CPT code 15152: Cultured skin graft, each additional 1% body area2026 Medicare rate & RVUs in Brazoria, TX
Reports each additional 1% of body area treated with a cultured skin autograft on an infant’s or child’s trunk, arms, or legs.
In Brazoria, TX, Medicare pays $149.80 for 15152 in the office and $118.35 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 15152 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 15152 covers
This add-on reports additional recipient area treated with a tissue-cultured skin autograft on the trunk, arms, or legs of an infant or child. Burn and plastic surgeons commonly use cultured autologous skin in extensive burn care when grafting large wound areas. The code represents each additional 1% of body area treated, rather than another 100-square-centimeter increment.
Report 15152 with the applicable primary cultured-skin-graft procedure, generally 15150 for the initial area. Documentation should identify the treated body sites, the total area grafted, and the patient’s body-area calculation supporting each additional 1% unit. CMS classifies 15152 as an add-on: it is not billed by itself, and its payment is included 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 Brazoria, TX compares for 15152
Across 109 of 109 payment localities, the office rate for 15152 runs from $136.69 in Arkansas to $189.11 in Miami, FL. Brazoria, TX pays $149.80. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Brazoria, TX · this page$149.80
- Austin, TX · Texas$155.02+$5.22
- Beaumont, TX · Texas$148.17−$1.63
- Dallas, TX · Texas$151.80+$2.00
- Fort Worth, TX · Texas$151.57+$1.77
- Galveston, TX · Texas$150.93+$1.13
- Houston, TX · Texas$162.64+$12.84
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $149.62 | $119.50 |
| Los Angeles, CACalifornia | $159.88 | $122.35 |
| Washington, DC areaDistrict of Columbia | $170.28 | $132.91 |
| Miami, FLFlorida | $189.11 | $156.07 |
| Chicago, ILIllinois | $182.82 | $150.93 |
| Manhattan, NYNew York | $180.39 | $143.52 |
| AlaskaAlaska | $188.81 | $155.01 |
| AlabamaAlabama | $138.61 | $110.84 |
| ArkansasArkansas | $136.69 | $109.44 |
| ArizonaArizona | $149.64 | $118.89 |
| Bakersfield, CACalifornia | $152.44 | $117.66 |
| Chico, CACalifornia | $150.72 | $115.94 |
| El Centro, CACalifornia | $150.82 | $116.05 |
| Fresno, CACalifornia | $150.72 | $115.94 |
| Hanford, CACalifornia | $150.72 | $115.94 |
| Madera, CACalifornia | $150.72 | $115.94 |
| Merced, CACalifornia | $150.72 | $115.94 |
| Modesto, CACalifornia | $150.72 | $115.94 |
| Napa, CACalifornia | $165.29 | $123.47 |
| Oxnard, CACalifornia | $157.90 | $120.39 |
| Redding, CACalifornia | $150.72 | $115.94 |
| Rest of CaliforniaCalifornia | $150.72 | $115.94 |
| Riverside, CACalifornia | $157.57 | $122.80 |
| Sacramento, CACalifornia | $155.71 | $118.81 |
| Salinas, CACalifornia | $155.10 | $118.32 |
| San Diego, CACalifornia | $157.05 | $119.10 |
| Marin County, CACalifornia | $171.58 | $126.84 |
| San Francisco, CACalifornia | $170.85 | $126.11 |
| San Benito County, CACalifornia | $176.09 | $130.34 |
| Santa Clara County, CACalifornia | $173.12 | $127.37 |
| San Luis Obispo, CACalifornia | $152.93 | $116.79 |
| Santa Cruz, CACalifornia | $157.16 | $118.61 |
| Santa Maria, CACalifornia | $155.21 | $118.22 |
| Santa Rosa, CACalifornia | $158.57 | $119.60 |
