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CPT code 15136: Dermal autograft, each additional area2026 Medicare rate & RVUs in Puerto Rico

Reports each additional area of dermal autograft placed on the face, scalp, neck, hands, feet, or genitalia beyond the primary area.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Puerto Rico, Medicare pays $101.89 for 15136 in the office and $75.22 when it’s performed in a hospital or facility.

$101.89Office (non-facility)
$75.22Hospital or facility
+0.3%vs the national office rate ($101.54)

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.

We’ll open 15136 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 15136 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 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 Puerto Rico 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. Puerto Rico pays $101.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

15136 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$101.89
  2. Los Angeles, CA · California$108.69+$6.80
  3. Washington, DC area · District of Columbia$113.00+$11.11
  4. Miami, FL · Florida$116.62+$14.73
  5. Chicago, IL · Illinois$113.35+$11.46
  6. Manhattan, NY · New York$116.89+$15.00
  7. Alaska · Alaska$124.89+$23.00

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

Every other payment area

15136 in every other Medicare payment locality
Payment localityOfficeFacility
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

15136 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.

$91.11

$124.89

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

View every state and territory as a table
15136 office rate range by state
State / territoryOffice rate rangeLocalities
AK$124.891
AL$92.261
AR$91.111
AZ$98.921
CA$102.57–$122.3629
CO$103.041
CT$107.731
DC$113.001
DE$100.381
FL$103.97–$116.623
GA$98.44–$104.142
GU$103.921
HI$103.921
IA$92.551
ID$93.441
IL$102.59–$113.354
IN$93.861
KS$93.001
KY$95.911
LA$96.10–$100.122
MA$102.89–$111.142
MD$101.84–$113.003
ME$94.73–$97.942
MI$98.82–$105.952
MN$96.701
MO$95.23–$99.443
MS$93.141
MT$101.521
NC$95.451
ND$96.381
NE$92.741
NH$102.261
NJ$108.39–$112.262
NM$99.621
NV$100.131
NY$96.76–$120.435
OH$97.771
OK$94.881
OR$98.78–$104.992
PA$97.45–$105.902
PR$101.891
RI$102.981
SC$96.891
SD$95.771
TN$93.511
TX$96.95–$104.898
UT$98.011
VA$98.24–$113.002
VI$101.891
VT$96.811
WA$102.43–$112.402
WI$93.681
WV$99.511
WY$99.281

See 15136 in every payment locality

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

Office or facility?

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 15136 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0001.4600
Practice expense1.32× 1.0111.3345
Malpractice0.26× 0.9850.2561
Total RVUs3.0506
Conversion factor× 33.4009

Office rate, Puerto Rico$101.89

Office: (1.46 × 1 + 1.32 × 1.011 + 0.26 × 0.985) × $33.4009 = $101.89

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

Open 15136 in the RVU calculator

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

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 15136

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

Codes related to 15136
CodeHow it relatesOffice range, Puerto Rico
Primary code
15135Dermal autograft, specified sites, initial areaPrimary dermal autograft service for the initial area at these sites.$906.06
Same family
15131Dermal autograft, each additional 100 sq cmAdditional-area dermal autograft code for trunk, arms, or legs.$103.58
Used instead
15121Skin graft, additional area, selected sitesAdditional-area split-thickness autograft code for similar special sites.$222.47
15116Epidermal graft, each additional 100 sq cmAdditional-area epidermal autograft code for similar special sites.$165.09
15156Cultured skin graft, additional 100 sq cmAdditional-area tissue-cultured skin graft code for similar sites.$168.93

How 15136 has changed in Puerto Rico

15136 · Office / nonfacility

$101.89

Effective 2026-10-01

The base rate is $7.67 higher than on 2025-10-01, moving from $94.22 to $101.89 (8.1%).

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

    $94.22changed to$101.89

    • 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
    • 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

    $95.63changed to$94.22

    • 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.

  3. March 9, 2024

    RVU24AR

    $94.07changed to$95.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $97.07changed to$94.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.09 changed to 1.10
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $96.92changed to$97.07

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

  6. January 1, 2023

    RVU23A

    $98.45changed to$96.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.07 changed to 1.09
    • 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

    $98.92changed to$98.45

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $102.32changed to$98.92

    • 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 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $101.80changed to$102.32

    • 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

    $102.42changed to$101.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.08 changed to 1.06

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $82.48changed to$102.42

    • 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
    • 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

    $80.71changed to$82.48

    • 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
    • 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

    $80.96changed to$80.71

    • 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.

  14. July 1, 2015

    RVU15C

    $80.55changed to$80.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $80.24changed to$80.55

    • 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
    • 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

    $77.26changed to$80.24

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.10 changed to 1.03
    • 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: $77.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$101.89$75.22RVU26D
2026-07-01$101.89$75.22RVU26C
2026-04-01$101.89$75.22RVU26B
2026-01-01$101.89$75.22RVU26A
2025-10-01$94.22$87.06RVU25D
2025-07-01$94.22$87.06RVU25C
2025-04-01$94.22$87.06RVU25B
2025-01-01$94.22$87.06RVU25A
2024-10-01$95.63$88.26RVU24D
2024-07-01$95.63$88.26RVU24C
2024-04-01$95.63$88.26RVU24B
2024-03-09$95.63$88.26RVU24AR
2024-01-01$94.07$86.81RVU24A
2023-10-01$97.07$90.23RVU23D
2023-07-01$96.92$90.14RVU23C
2023-04-01$96.92$90.14RVU23B
2023-01-01$96.92$90.14RVU23A
2022-10-01$98.45$91.47RVU22D
2022-07-01$98.45$91.47RVU22C
2022-04-01$98.45$91.47RVU22B
2022-01-01$98.45$91.47RVU22A
2021-10-01$98.92$92.24RVU21D
2021-07-01$98.92$92.24RVU21C
2021-04-01$98.92$92.24RVU21B
2021-01-01$98.92$92.24RVU21A
2020-10-01$102.32$95.77RVU20D
2020-07-01$102.32$95.77RVU20C
2020-04-01$102.32$95.77RVU20B
2020-01-01$102.32$95.77RVU20A
2019-10-01$101.80$94.91RVU19D
2019-07-01$101.80$94.91RVU19C
2019-04-01$101.80$94.91RVU19B
2019-01-01$101.80$94.91RVU19A
2018-10-01$102.42$95.17RVU18D
2018-07-01$102.42$95.17RVU18C
2018-04-01$102.42$95.17RVU18B
2018-01-01$102.42$95.17RVU18AR1
2017-10-01$82.48$77.87RVU17D
2017-07-01$82.48$77.87RVU17C
2017-04-01$82.48$77.87RVU17B
2017-01-01$82.48$77.87RVU17A
2016-10-01$80.71$76.42RVU16D
2016-07-01$80.71$76.42RVU16C
2016-04-01$80.71$76.42RVU16B
2016-01-01$80.71$76.42RVU16A
2015-10-01$80.96$76.40RVU15D
2015-07-01$80.96$76.40RVU15C
2015-04-01$80.55$76.02RVU15B
2015-01-01$80.55$76.02RVU15A
2014-10-01$80.24$75.78RVU14D
2014-07-01$80.24$75.78RVU14C
2014-04-01$80.24$75.78RVU14B
2014-01-01$80.24$75.78RVU14A
2013-10-01$77.26$72.64RVU13D
2013-07-01$77.26$72.64RVU13C
2013-04-01$77.26$72.64RVU13B
2013-01-01$77.26$72.64RVU13AR

Price 15136 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

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
RVUs for 15136PPRRVU2026_Oct_nonQPP.csv, line 1,497 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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