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CPT code 15156: Cultured skin graft, additional 100 sq cm2026 Medicare rate & RVUs in Hawaii, Guam, HI

Reports each additional 100 square centimeters of cultured autologous skin graft applied to wounds on specified special sites, with code 15155 as the primary procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Hawaii, Guam, HI, Medicare pays $166.29 for 15156 in the office and $127.93 when it’s performed in a hospital or facility.

$166.29Office (non-facility)
$127.93Hospital or facility
−1.4%vs the national office rate ($168.67)

Check a contract rate as a % of Medicare · 15156 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 15156 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 15156 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 15156 covers

This add-on covers application of additional cultured autologous skin graft to wounds on the face, scalp, neck, hands, feet, or genitalia. Burn and reconstructive surgeons commonly use cultured skin grafting to cover extensive burns or other wounds after excision, when the patient’s own skin cells have been expanded for grafting. The code represents additional wound area beyond the initial area reported with the primary service.

Report 15156 with 15155 for each additional 100 sq cm of qualifying wound area. For infants and children when area is measured by body surface area, code 15157 represents each additional 1%; do not use 15156 for that increment. Documentation should identify the graft as cultured autologous tissue, the treated anatomic sites, and the total wound surface area supporting the additional units. CMS classifies 15156 as an add-on code and pays it 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 Hawaii, Guam, HI compares for 15156

Across 109 of 109 payment localities, the office rate for 15156 runs from $149.36 in Arkansas to $207.21 in Miami, FL. Hawaii, Guam, HI pays $166.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

15156 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$166.29
  2. Los Angeles, CA · California$174.52+$8.23
  3. Washington, DC area · District of Columbia$186.06+$19.77
  4. Miami, FL · Florida$207.21+$40.92
  5. Chicago, IL · Illinois$200.29+$34.00
  6. Manhattan, NY · New York$197.28+$30.99
  7. Alaska · Alaska$206.39+$40.10

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

Every other payment area

15156 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$151.45$121.93
ArkansasArkansas$149.36$120.38
ArizonaArizona$163.54$130.85
Bakersfield, CACalifornia$166.43$129.45
Chico, CACalifornia$164.52$127.54
El Centro, CACalifornia$164.63$127.66
Fresno, CACalifornia$164.52$127.54
Hanford, CACalifornia$164.52$127.54

15156 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.

$149.36

$206.39

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

View every state and territory as a table
15156 office rate range by state
State / territoryOffice rate rangeLocalities
AK$206.391
AL$151.451
AR$149.361
AZ$163.541
CA$164.52–$192.0229
CO$168.101
CT$179.711
DC$186.061
DE$166.061
FL$178.16–$207.213
GA$167.24–$174.602
GU$166.291
HI$166.291
IA$149.661
ID$151.741
IL$177.20–$200.294
IN$152.441
KS$151.591
KY$160.501
LA$161.30–$168.632
MA$168.23–$180.492
MD$168.29–$186.063
ME$155.27–$159.422
MI$166.91–$183.002
MN$153.591
MO$160.41–$166.063
MS$154.781
MT$168.631
NC$156.401
ND$154.591
NE$149.651
NH$167.981
NJ$179.66–$184.802
NM$168.841
NV$164.771
NY$158.86–$205.215
OH$164.041
OK$157.451
OR$161.41–$170.192
PA$162.82–$177.142
PR$168.931
RI$169.641
SC$160.901
SD$152.931
TN$152.651
TX$162.00–$177.928
UT$162.931
VA$160.76–$186.062
VI$168.931
VT$156.411
WA$167.11–$181.402
WI$149.941
WV$171.631
WY$162.511

See 15156 in every payment locality

How the 15156 rate is calculated

Each of 15156’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 · 15156

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.68

2.68 RVUs× 1.000 GPCI

Practice expense1.66

1.66 RVUs× 1.000 GPCI

Malpractice0.71

0.71 RVUs× 1.000 GPCI

Adjusted RVUs

5.0500

Conversion factor

$33.4009

Medicare rate

$168.67

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,502

Code
15156
Physician work
2.68
Practice expense
1.66
Malpractice
0.71

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 15156 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work2.68× 1.0002.6800
Practice expense1.66× 1.1371.8874
Malpractice0.71× 0.5790.4111
Total RVUs4.9785
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$166.29

Office: (2.68 × 1 + 1.66 × 1.137 + 0.71 × 0.579) × $33.4009 = $166.29

Facility: (2.68 × 1 + 0.65 × 1.137 + 0.71 × 0.579) × $33.4009 = $127.93

Open 15156 in the RVU calculator

Payment rules and modifiers for 15156

The CMS indicators that decide how 15156 is paid alongside other services.

