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

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 Houston, TX, Medicare pays $131.75 for 15151 in the office and $104.22 when it’s performed in a hospital or facility.

$131.75Office (non-facility)
$104.22Hospital or facility
+5.2%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $131.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

15151 in Houston, TX vs other payment areas
  1. Houston, TX · this page$131.75
  2. Austin, TX · Texas$126.00−$5.75
  3. Beaumont, TX · Texas$120.16−$11.59
  4. Brazoria, TX · Texas$121.71−$10.04
  5. Dallas, TX · Texas$123.29−$8.46
  6. Fort Worth, TX · Texas$123.08−$8.67
  7. Galveston, TX · Texas$122.60−$9.15

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

Every other payment area

15151 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$121.42$95.11
Los Angeles, CACalifornia$130.26$97.46
Washington, DC areaDistrict of Columbia$138.39$105.73
Miami, FLFlorida$152.57$123.71
Chicago, ILIllinois$147.55$119.69
Manhattan, NYNew York$146.24$114.03
AlaskaAlaska$153.14$123.62
AlabamaAlabama$112.58$88.32

15151 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 15151 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0081.9656
Practice expense1.30× 0.9931.2909
Malpractice0.50× 1.3760.6880
Total RVUs3.9445
Conversion factor× 33.4009

Office rate, Houston, TX$131.75

Office: (1.95 × 1.008 + 1.3 × 0.993 + 0.5 × 1.376) × $33.4009 = $131.75

Facility: (1.95 × 1.008 + 0.47 × 0.993 + 0.5 × 1.376) × $33.4009 = $104.22

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 Houston, TX

15151 · Office / nonfacility

$131.75

Effective 2026-10-01

The base rate is $8.52 higher than on 2025-10-01, moving from $123.23 to $131.75 (6.9%).

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

    $123.23changed to$131.75

    • 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
    • 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

    $125.82changed to$123.23

    • 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

    $123.76changed to$125.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $124.40changed to$123.76

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.02 changed to 1.03
    • 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

    $123.99changed to$124.40

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.03 changed to 1.02
    • 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

    $123.72changed to$123.99

    • 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

    $126.36changed to$123.72

    • 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
    • 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

    $125.09changed to$126.36

    • 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
    • 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

    $125.65changed to$125.09

    • 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

    $125.11changed to$125.65

    • 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
    • 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

    $126.52changed to$125.11

    • 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
    • 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

    $125.13changed to$126.52

    • 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

    $124.51changed to$125.13

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $121.35changed to$124.51

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.40 changed to 0.48
    • 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

    $119.01changed to$121.35

    • 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
    • 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: $119.01

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$131.75$104.22RVU26D
2026-07-01$131.75$104.22RVU26C
2026-04-01$131.75$104.22RVU26B
2026-01-01$131.75$104.22RVU26A
2025-10-01$123.23$113.18RVU25D
2025-07-01$123.23$113.18RVU25C
2025-04-01$123.23$113.18RVU25B
2025-01-01$123.23$113.18RVU25A
2024-10-01$125.82$115.80RVU24D
2024-07-01$125.82$115.80RVU24C
2024-04-01$125.82$115.80RVU24B
2024-03-09$125.82$115.80RVU24AR
2024-01-01$123.76$113.91RVU24A
2023-10-01$124.40$114.75RVU23D
2023-07-01$124.40$114.75RVU23C
2023-04-01$124.40$114.75RVU23B
2023-01-01$124.40$114.75RVU23A
2022-10-01$123.99$114.02RVU22D
2022-07-01$123.99$114.02RVU22C
2022-04-01$123.99$114.02RVU22B
2022-01-01$123.99$114.02RVU22A
2021-10-01$123.72$113.66RVU21D
2021-07-01$123.72$113.66RVU21C
2021-04-01$123.72$113.66RVU21B
2021-01-01$123.72$113.66RVU21A
2020-10-01$126.36$116.79RVU20D
2020-07-01$126.36$116.79RVU20C
2020-04-01$126.36$116.79RVU20B
2020-01-01$126.36$116.79RVU20A
2019-10-01$125.09$115.61RVU19D
2019-07-01$125.09$115.61RVU19C
2019-04-01$125.09$115.61RVU19B
2019-01-01$125.09$115.61RVU19A
2018-10-01$125.65$115.82RVU18D
2018-07-01$125.65$115.82RVU18C
2018-04-01$125.65$115.82RVU18B
2018-01-01$125.65$115.82RVU18AR1
2017-10-01$125.11$115.69RVU17D
2017-07-01$125.11$115.69RVU17C
2017-04-01$125.11$115.69RVU17B
2017-01-01$125.11$115.69RVU17A
2016-10-01$126.52$117.15RVU16D
2016-07-01$126.52$117.15RVU16C
2016-04-01$126.52$117.15RVU16B
2016-01-01$126.52$117.15RVU16A
2015-10-01$125.13$115.73RVU15D
2015-07-01$125.13$115.73RVU15C
2015-04-01$124.51$115.16RVU15B
2015-01-01$124.51$115.16RVU15A
2014-10-01$121.35$112.36RVU14D
2014-07-01$121.35$112.36RVU14C
2014-04-01$121.35$112.36RVU14B
2014-01-01$121.35$112.36RVU14A
2013-10-01$119.01$108.78RVU13D
2013-07-01$119.01$108.78RVU13C
2013-04-01$119.01$108.78RVU13B
2013-01-01$119.01$108.78RVU13AR

Price 15151 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.

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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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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