.54$73.35
Bakersfield, CACalifornia$105.13$74.38
Chico, CACalifornia$104.40$73.65
El Centro, CACalifornia$104.44$73.69
Fresno, CACalifornia$104.40$73.65
Hanford, CACalifornia$104.40$73.65

15131 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.

$92.54

$126.67

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

View every state and territory as a table
15131 office rate range by state
State / territoryOffice rate rangeLocalities
AK$126.671
AL$93.721
AR$92.541
AZ$100.541
CA$104.40–$124.7729
CO$104.821
CT$109.531
DC$114.971
DE$102.031
FL$105.56–$118.363
GA$99.93–$105.832
GU$105.821
HI$105.821
IA$94.081
ID$94.971
IL$104.12–$115.034
IN$95.401
KS$94.511
KY$97.391
LA$97.58–$101.692
MA$104.65–$113.132
MD$103.53–$114.973
ME$96.27–$99.592
MI$100.35–$107.562
MN$98.421
MO$96.67–$101.033
MS$94.581
MT$103.191
NC$97.011
ND$98.051
NE$94.281
NH$104.001
NJ$110.21–$114.192
NM$101.161
NV$101.801
NY$98.34–$122.425
OH$99.301
OK$96.381
OR$100.45–$106.852
PA$98.98–$107.642
PR$103.581
RI$104.711
SC$98.431
SD$97.441
TN$95.021
TX$98.47–$106.548
UT$99.581
VA$99.88–$114.972
VI$103.581
VT$98.461
WA$104.19–$114.452
WI$95.281
WV$100.961
WY$100.951

See 15131 in every payment locality

How the 15131 rate is calculated

Each of 15131’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 · 15131

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.46

1.46 RVUs× 1.000 GPCI

Practice expense1.37

1.37 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

3.0900

Conversion factor

$33.4009

Medicare rate

$103.21

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

1,495

Code
15131
Physician work
1.46
Practice expense
1.37
Malpractice
0.26

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 15131 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0001.4600
Practice expense1.37× 1.0111.3851
Malpractice0.26× 0.9850.2561
Total RVUs3.1012
Conversion factor× 33.4009

Office rate, Puerto Rico$103.58

Office: (1.46 × 1 + 1.37 × 1.011 + 0.26 × 0.985) × $33.4009 = $103.58

Facility: (1.46 × 1 + 0.53 × 1.011 + 0.26 × 0.985) × $33.4009 = $75.22

Open 15131 in the RVU calculator

Payment rules and modifiers for 15131

The CMS indicators that decide how 15131 is paid alongside other services.

CMS payment indicators · 15131

Dermal autograft, 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 15131

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

Codes related to 15131
CodeHow it relatesOffice range, Puerto Rico
Add-on codes
15130Dermal autograft, trunk, arms, or legsPrimary dermal autograft code for the trunk, arms, or legs; 15131 reports additional area.$775.84
Same family
15135Dermal autograft, specified sites, initial areaPrimary dermal autograft code for specified sites including the face, hands, and feet.$906.06
15136Dermal autograft, each additional areaAdditional dermal-autograft area code for specified sites outside the trunk, arms, and legs.$101.89
Used instead
15100Skin graft, trunk, arms, or legsSplit-thickness autograft option for the trunk, arms, or legs rather than a dermal autograft.$927.48
15101Skin graft, additional area, trunk or limbAdditional-area code when the graft is split-thickness rather than dermal.$202.68
15110Epidermal graft, trunk, arms, or legsEpidermal autograft option for the trunk, arms, or legs.$903.89

How 15131 has changed in Puerto Rico

15131 · Office / nonfacility

$103.58

Effective 2026-10-01

The base rate is $8.06 higher than on 2025-10-01, moving from $95.52 to $103.58 (8.4%).

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

    $95.52changed to$103.58

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 1.17 changed to 1.37
    • Malpractice RVU 0.28 changed to 0.26
    • 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

    $96.97changed to$95.52

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.14 changed to 1.17
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $95.39changed to$96.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $98.43changed to$95.39

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.13 changed to 1.14
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $98.27changed to$98.43

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

  6. January 1, 2023

    RVU23A

    $99.49changed to$98.27

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.10 changed to 1.13
    • 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

    $100.33changed to$99.49

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.11 changed to 1.10
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $103.41changed to$100.33

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.09 changed to 1.11
    • Malpractice RVU 0.27 changed to 0.26
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $102.89changed to$103.41

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.26 changed to 0.27
    • 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

