CPT code 15151: Cultured skin graft, additional 100 sq cm2026 Medicare rate & RVUs in Montana

Reports additional trunk, arm, or leg area covered with cultured autologous skin beyond the initial area reported with the primary graft code.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Montana, Medicare pays $125.22 for 15151 in the office and $97.50 when it’s performed in a hospital or facility.

$125.22Office (non-facility)
$97.50Hospital or facility
−0.0%vs the national office rate ($125.25)

Check a contract rate as a % of Medicare · 15151 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 15151 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 15151 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 15151 covers

Code 15151 captures additional treated area when cultured autologous skin is used to cover a burn or another large skin defect on the trunk, arms, or legs. The graft is prepared by expanding cells from the patient’s own skin sample and then applying the cultured tissue to the wound, typically in burn or reconstructive surgery by a burn or plastic surgeon.

Report 15151 only with 15150, the primary code for the initial treated area. Each unit represents an additional 100 sq cm or part thereof; for infants and children, the corresponding additional-area measure is each 1% of body surface area and is reported with 15152. Document the graft type, body site, total area treated, and the additional area supporting the units billed. Medicare pays this add-on within the primary 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 15151

Across 109 of 109 payment localities, the office rate for 15151 runs from $111.03 in Arkansas to $153.14 in Alaska. Montana pays $125.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

15151 in Montana vs other payment areas
  1. Montana · this page$125.22
  2. Los Angeles, CA · California$130.26+$5.04
  3. Washington, DC area · District of Columbia$138.39+$13.17
  4. Miami, FL · Florida$152.57+$27.35
  5. Chicago, IL · Illinois$147.55+$22.33
  6. Manhattan, NY · New York$146.24+$21.02
  7. Alaska · Alaska$153.14+$27.92

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

Every other payment area

15151 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$112.58$88.32
ArkansasArkansas$111.03$87.22
ArizonaArizona$121.50$94.64
Bakersfield, CACalifornia$124.13$93.75
Chico, CACalifornia$122.78$92.40
El Centro, CACalifornia$122.86$92.48
Fresno, CACalifornia$122.78$92.40
Hanford, CACalifornia$122.78$92.40

15151 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.

$111.03

$153.14

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

View every state and territory as a table
15151 office rate range by state
State / territoryOffice rate rangeLocalities
AK$153.141
AL$112.581
AR$111.031
AZ$121.501
CA$122.78–$143.8629
CO$125.161
CT$133.411
DC$138.391
DE$123.371
FL$131.74–$152.573
GA$123.77–$129.502
GU$124.171
HI$124.171
IA$111.491
ID$112.981
IL$130.88–$147.554
IN$113.501
KS$112.801
KY$119.011
LA$119.56–$124.962
MA$125.21–$134.512
MD$125.06–$138.393
ME$115.47–$118.702
MI$123.63–$135.192
MN$114.761
MO$118.83–$123.203
MS$114.861
MT$125.221
NC$116.321
ND$115.331
NE$111.521
NH$124.951
NJ$133.47–$137.442
NM$125.011
NV$122.511
NY$118.12–$151.945
OH$121.611
OK$116.881
OR$120.12–$126.842
PA$120.77–$131.432
PR$125.481
RI$126.121
SC$119.451
SD$114.161
TN$113.571
TX$120.16–$131.758
UT$120.941
VA$119.61–$138.392
VI$125.481
VT$116.571
WA$124.41–$135.312
WI$111.871
WV$126.761
WY$120.911

See 15151 in every payment locality

How the 15151 rate is calculated

Each of 15151’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 · 15151

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.95

1.95 RVUs× 1.000 GPCI

Practice expense1.30

1.30 RVUs× 1.000 GPCI

Malpractice0.50

0.50 RVUs× 1.000 GPCI

Adjusted RVUs

3.7500

Conversion factor

$33.4009

Medicare rate

$125.25

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

1,499

Code
15151
Physician work
1.95
Practice expense
1.30
Malpractice
0.50

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 15151 in Montana
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0001.9500
Practice expense1.30× 1.0001.3000
Malpractice0.50× 0.9980.4990
Total RVUs3.7490
Conversion factor× 33.4009

Office rate, Montana$125.22

Office: (1.95 × 1 + 1.3 × 1 + 0.5 × 0.998) × $33.4009 = $125.22

Facility: (1.95 × 1 + 0.47 × 1 + 0.5 × 0.998) × $33.4009 = $97.50

Open 15151 in the RVU calculator

Payment rules and modifiers for 15151

The CMS indicators that decide how 15151 is paid alongside other services.

CMS payment indicators · 15151

Cultured skin graft, 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)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 15151 has changed in Montana

15151 · Office / nonfacility

$125.22

Effective 2026-10-01

The base rate is $10.11 higher than on 2025-10-01, moving from $115.11 to $125.22 (8.8%).

