CPT code 15136: Dermal autograft, each additional area2026 Medicare rate & RVUs in Montana
Reports each additional area of dermal autograft placed on the face, scalp, neck, hands, feet, or genitalia beyond the primary area.
In Montana, Medicare pays $101.52 for 15136 in the office and $75.13 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 15136 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 15136 covers
This add-on represents additional dermal autograft coverage at the face, scalp, neck, hands, feet, or genitalia after the initial area is reported. A surgeon or other qualified proceduralist places the graft on a prepared wound, such as a defect following excision or tissue loss from injury or burns. The code measures additional treated area, not another patient or separate encounter.
Report 15136 with the primary dermal autograft service, generally 15135, for qualifying sites. Select units using the additional grafted area; for infants and children, the measure is each additional 1% of body area. Documentation should identify the recipient site, graft type, total area treated, and the additional area represented by the units. CMS classifies this as an add-on code: it is billed only with a primary procedure, and its payment is 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 Montana compares for 15136
Across 109 of 109 payment localities, the office rate for 15136 runs from $91.11 in Arkansas to $124.89 in Alaska. Montana pays $101.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$101.52
- Los Angeles, CA · California$108.69+$7.17
- Washington, DC area · District of Columbia$113.00+$11.48
- Miami, FL · Florida$116.62+$15.10
- Chicago, IL · Illinois$113.35+$11.83
- Manhattan, NY · New York$116.89+$15.37
- Alaska · Alaska$124.89+$23.37
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $92.26 | $69.17 |
| ArkansasArkansas | $91.11 | $68.44 |
| ArizonaArizona | $98.92 | $73.35 |
| Bakersfield, CACalifornia | $103.30 | $74.38 |
| Chico, CACalifornia | $102.57 | $73.65 |
| El Centro, CACalifornia | $102.61 | $73.69 |
| Fresno, CACalifornia | $102.57 | $73.65 |
| Hanford, CACalifornia | $102.57 | $73.65 |
| Madera, CACalifornia | $102.57 | $73.65 |
| Merced, CACalifornia | $102.57 | $73.65 |
| Modesto, CACalifornia | $102.57 | $73.65 |
| Napa, CACalifornia | $114.36 | $79.58 |
| Oxnard, CACalifornia | $107.65 | $76.47 |
| Redding, CACalifornia | $102.57 | $73.65 |
| Rest of CaliforniaCalifornia | $102.57 | $73.65 |
| Riverside, CACalifornia | $105.37 | $76.45 |
| Sacramento, CACalifornia | $106.45 | $75.76 |
| Salinas, CACalifornia | $106.03 | $75.45 |
| San Diego, CACalifornia | $107.67 | $76.11 |
| Marin County, CACalifornia | $119.55 | $82.34 |
| San Francisco, CACalifornia | $119.25 | $82.05 |
| San Benito County, CACalifornia | $122.36 | $84.31 |
| Santa Clara County, CACalifornia | $121.15 | $83.10 |
| San Luis Obispo, CACalifornia | $104.47 | $74.41 |
| Santa Cruz, CACalifornia | $108.01 | $75.95 |
| Santa Maria, CACalifornia | $106.19 | $75.43 |
| Santa Rosa, CACalifornia | $109.02 | $76.62 |
| Stockton, CACalifornia | $102.57 | $73.65 |
| Vallejo, CACalifornia | $113.93 | $79.16 |
| Visalia, CACalifornia | $102.57 | $73.65 |
| Yuba City, CACalifornia | $102.57 | $73.65 |
| ColoradoColorado | $103.04 | $74.97 |