    $103.50changed to$102.89

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.11 changed to 1.09

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $84.78changed to$103.50

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.79 changed to 1.11
    • Malpractice RVU 0.29 changed to 0.26
    • 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

    $83.95changed to$84.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.09 changed to 0.79
    • Malpractice RVU 0.26 changed to 0.29
    • 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

    $76.94changed to$83.95

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.76 changed to 1.09
    • Malpractice RVU 0.36 changed to 0.26

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $76.56changed to$76.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $83.91changed to$76.56

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.10 changed to 0.76
    • Malpractice RVU 0.30 changed to 0.36
    • 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

    $73.27changed to$83.91

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.85 changed to 1.10
    • Malpractice RVU 0.31 changed to 0.30
    • 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: $73.27

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$103.58$75.22RVU26D
2026-07-01$103.58$75.22RVU26C
2026-04-01$103.58$75.22RVU26B
2026-01-01$103.58$75.22RVU26A
2025-10-01$95.52$87.06RVU25D
2025-07-01$95.52$87.06RVU25C
2025-04-01$95.52$87.06RVU25B
2025-01-01$95.52$87.06RVU25A
2024-10-01$96.97$88.26RVU24D
2024-07-01$96.97$88.26RVU24C
2024-04-01$96.97$88.26RVU24B
2024-03-09$96.97$88.26RVU24AR
2024-01-01$95.39$86.81RVU24A
2023-10-01$98.43$90.23RVU23D
2023-07-01$98.27$90.14RVU23C
2023-04-01$98.27$90.14RVU23B
2023-01-01$98.27$90.14RVU23A
2022-10-01$99.49$91.47RVU22D
2022-07-01$99.49$91.47RVU22C
2022-04-01$99.49$91.47RVU22B
2022-01-01$99.49$91.47RVU22A
2021-10-01$100.33$92.24RVU21D
2021-07-01$100.33$92.24RVU21C
2021-04-01$100.33$92.24RVU21B
2021-01-01$100.33$92.24RVU21A
2020-10-01$103.41$95.77RVU20D
2020-07-01$103.41$95.77RVU20C
2020-04-01$103.41$95.77RVU20B
2020-01-01$103.41$95.77RVU20A
2019-10-01$102.89$94.91RVU19D
2019-07-01$102.89$94.91RVU19C
2019-04-01$102.89$94.91RVU19B
2019-01-01$102.89$94.91RVU19A
2018-10-01$103.50$95.17RVU18D
2018-07-01$103.50$95.17RVU18C
2018-04-01$103.50$95.17RVU18B
2018-01-01$103.50$95.17RVU18AR1
2017-10-01$84.78$78.33RVU17D
2017-07-01$84.78$78.33RVU17C
2017-04-01$84.78$78.33RVU17B
2017-01-01$84.78$78.33RVU17A
2016-10-01$83.95$78.14RVU16D
2016-07-01$83.95$78.14RVU16C
2016-04-01$83.95$78.14RVU16B
2016-01-01$83.95$78.14RVU16A
2015-10-01$76.94$71.37RVU15D
2015-07-01$76.94$71.37RVU15C
2015-04-01$76.56$71.02RVU15B
2015-01-01$76.56$71.02RVU15A
2014-10-01$83.91$78.46RVU14D
2014-07-01$83.91$78.46RVU14C
2014-04-01$83.91$78.46RVU14B
2014-01-01$83.91$78.46RVU14A
2013-10-01$73.27$67.27RVU13D
2013-07-01$73.27$67.27RVU13C
2013-04-01$73.27$67.27RVU13B
2013-01-01$73.27$67.27RVU13AR

Price 15131 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

15131 billing questions

Which primary code is reported with 15131?

Report 15131 with 15130 for dermal autografting of the trunk, arms, or legs. It represents area beyond the first 100 square centimeters.

How is the additional area counted?

Each additional 100 square centimeters, or any part of that increment, supports one unit. Document the total grafted area and the portion represented by the primary code.

Can 15131 be billed by itself?

No. It is an add-on code and must be reported with a primary procedure, such as 15130.

How does 15131 differ from 15136?

Both report additional dermal-autograft area, but 15131 is for the trunk, arms, or legs. Code 15136 is for the face, scalp, neck, hands, feet, or genitalia.

What documentation supports the units?

The operative report should specify the dermal autograft, recipient-site anatomy, and measured area treated. Those details support the primary and additional-area reporting.

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 15131PPRRVU2026_Oct_nonQPP.csv, line 1,495 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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