| Stockton, CACalifornia | $150.72 | $115.94 |
| Vallejo, CACalifornia | $164.24 | $122.42 |
| Visalia, CACalifornia | $150.72 | $115.94 |
| Yuba City, CACalifornia | $150.72 | $115.94 |
| ColoradoColorado | $153.90 | $120.14 |
| ConnecticutConnecticut | $164.39 | $130.22 |
| DelawareDelaware | $151.94 | $120.59 |
| Fort Lauderdale, FLFlorida | $172.25 | $140.11 |
| Rest of FloridaFlorida | $162.80 | $132.47 |
| Atlanta, GAGeorgia | $159.68 | $127.44 |
| Rest of GeorgiaGeorgia | $152.86 | $124.56 |
| Hawaii, Guam, HIHawaii | $152.36 | $116.28 |
| IowaIowa | $137.05 | $108.02 |
| IdahoIdaho | $138.93 | $109.74 |
| East St. Louis, ILIllinois | $171.87 | $142.68 |
| Rest of IllinoisIllinois | $161.87 | $132.90 |
| Suburban Chicago, ILIllinois | $172.77 | $140.19 |
| IndianaIndiana | $139.57 | $110.16 |
| KansasKansas | $138.77 | $110.09 |
| KentuckyKentucky | $146.79 | $118.58 |
| New Orleans, LALouisiana | $154.18 | $124.33 |
| Rest of LouisianaLouisiana | $147.50 | $119.42 |
| Metropolitan Boston, MAMassachusetts | $165.28 | $127.39 |
| Rest of MassachusettsMassachusetts | $154.00 | $120.59 |
| Baltimore area, MDMaryland | $164.44 | $130.39 |
| Rest of MarylandMaryland | $153.99 | $121.88 |
| Rest of MaineMaine | $142.12 | $112.92 |
| Southern Maine, MEMaine | $145.96 | $114.52 |
| Detroit, MIMichigan | $167.18 | $136.56 |
| Rest of MichiganMichigan | $152.59 | $123.62 |
| MinnesotaMinnesota | $140.75 | $108.10 |
| Metropolitan Kansas City, MOMissouri | $150.68 | $120.89 |
| Metropolitan St. Louis, MOMissouri | $151.89 | $121.68 |
| Rest of MissouriMissouri | $146.66 | $119.31 |
| MississippiMississippi | $141.58 | $114.26 |
| MontanaMontana | $154.27 | $122.54 |
| North CarolinaNorth Carolina | $143.15 | $113.54 |
| North DakotaNorth Dakota | $141.61 | $109.88 |
| NebraskaNebraska | $137.06 | $107.77 |
| New HampshireNew Hampshire | $153.75 | $120.72 |
| Northern New JerseyNew Jersey | $169.13 | $132.32 |
| Rest of New JerseyNew Jersey | $164.38 | $129.73 |
| New MexicoNew Mexico | $154.34 | $125.24 |
| NevadaNevada | $150.79 | $119.03 |
| NYC suburbs and Long Island, NYNew York | $187.57 | $149.84 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $167.36 | $132.61 |
| Queens, NYNew York | $178.34 | $140.83 |
| Rest of New YorkNew York | $145.39 | $115.25 |
| OhioOhio | $150.01 | $121.04 |
| OklahomaOklahoma | $144.04 | $115.71 |
| Portland, OROregon | $155.85 | $120.60 |
| Rest of OregonOregon | $147.76 | $116.15 |
| Metropolitan Philadelphia, PAPennsylvania | $162.01 | $128.98 |
| Rest of PennsylvaniaPennsylvania | $148.92 | $119.79 |
| Puerto RicoPuerto Rico | $154.56 | $122.48 |
| Rhode IslandRhode Island | $155.25 | $122.47 |
| South CarolinaSouth Carolina | $147.20 | $117.88 |
| South DakotaSouth Dakota | $140.12 | $108.39 |
| TennesseeTennessee | $139.73 | $110.89 |
| UtahUtah | $149.05 | $119.22 |
| VirginiaVirginia | $147.15 | $115.96 |
| Virgin Islands, VIUnited States Virgin Islands | $154.56 | $122.48 |
| VermontVermont | $143.24 | $111.82 |
| Rest of WashingtonWashington | $152.99 | $119.58 |
| King County, WAWashington | $166.15 | $127.22 |
| WisconsinWisconsin | $137.36 | $106.96 |
| West VirginiaWest Virginia | $156.79 | $129.21 |
| WyomingWyoming | $148.75 | $117.02 |
15152 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.