| ConnecticutConnecticut | $107.73 | $79.31 |
| DelawareDelaware | $100.38 | $74.31 |
| Fort Lauderdale, FLFlorida | $109.13 | $82.40 |
| Rest of FloridaFlorida | $103.97 | $78.74 |
| Atlanta, GAGeorgia | $104.14 | $77.33 |
| Rest of GeorgiaGeorgia | $98.44 | $74.91 |
| Hawaii, Guam, HIHawaii | $103.92 | $73.92 |
| IowaIowa | $92.55 | $68.41 |
| IdahoIdaho | $93.44 | $69.16 |
| East St. Louis, ILIllinois | $106.82 | $82.54 |
| Rest of IllinoisIllinois | $102.59 | $78.50 |
| Suburban Chicago, ILIllinois | $109.77 | $82.68 |
| IndianaIndiana | $93.86 | $69.40 |
| KansasKansas | $93.00 | $69.15 |
| KentuckyKentucky | $95.91 | $72.45 |
| New Orleans, LALouisiana | $100.12 | $75.29 |
| Rest of LouisianaLouisiana | $96.10 | $72.75 |
| Metropolitan Boston, MAMassachusetts | $111.14 | $79.63 |
| Rest of MassachusettsMassachusetts | $102.89 | $75.11 |
| Baltimore area, MDMaryland | $107.60 | $79.28 |
| Rest of MarylandMaryland | $101.84 | $75.14 |
| Rest of MaineMaine | $94.73 | $70.45 |
| Southern Maine, MEMaine | $97.94 | $71.79 |
| Detroit, MIMichigan | $105.95 | $80.49 |
| Rest of MichiganMichigan | $98.82 | $74.73 |
| MinnesotaMinnesota | $96.70 | $69.55 |
| Metropolitan Kansas City, MOMissouri | $98.65 | $73.87 |
| Metropolitan St. Louis, MOMissouri | $99.44 | $74.32 |
| Rest of MissouriMissouri | $95.23 | $72.48 |
| MississippiMississippi | $93.14 | $70.42 |
| North CarolinaNorth Carolina | $95.45 | $70.83 |
| North DakotaNorth Dakota | $96.38 | $69.99 |
| NebraskaNebraska | $92.74 | $68.39 |
| New HampshireNew Hampshire | $102.26 | $74.79 |
| Northern New JerseyNew Jersey | $112.26 | $81.65 |
| Rest of New JerseyNew Jersey | $108.39 | $79.57 |
| New MexicoNew Mexico | $99.62 | $75.43 |
| NevadaNevada | $100.13 | $73.72 |
| NYC suburbs and Long Island, NYNew York | $120.43 | $89.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $109.75 | $80.85 |
| Queens, NYNew York | $116.52 | $85.33 |
| Rest of New YorkNew York | $96.76 | $71.69 |
| OhioOhio | $97.77 | $73.68 |
| OklahomaOklahoma | $94.88 | $71.32 |
| Portland, OROregon | $104.99 | $75.67 |
| Rest of OregonOregon | $98.78 | $72.50 |
| Metropolitan Philadelphia, PAPennsylvania | $105.90 | $78.43 |
| Rest of PennsylvaniaPennsylvania | $97.45 | $73.22 |
| Puerto RicoPuerto Rico | $101.89 | $75.22 |
| Rhode IslandRhode Island | $102.98 | $75.72 |
| South CarolinaSouth Carolina | $96.89 | $72.50 |
| South DakotaSouth Dakota | $95.77 | $69.39 |
| TennesseeTennessee | $93.51 | $69.52 |
| Austin, TXTexas | $103.20 | $75.29 |
| Beaumont, TXTexas | $96.95 | $72.94 |
| Brazoria, TXTexas | $99.62 | $73.47 |
| Dallas, TXTexas | $100.57 | $74.29 |
| Fort Worth, TXTexas | $100.24 | $74.22 |
| Galveston, TXTexas | $100.13 | $73.92 |
| Houston, TXTexas | $104.89 | $78.68 |
| Rest of TexasTexas | $98.45 | $73.41 |
| UtahUtah | $98.01 | $73.20 |
| VirginiaVirginia | $98.24 | $72.30 |
| Virgin Islands, VIUnited States Virgin Islands | $101.89 | $75.22 |
| VermontVermont | $96.81 | $70.68 |
| Rest of WashingtonWashington | $102.43 | $74.65 |
| King County, WAWashington | $112.40 | $80.02 |
| WisconsinWisconsin | $93.68 | $68.40 |
| West VirginiaWest Virginia | $99.51 | $76.58 |
| WyomingWyoming | $99.28 | $72.89 |
15136 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.