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

    $115.11changed to$125.22

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.00 changed to 1.95
    • Practice expense RVU 1.06 changed to 1.30
    • Malpractice RVU 0.51 changed to 0.50
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $117.46changed to$115.11

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.03 changed to 1.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $115.55changed to$117.46

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $119.24changed to$115.55

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.02 changed to 1.03
  5. January 1, 2023

    RVU23A

    $122.10changed to$119.24

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.03 changed to 1.02
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $121.74changed to$122.10

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.02 changed to 1.03
    • Malpractice RVU 0.48 changed to 0.51

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $130.61changed to$121.74

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.98 changed to 1.02
    • Malpractice RVU 0.49 changed to 0.48
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $135.25changed to$130.61

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.97 changed to 0.98
    • Malpractice RVU 0.48 changed to 0.49
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $136.05changed to$135.25

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.98 changed to 0.97
    • Malpractice RVU 0.49 changed to 0.48

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $130.80changed to$136.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.03 changed to 0.98
    • Malpractice RVU 0.43 changed to 0.49
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $129.40changed to$130.80

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.05 changed to 1.03
    • Malpractice RVU 0.46 changed to 0.43
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $128.23changed to$129.40

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.98 changed to 1.05
    • Malpractice RVU 0.48 changed to 0.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $127.59changed to$128.23

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $123.45changed to$127.59

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.40 changed to 0.48
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $120.89changed to$123.45

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.09 changed to 0.98
    • Malpractice RVU 0.42 changed to 0.40
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $120.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$125.22$97.50RVU26D
2026-07-01$125.22$97.50RVU26C
2026-04-01$125.22$97.50RVU26B
2026-01-01$125.22$97.50RVU26A
2025-10-01$115.11$105.09RVU25D
2025-07-01$115.11$105.09RVU25C
2025-04-01$115.11$105.09RVU25B
2025-01-01$115.11$105.09RVU25A
2024-10-01$117.46$107.48RVU24D
2024-07-01$117.46$107.48RVU24C
2024-04-01$117.46$107.48RVU24B
2024-03-09$117.46$107.48RVU24AR
2024-01-01$115.55$105.72RVU24A
2023-10-01$119.24$109.75RVU23D
2023-07-01$119.24$109.75RVU23C
2023-04-01$119.24$109.75RVU23B
2023-01-01$119.24$109.75RVU23A
2022-10-01$122.10$112.41RVU22D
2022-07-01$122.10$112.41RVU22C
2022-04-01$122.10$112.41RVU22B
2022-01-01$122.10$112.41RVU22A
2021-10-01$121.74$111.97RVU21D
2021-07-01$121.74$111.97RVU21C
2021-04-01$121.74$111.97RVU21B
2021-01-01$121.74$111.97RVU21A
2020-10-01$130.61$121.22RVU20D
2020-07-01$130.61$121.22RVU20C
2020-04-01$130.61$121.22RVU20B
2020-01-01$130.61$121.22RVU20A
2019-10-01$135.25$125.88RVU19D
2019-07-01$135.25$125.88RVU19C
2019-04-01$135.25$125.88RVU19B
2019-01-01$135.25$125.88RVU19A
2018-10-01$136.05$126.33RVU18D
2018-07-01$136.05$126.33RVU18C
2018-04-01$136.05$126.33RVU18B
2018-01-01$136.05$126.33RVU18AR1
2017-10-01$130.80$121.46RVU17D
2017-07-01$130.80$121.46RVU17C
2017-04-01$130.80$121.46RVU17B
2017-01-01$130.80$121.46RVU17A
2016-10-01$129.40$120.09RVU16D
2016-07-01$129.40$120.09RVU16C
2016-04-01$129.40$120.09RVU16B
2016-01-01$129.40$120.09RVU16A
2015-10-01$128.23$118.89RVU15D
2015-07-01$128.23$118.89RVU15C
2015-04-01$127.59$118.29RVU15B
2015-01-01$127.59$118.29RVU15A
2014-10-01$123.45$114.49RVU14D
2014-07-01$123.45$114.49RVU14C
2014-04-01$123.45$114.49RVU14B
2014-01-01$123.45$114.49RVU14A
2013-10-01$120.89$110.69RVU13D
2013-07-01$120.89$110.69RVU13C
2013-04-01$120.89$110.69RVU13B
2013-01-01$120.89$110.69RVU13AR

Price 15151 for an earlier date of service

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

Browse all communities in Montana

15151 billing questions

Can 15151 be reported without 15150?

No. It is an add-on code and must be reported with 15150 for the initial cultured skin graft area on the trunk, arms, or legs.

How is the number of units determined?

Report one unit for each additional 100 sq cm or part thereof beyond the initial area. For infants and children measured by body surface area, use 15152 for each additional 1% instead.

When should 15152 be used instead?

Use 15152 for additional cultured skin graft area on the trunk, arms, or legs when the area is measured in 1% increments of an infant’s or child’s body surface area. Code 15151 represents additional 100 sq cm increments.

Does 15151 have its own global period?

Medicare pays this add-on within the global period of the primary procedure, 15150.

What documentation supports the units?

Record the cultured autologous graft, treated body site, total area covered, and the additional area beyond the initial area. The measured area should support each unit billed.

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 15151PPRRVU2026_Oct_nonQPP.csv, line 1,499 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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