$136.69
$188.81
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 | $188.81 | 1 |
| AL | $138.61 | 1 |
| AR | $136.69 | 1 |
| AZ | $149.64 | 1 |
| CA | $150.72–$176.09 | 29 |
| CO | $153.90 | 1 |
| CT | $164.39 | 1 |
| DC | $170.28 | 1 |
| DE | $151.94 | 1 |
| FL | $162.80–$189.11 | 3 |
| GA | $152.86–$159.68 | 2 |
| GU | $152.36 | 1 |
| HI | $152.36 | 1 |
| IA | $137.05 | 1 |
| ID | $138.93 | 1 |
| IL | $161.87–$182.82 | 4 |
| IN | $139.57 | 1 |
| KS | $138.77 | 1 |
| KY | $146.79 | 1 |
| LA | $147.50–$154.18 | 2 |
| MA | $154.00–$165.28 | 2 |
| MD | $153.99–$170.28 | 3 |
| ME | $142.12–$145.96 | 2 |
| MI | $152.59–$167.18 | 2 |
| MN | $140.75 | 1 |
| MO | $146.66–$151.89 | 3 |
| MS | $141.58 | 1 |
| MT | $154.27 | 1 |
| NC | $143.15 | 1 |
| ND | $141.61 | 1 |
| NE | $137.06 | 1 |
| NH | $153.75 | 1 |
| NJ | $164.38–$169.13 | 2 |
| NM | $154.34 | 1 |
| NV | $150.79 | 1 |
| NY | $145.39–$187.57 | 5 |
| OH | $150.01 | 1 |
| OK | $144.04 | 1 |
| OR | $147.76–$155.85 | 2 |
| PA | $148.92–$162.01 | 2 |
| PR | $154.56 | 1 |
| RI | $155.25 | 1 |
| SC | $147.20 | 1 |
| SD | $140.12 | 1 |
| TN | $139.73 | 1 |
| TX | $148.17–$162.64 | 8 |
| UT | $149.05 | 1 |
| VA | $147.15–$170.28 | 2 |
| VI | $154.56 | 1 |
| VT | $143.24 | 1 |
| WA | $152.99–$166.15 | 2 |
| WI | $137.36 | 1 |
| WV | $156.79 | 1 |
| WY | $148.75 | 1 |
How the 15152 rate is calculated
Each of 15152’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 · 15152
RVUs × geographic indexes × conversion factor
Work2.44
2.44 RVUs× 1.000 GPCI
Practice expense1.54
1.54 RVUs× 1.000 GPCI
Malpractice0.64
0.64 RVUs× 1.000 GPCI
Adjusted RVUs
4.6200
Conversion factor
$33.4009
Medicare rate
$154.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Brazoria, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,500
- Code
- 15152
- Physician work
- 2.44
- Practice expense
- 1.54
- Malpractice
- 0.64
GPCI2026.csv
98
- Locality
- Brazoria, TX
- Physician work
- 1.008
- Practice expense
- 0.991
- Malpractice
- 0.780
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.008 | 2.4595 |
| Practice expense | 1.54 | × 0.991 | 1.5261 |
| Malpractice | 0.64 | × 0.780 | 0.4992 |
| Total RVUs | 4.4849 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Brazoria, TX$149.80
Office: (2.44 × 1.008 + 1.54 × 0.991 + 0.64 × 0.78) × $33.4009 = $149.80
Facility: (2.44 × 1.008 + 0.59 × 0.991 + 0.64 × 0.78) × $33.4009 = $118.35
Payment rules and modifiers for 15152
The CMS indicators that decide how 15152 is paid alongside other services.
CMS payment indicators · 15152
Cultured skin graft, each additional 1% body 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) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 15152 has changed in Brazoria, TX
15152 · Office / nonfacility
$149.80
Effective 2026-10-01
The base rate is $2.36 higher than on 2025-10-01, moving from $147.44 to $149.80 (1.6%).