$91.11
$124.89
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $124.89 | 1 |
| AL | $92.26 | 1 |
| AR | $91.11 | 1 |
| AZ | $98.92 | 1 |
| CA | $102.57–$122.36 | 29 |
| CO | $103.04 | 1 |
| CT | $107.73 | 1 |
| DC | $113.00 | 1 |
| DE | $100.38 | 1 |
| FL | $103.97–$116.62 | 3 |
| GA | $98.44–$104.14 | 2 |
| GU | $103.92 | 1 |
| HI | $103.92 | 1 |
| IA | $92.55 | 1 |
| ID | $93.44 | 1 |
| IL | $102.59–$113.35 | 4 |
| IN | $93.86 | 1 |
| KS | $93.00 | 1 |
| KY | $95.91 | 1 |
| LA | $96.10–$100.12 | 2 |
| MA | $102.89–$111.14 | 2 |
| MD | $101.84–$113.00 | 3 |
| ME | $94.73–$97.94 | 2 |
| MI | $98.82–$105.95 | 2 |
| MN | $96.70 | 1 |
| MO | $95.23–$99.44 | 3 |
| MS | $93.14 | 1 |
| MT | $101.52 | 1 |
| NC | $95.45 | 1 |
| ND | $96.38 | 1 |
| NE | $92.74 | 1 |
| NH | $102.26 | 1 |
| NJ | $108.39–$112.26 | 2 |
| NM | $99.62 | 1 |
| NV | $100.13 | 1 |
| NY | $96.76–$120.43 | 5 |
| OH | $97.77 | 1 |
| OK | $94.88 | 1 |
| OR | $98.78–$104.99 | 2 |
| PA | $97.45–$105.90 | 2 |
| PR | $101.89 | 1 |
| RI | $102.98 | 1 |
| SC | $96.89 | 1 |
| SD | $95.77 | 1 |
| TN | $93.51 | 1 |
| TX | $96.95–$104.89 | 8 |
| UT | $98.01 | 1 |
| VA | $98.24–$113.00 | 2 |
| VI | $101.89 | 1 |
| VT | $96.81 | 1 |
| WA | $102.43–$112.40 | 2 |
| WI | $93.68 | 1 |
| WV | $99.51 | 1 |
| WY | $99.28 | 1 |
How the 15136 rate is calculated
Each of 15136’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 · 15136
RVUs × geographic indexes × conversion factor
Work1.46
1.46 RVUs× 1.000 GPCI
Practice expense1.32
1.32 RVUs× 1.000 GPCI
Malpractice0.26
0.26 RVUs× 1.000 GPCI
Adjusted RVUs
3.0400
Conversion factor
$33.4009
Medicare rate
$101.54
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
1,497
- Code
- 15136
- Physician work
- 1.46
- Practice expense
- 1.32
- Malpractice
- 0.26
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.46 | × 1.000 | 1.4600 |
| Practice expense | 1.32 | × 1.000 | 1.3200 |
| Malpractice | 0.26 | × 0.998 | 0.2595 |
| Total RVUs | 3.0395 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$101.52
Office: (1.46 × 1 + 1.32 × 1 + 0.26 × 0.998) × $33.4009 = $101.52
Facility: (1.46 × 1 + 0.53 × 1 + 0.26 × 0.998) × $33.4009 = $75.13
Payment rules and modifiers for 15136
The CMS indicators that decide how 15136 is paid alongside other services.
CMS payment indicators · 15136
Dermal autograft, each additional area
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 15136 has changed in Montana
15136 · Office / nonfacility
$101.52
Effective 2026-10-01
The base rate is $7.59 higher than on 2025-10-01, moving from $93.93 to $101.52 (8.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$93.93changed to$101.52
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.50 changed to 1.46
- Practice expense RVU 1.13 changed to 1.32
- Malpractice RVU 0.28 changed to 0.26
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$95.34changed to$93.93
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.10 changed to 1.13
- Malpractice RVU 0.27 changed to 0.28
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$93.78changed to$95.34
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$96.72changed to$93.78
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.09 changed to 1.10
January 1, 2023
RVU23A
$98.07changed to$96.72
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.07 changed to 1.09
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$98.54changed to$98.07
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.26 changed to 0.27
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$105.10changed to$98.54
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.06 changed to 1.07
- Malpractice RVU 0.27 changed to 0.26
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$107.54changed to$105.10
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.26 changed to 0.27
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$108.14changed to$107.54
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.08 changed to 1.06
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$91.93changed to$108.14
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.79 changed to 1.08
- Malpractice RVU 0.19 changed to 0.26
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$98.97changed to$91.93
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.97 changed to 0.79
