CPT code 15155: Cultured allograft, face and other special sites2026 Medicare rate & RVUs in South Dakota

Reports application of a tissue-cultured allograft to the face, scalp, neck, hands, feet, or genitalia for the initial treated area.

CMS RVU26DEffective Oct 1, 2026One payment locality44 Medicare services in 2024

In South Dakota, Medicare pays $807.80 for 15155 in the office and $616.41 when it’s performed in a hospital or facility.

$807.80Office (non-facility)
$616.41Hospital or facility
−4.8%vs the national office rate ($848.38)

Check a contract rate as a % of Medicare · 15155 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 15155 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 15155 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 15155 covers

This service covers placing a tissue-cultured allograft over a prepared wound on the face, scalp, neck, hands, feet, or genitalia. It is used in wound reconstruction, including burn care, when cultured donor skin is selected for coverage. A surgeon or other qualified clinician performs the graft application, commonly in an operating room for extensive or complex wounds.

Select this code for the specified recipient sites and the initial treated area; the site and measured area, rather than the donor source alone, distinguish it from other graft codes. For infants and children, the area measure may be expressed as a percentage of body surface area. Document the recipient site, wound area, graft type, and application performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this descriptor and anatomy. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.

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 South Dakota compares for 15155

Across 109 of 109 payment localities, the office rate for 15155 runs from $754.31 in Arkansas to $1,058.32 in San Benito County, CA. South Dakota pays $807.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

15155 in South Dakota vs other payment areas
  1. South Dakota · this page$807.80
  2. Los Angeles, CA · California$925.01+$117.21
  3. Washington, DC area · District of Columbia$954.46+$146.66
  4. Miami, FL · Florida$960.57+$152.77
  5. Chicago, IL · Illinois$932.13+$124.33
  6. Manhattan, NY · New York$979.36+$171.56
  7. Alaska · Alaska$1,015.81+$208.01

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

Every other payment area

15155 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$764.74$597.28
ArkansasArkansas$754.31$589.91
ArizonaArizona$825.42$639.96
Bakersfield, CACalifornia$874.62$664.86
Chico, CACalifornia$869.50$659.74
El Centro, CACalifornia$869.81$660.05
Fresno, CACalifornia$869.50$659.74
Hanford, CACalifornia$869.50$659.74

15155 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.

$754.31

$1,015.81

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

View every state and territory as a table
15155 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,015.811
AL$764.741
AR$754.311
AZ$825.421
CA$869.50–$1,058.3229
CO$868.201
CT$903.011
DC$954.461
DE$838.381
FL$859.02–$960.573
GA$810.77–$868.972
GU$885.251
HI$885.251
IA$772.691
ID$779.621
IL$843.04–$932.134
IN$783.611
KS$774.201
KY$792.471
LA$793.27–$829.742
MA$865.48–$943.852
MD$852.16–$954.463
ME$788.72–$821.722
MI$816.52–$874.322
MN$818.601
MO$783.74–$826.573
MS$768.921
MT$848.261
NC$795.701
ND$812.081
NE$775.181
NH$859.481
NJ$909.56–$946.462
NM$822.741
NV$838.631
NY$807.38–$1,008.275
OH$809.121
OK$785.861
OR$828.40–$888.742
PA$807.55–$884.862
PR$852.491
RI$863.141
SC$804.491
SD$807.801
TN$778.501
TX$802.92–$870.818
UT$814.731
VA$822.64–$954.462
VI$852.491
VT$813.621
WA$862.29–$957.442
WI$786.891
WV$814.871
WY$832.491

See 15155 in every payment locality

How the 15155 rate is calculated

Each of 15155’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 · 15155

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.89

9.89 RVUs× 1.000 GPCI

Practice expense13.68

13.68 RVUs× 1.000 GPCI

Malpractice1.83

1.83 RVUs× 1.000 GPCI

Adjusted RVUs

25.4000

Conversion factor

$33.4009

Medicare rate

$848.38

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,501

Code
15155
Physician work
9.89
Practice expense
13.68
Malpractice
1.83

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 15155 in South Dakota
ComponentRVULocality factorAdjusted
Physician work9.89× 1.0009.8900
Practice expense13.68× 1.00013.6800
Malpractice1.83× 0.3360.6149
Total RVUs24.1849
Conversion factor× 33.4009

Office rate, South Dakota$807.80

Office: (9.89 × 1 + 13.68 × 1 + 1.83 × 0.336) × $33.4009 = $807.80

Facility: (9.89 × 1 + 7.95 × 1 + 1.83 × 0.336) × $33.4009 = $616.41

Open 15155 in the RVU calculator

Payment rules and modifiers for 15155

15155 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15155

Cultured allograft, face and other special sites

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 15155

Cultured allograft, face and other special sites

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

15155 without 51 · national office

$848.38

Cultured allograft, face and other special sites

15155-51 · Second procedure: 50%

$424.19

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 15155 has changed in South Dakota

15155 · Office / nonfacility

$807.80

Effective 2026-10-01

The base rate is $68.10 higher than on 2025-10-01, moving from $739.70 to $807.80 (9.2%).