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
$147.44changed to$149.80
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.50 changed to 2.44
- Practice expense RVU 1.60 changed to 1.54
- Malpractice RVU 0.52 changed to 0.64
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.006 changed to 0.991
- Malpractice GPCI 0.795 changed to 0.780
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$144.69changed to$147.44
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.39 changed to 1.60
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$142.33changed to$144.69
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$148.47changed to$142.33
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.46 changed to 1.39
- Malpractice RVU 0.51 changed to 0.52
- Work GPCI 1.023 changed to 1.014
- Practice expense GPCI 1.014 changed to 1.006
- Malpractice GPCI 0.673 changed to 0.795
January 1, 2023
RVU23A
$147.08changed to$148.47
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.38 changed to 1.46
- Malpractice RVU 0.47 changed to 0.51
- Work GPCI 1.032 changed to 1.023
- Practice expense GPCI 1.023 changed to 1.014
- Malpractice GPCI 0.550 changed to 0.673
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$144.76changed to$147.08
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.20 changed to 1.38
- Malpractice RVU 0.62 changed to 0.47
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$158.47changed to$144.76
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.45 changed to 1.20
- Malpractice RVU 0.52 changed to 0.62
- Work GPCI 1.026 changed to 1.032
- Practice expense GPCI 1.010 changed to 1.023
- Malpractice GPCI 0.695 changed to 0.550
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$151.36changed to$158.47
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.15 changed to 1.45
- Malpractice RVU 0.60 changed to 0.52
- Work GPCI 1.020 changed to 1.026
- Practice expense GPCI 0.997 changed to 1.010
- Malpractice GPCI 0.839 changed to 0.695
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$160.53changed to$151.36
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.41 changed to 1.15
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$151.14changed to$160.53
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.13 changed to 1.41
- Practice expense GPCI 0.994 changed to 0.997
- Malpractice GPCI 0.897 changed to 0.839
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$154.64changed to$151.14
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.23 changed to 1.13
- Malpractice RVU 0.58 changed to 0.60
- Work GPCI 1.019 changed to 1.020
- Practice expense GPCI 0.990 changed to 0.994
- Malpractice GPCI 0.955 changed to 0.897
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$153.74changed to$154.64
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.16 changed to 1.23
- Malpractice RVU 0.61 changed to 0.58
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$152.97changed to$153.74
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$154.09changed to$152.97
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.34 changed to 1.16
- Malpractice RVU 0.47 changed to 0.61
- Work GPCI 1.014 changed to 1.019
- Practice expense GPCI 0.989 changed to 0.990
- Malpractice GPCI 0.939 changed to 0.955
Held through RVU15B.
January 1, 2014
RVU14A
$154.94changed to$154.09
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.60 changed to 1.34
- Malpractice RVU 0.49 changed to 0.47
- Work GPCI 1.009 changed to 1.014
- Practice expense GPCI 0.987 changed to 0.989
- Malpractice GPCI 0.923 changed to 0.939
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $154.94