- Malpractice RVU 0.24 changed to 0.19
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$99.85changed to$98.97
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.96 changed to 0.97
- Malpractice RVU 0.26 changed to 0.24
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$99.35changed to$99.85
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$94.81changed to$99.35
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.03 changed to 0.96
- Malpractice RVU 0.10 changed to 0.26
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$92.21changed to$94.81
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.10 changed to 1.03
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $92.21
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $101.52 | $75.13 | RVU26D |
| 2026-07-01 | $101.52 | $75.13 | RVU26C |
| 2026-04-01 | $101.52 | $75.13 | RVU26B |
| 2026-01-01 | $101.52 | $75.13 | RVU26A |
| 2025-10-01 | $93.93 | $86.81 | RVU25D |
| 2025-07-01 | $93.93 | $86.81 | RVU25C |
| 2025-04-01 | $93.93 | $86.81 | RVU25B |
| 2025-01-01 | $93.93 | $86.81 | RVU25A |
| 2024-10-01 | $95.34 | $88.01 | RVU24D |
| 2024-07-01 | $95.34 | $88.01 | RVU24C |
| 2024-04-01 | $95.34 | $88.01 | RVU24B |
| 2024-03-09 | $95.34 | $88.01 | RVU24AR |
| 2024-01-01 | $93.78 | $86.58 | RVU24A |
| 2023-10-01 | $96.72 | $89.94 | RVU23D |
| 2023-07-01 | $96.72 | $89.94 | RVU23C |
| 2023-04-01 | $96.72 | $89.94 | RVU23B |
| 2023-01-01 | $96.72 | $89.94 | RVU23A |
| 2022-10-01 | $98.07 | $91.15 | RVU22D |
| 2022-07-01 | $98.07 | $91.15 | RVU22C |
| 2022-04-01 | $98.07 | $91.15 | RVU22B |
| 2022-01-01 | $98.07 | $91.15 | RVU22A |
| 2021-10-01 | $98.54 | $91.91 | RVU21D |
| 2021-07-01 | $98.54 | $91.91 | RVU21C |
| 2021-04-01 | $98.54 | $91.91 | RVU21B |
| 2021-01-01 | $98.54 | $91.91 | RVU21A |
| 2020-10-01 | $105.10 | $98.60 | RVU20D |
| 2020-07-01 | $105.10 | $98.60 | RVU20C |
| 2020-04-01 | $105.10 | $98.60 | RVU20B |
| 2020-01-01 | $105.10 | $98.60 | RVU20A |
| 2019-10-01 | $107.54 | $100.70 | RVU19D |
| 2019-07-01 | $107.54 | $100.70 | RVU19C |
| 2019-04-01 | $107.54 | $100.70 | RVU19B |
| 2019-01-01 | $107.54 | $100.70 | RVU19A |
| 2018-10-01 | $108.14 | $100.95 | RVU18D |
| 2018-07-01 | $108.14 | $100.95 | RVU18C |
| 2018-04-01 | $108.14 | $100.95 | RVU18B |
| 2018-01-01 | $108.14 | $100.95 | RVU18AR1 |
| 2017-10-01 | $91.93 | $86.55 | RVU17D |
| 2017-07-01 | $91.93 | $86.55 | RVU17C |
| 2017-04-01 | $91.93 | $86.55 | RVU17B |
| 2017-01-01 | $91.93 | $86.55 | RVU17A |
| 2016-10-01 | $98.97 | $92.88 | RVU16D |
| 2016-07-01 | $98.97 | $92.88 | RVU16C |
| 2016-04-01 | $98.97 | $92.88 | RVU16B |
| 2016-01-01 | $98.97 | $92.88 | RVU16A |
| 2015-10-01 | $99.85 | $93.38 | RVU15D |
| 2015-07-01 | $99.85 | $93.38 | RVU15C |
| 2015-04-01 | $99.35 | $92.92 | RVU15B |
| 2015-01-01 | $99.35 | $92.92 | RVU15A |
| 2014-10-01 | $94.81 | $88.36 | RVU14D |
| 2014-07-01 | $94.81 | $88.36 | RVU14C |
| 2014-04-01 | $94.81 | $88.36 | RVU14B |
| 2014-01-01 | $94.81 | $88.36 | RVU14A |
| 2013-10-01 | $92.21 | $85.41 | RVU13D |
| 2013-07-01 | $92.21 | $85.41 | RVU13C |
| 2013-04-01 | $92.21 | $85.41 | RVU13B |
| 2013-01-01 | $92.21 | $85.41 | RVU13AR |
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
15136 billing questions
Can 15136 be reported by itself?
No. It is an add-on code and must be reported with the primary dermal autograft procedure, generally 15135 for these sites.
When is 15135 reported instead of 15136?
15135 represents the initial area of dermal autograft at the qualifying sites. Report 15136 for additional area beyond that initial area.
How are units determined for infants and children?
For infants and children, the additional-area measure is each additional 1% of body area. Document the treated area and the calculation supporting the units.
What documentation supports this add-on?
Record the recipient site, that a dermal autograft was used, the total grafted area, and the additional area beyond the primary service.
How does 15136 differ from 15131?
Both represent additional dermal autograft area, but 15136 is for the face, scalp, neck, hands, feet, or genitalia; 15131 is for trunk, arms, or legs.
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
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