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

    $739.70changed to$807.80

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.14 changed to 9.89
    • Practice expense RVU 12.01 changed to 13.68
    • Malpractice RVU 1.88 changed to 1.83
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $756.31changed to$739.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.87 changed to 12.01
    • Malpractice RVU 1.86 changed to 1.88

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $743.97changed to$756.31

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $769.23changed to$743.97

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.89 changed to 11.87
    • Malpractice RVU 1.84 changed to 1.86
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $776.51changed to$769.23

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.66 changed to 11.89
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $781.07changed to$776.51

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.62 changed to 11.66
    • Malpractice RVU 1.80 changed to 1.84

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $791.17changed to$781.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.12 changed to 11.62
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $785.26changed to$791.17

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.98 changed to 11.12
    • Malpractice RVU 1.72 changed to 1.80
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $785.34changed to$785.26

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.01 changed to 10.98
    • Malpractice RVU 1.71 changed to 1.72

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $703.88changed to$785.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.90 changed to 11.01
    • Malpractice RVU 1.45 changed to 1.71
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $707.99changed to$703.88

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.07 changed to 8.90
    • Malpractice RVU 1.41 changed to 1.45
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $691.58changed to$707.99

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.81 changed to 9.07
    • Malpractice RVU 0.74 changed to 1.41

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $688.13changed to$691.58

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $697.96changed to$688.13

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.04 changed to 8.81
    • Malpractice RVU 0.73 changed to 0.74
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $760.70changed to$697.96

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.89 changed to 9.04
    • Malpractice RVU 0.76 changed to 0.73
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $760.70

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$807.80$616.41RVU26D
2026-07-01$807.80$616.41RVU26C
2026-04-01$807.80$616.41RVU26B
2026-01-01$807.80$616.41RVU26A
2025-10-01$739.70$677.28RVU25D
2025-07-01$739.70$677.28RVU25C
2025-04-01$739.70$677.28RVU25B
2025-01-01$739.70$677.28RVU25A
2024-10-01$756.31$689.40RVU24D
2024-07-01$756.31$689.40RVU24C
2024-04-01$756.31$689.40RVU24B
2024-03-09$756.31$689.40RVU24AR
2024-01-01$743.97$678.15RVU24A
2023-10-01$769.23$699.08RVU23D
2023-07-01$769.23$699.08RVU23C
2023-04-01$769.23$699.08RVU23B
2023-01-01$769.23$699.08RVU23A
2022-10-01$776.51$702.80RVU22D
2022-07-01$776.51$702.80RVU22C
2022-04-01$776.51$702.80RVU22B
2022-01-01$776.51$702.80RVU22A
2021-10-01$781.07$706.05RVU21D
2021-07-01$781.07$706.05RVU21C
2021-04-01$781.07$706.05RVU21B
2021-01-01$781.07$706.05RVU21A
2020-10-01$791.17$723.32RVU20D
2020-07-01$791.17$723.32RVU20C
2020-04-01$791.17$723.32RVU20B
2020-01-01$791.17$723.32RVU20A
2019-10-01$785.26$720.75RVU19D
2019-07-01$785.26$720.75RVU19C
2019-04-01$785.26$720.75RVU19B
2019-01-01$785.26$720.75RVU19A
2018-10-01$785.34$722.70RVU18D
2018-07-01$785.34$722.70RVU18C
2018-04-01$785.34$722.70RVU18B
2018-01-01$785.34$722.70RVU18AR1
2017-10-01$703.88$650.76RVU17D
2017-07-01$703.88$650.76RVU17C
2017-04-01$703.88$650.76RVU17B
2017-01-01$703.88$650.76RVU17A
2016-10-01$707.99$653.93RVU16D
2016-07-01$707.99$653.93RVU16C
2016-04-01$707.99$653.93RVU16B
2016-01-01$707.99$653.93RVU16A
2015-10-01$691.58$637.32RVU15D
2015-07-01$691.58$637.32RVU15C
2015-04-01$688.13$634.15RVU15B
2015-01-01$688.13$634.15RVU15A
2014-10-01$697.96$644.58RVU14D
2014-07-01$697.96$644.58RVU14C
2014-04-01$697.96$644.58RVU14B
2014-01-01$697.96$644.58RVU14A
2013-10-01$760.70$695.71RVU13D
2013-07-01$760.70$695.71RVU13C
2013-04-01$760.70$695.71RVU13B
2013-01-01$760.70$695.71RVU13AR

Price 15155 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

15155 billing questions

How is this code distinguished from 15150?

The recipient site is the key distinction: 15155 is for the face, scalp, neck, hands, feet, or genitalia. Code 15150 is for the trunk, arms, or legs.

What area should the record support?

Document the treated wound area and recipient site. For an infant or child, document the relevant body-surface-area measure when using that basis.

Is this the code for any skin substitute graft?

No. This code identifies a tissue-cultured allograft at the specified sites. Other graft codes distinguish different graft types or recipient-site groups.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other same-session procedures paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.

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 15155PPRRVU2026_Oct_nonQPP.csv, line 1,501 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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