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $149.80 | $118.35 | RVU26D |
| 2026-07-01 | $149.80 | $118.35 | RVU26C |
| 2026-04-01 | $149.80 | $118.35 | RVU26B |
| 2026-01-01 | $149.80 | $118.35 | RVU26A |
| 2025-10-01 | $147.44 | $138.00 | RVU25D |
| 2025-07-01 | $147.44 | $138.00 | RVU25C |
| 2025-04-01 | $147.44 | $138.00 | RVU25B |
| 2025-01-01 | $147.44 | $138.00 | RVU25A |
| 2024-10-01 | $144.69 | $135.32 | RVU24D |
| 2024-07-01 | $144.69 | $135.32 | RVU24C |
| 2024-04-01 | $144.69 | $135.32 | RVU24B |
| 2024-03-09 | $144.69 | $135.32 | RVU24AR |
| 2024-01-01 | $142.33 | $133.11 | RVU24A |
| 2023-10-01 | $148.47 | $138.84 | RVU23D |
| 2023-07-01 | $148.47 | $138.84 | RVU23C |
| 2023-04-01 | $148.47 | $138.84 | RVU23B |
| 2023-01-01 | $148.47 | $138.84 | RVU23A |
| 2022-10-01 | $147.08 | $138.23 | RVU22D |
| 2022-07-01 | $147.08 | $138.23 | RVU22C |
| 2022-04-01 | $147.08 | $138.23 | RVU22B |
| 2022-01-01 | $147.08 | $138.23 | RVU22A |
| 2021-10-01 | $144.76 | $135.12 | RVU21D |
| 2021-07-01 | $144.76 | $135.12 | RVU21C |
| 2021-04-01 | $144.76 | $135.12 | RVU21B |
| 2021-01-01 | $144.76 | $135.12 | RVU21A |
| 2020-10-01 | $158.47 | $149.35 | RVU20D |
| 2020-07-01 | $158.47 | $149.35 | RVU20C |
| 2020-04-01 | $158.47 | $149.35 | RVU20B |
| 2020-01-01 | $158.47 | $149.35 | RVU20A |
| 2019-10-01 | $151.36 | $141.66 | RVU19D |
| 2019-07-01 | $151.36 | $141.66 | RVU19C |
| 2019-04-01 | $151.36 | $141.66 | RVU19B |
| 2019-01-01 | $151.36 | $141.66 | RVU19A |
| 2018-10-01 | $160.53 | $150.84 | RVU18D |
| 2018-07-01 | $160.53 | $150.84 | RVU18C |
| 2018-04-01 | $160.53 | $150.84 | RVU18B |
| 2018-01-01 | $160.53 | $150.84 | RVU18AR1 |
| 2017-10-01 | $151.14 | $142.22 | RVU17D |
| 2017-07-01 | $151.14 | $142.22 | RVU17C |
| 2017-04-01 | $151.14 | $142.22 | RVU17B |
| 2017-01-01 | $151.14 | $142.22 | RVU17A |
| 2016-10-01 | $154.64 | $145.07 | RVU16D |
| 2016-07-01 | $154.64 | $145.07 | RVU16C |
| 2016-04-01 | $154.64 | $145.07 | RVU16B |
| 2016-01-01 | $154.64 | $145.07 | RVU16A |
| 2015-10-01 | $153.74 | $144.49 | RVU15D |
| 2015-07-01 | $153.74 | $144.49 | RVU15C |
| 2015-04-01 | $152.97 | $143.77 | RVU15B |
| 2015-01-01 | $152.97 | $143.77 | RVU15A |
| 2014-10-01 | $154.09 | $144.53 | RVU14D |
| 2014-07-01 | $154.09 | $144.53 | RVU14C |
| 2014-04-01 | $154.09 | $144.53 | RVU14B |
| 2014-01-01 | $154.09 | $144.53 | RVU14A |
| 2013-10-01 | $154.94 | $144.87 | RVU13D |
| 2013-07-01 | $154.94 | $144.87 | RVU13C |
| 2013-04-01 | $154.94 | $144.87 | RVU13B |
| 2013-01-01 | $154.94 | $144.87 | RVU13AR |
Where the Brazoria, TX rate applies
Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- Brazoria
- Alvin
- Angleton
- Bailey's Prairie
- Bonney
- Brookside Village
- Clute
- Damon
15152 billing questions
When should 15152 be chosen instead of 15151?
Use 15152 for each additional 1% of body area in an infant or child. Code 15151 represents additional area in 100-square-centimeter increments.
Which primary code is reported with 15152?
Report it with the primary cultured skin autograft service for the initial area, generally 15150 for the trunk, arms, or legs.
Can 15152 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How many units should be reported?
Report a unit for each additional 1% of the infant’s or child’s body area treated. The record should support the body-area calculation and treated extent.
What documentation supports this code?
Document the cultured autograft, recipient sites on the trunk, arms, or legs, total treated area, and the calculation supporting each additional 1% unit.
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
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