CMS payment indicators · 15156

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)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 15156

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

Codes related to 15156
CodeHow it relatesOffice range, Hawaii, Guam, HI
Add-on codes
15155Cultured allograft, face and other special sitesPrimary cultured skin graft code for the initial area at these sites.$885.25
Same family
15157Skin substitute graft, additional 1% body areaAdditional cultured-graft area measured in 1% body-surface-area increments for infants and children.$186.82
Used instead
15150Cultured skin graft, trunk, arms, or legsCultured skin graft code for the trunk, arms, or legs.$780.39
15120Skin graft, special sites, initial areaSplit-thickness autograft code for the same general special-site group.$918.17
15135Dermal autograft, specified sites, initial areaDermal autograft code for the same general special-site group.$945.80

How 15156 has changed in Hawaii, Guam, HI

15156 · Office / nonfacility

$166.29

Effective 2026-10-01

The base rate is $14.65 higher than on 2025-10-01, moving from $151.64 to $166.29 (9.7%).

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

    $151.64changed to$166.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.75 changed to 2.68
    • Practice expense RVU 1.34 changed to 1.66
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $154.90changed to$151.64

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.31 changed to 1.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $152.38changed to$154.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $158.40changed to$152.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.30 changed to 1.31
    • Malpractice RVU 0.69 changed to 0.71
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $164.29changed to$158.40

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.31 changed to 1.30
    • Malpractice RVU 0.70 changed to 0.69
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $164.78changed to$164.29

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.30 changed to 1.31
    • Malpractice RVU 0.68 changed to 0.70

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $166.14changed to$164.78

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.24 changed to 1.30
    • Malpractice RVU 0.65 changed to 0.68
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $165.02changed to$166.14

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.66 changed to 0.65
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $164.84changed to$165.02

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $168.59changed to$164.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.40 changed to 1.24
    • Malpractice RVU 0.53 changed to 0.66
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $162.13changed to$168.59

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.22 changed to 1.40
    • Malpractice RVU 0.57 changed to 0.53
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $166.19changed to$162.13

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.25 changed to 1.22
    • Malpractice RVU 0.67 changed to 0.57

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $165.36changed to$166.19

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $164.20changed to$165.36

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.26 changed to 1.25
    • Malpractice RVU 0.56 changed to 0.67
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $161.80changed to$164.20

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.38 changed to 1.26
    • Malpractice RVU 0.59 changed to 0.56
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$161.80

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$166.29$127.93RVU26D
2026-07-01$166.29$127.93RVU26C
2026-04-01$166.29$127.93RVU26B
2026-01-01$166.29$127.93RVU26A
2025-10-01$151.64$140.49RVU25D
2025-07-01$151.64$140.49RVU25C
2025-04-01$151.64$140.49RVU25B
2025-01-01$151.64$140.49RVU25A
2024-10-01$154.90$143.43RVU24D
2024-07-01$154.90$143.43RVU24C
2024-04-01$154.90$143.43RVU24B
2024-03-09$154.90$143.43RVU24AR
2024-01-01$152.38$141.09RVU24A
2023-10-01$158.40$147.14RVU23D
2023-07-01$158.40$147.14RVU23C
2023-04-01$158.40$147.14RVU23B
2023-01-01$158.40$147.14RVU23A
2022-10-01$164.29$153.21RVU22D
2022-07-01$164.29$153.21RVU22C
2022-04-01$164.29$153.21RVU22B
2022-01-01$164.29$153.21RVU22A
2021-10-01$164.78$153.61RVU21D
2021-07-01$164.78$153.61RVU21C
2021-04-01$164.78$153.61RVU21B
2021-01-01$164.78$153.61RVU21A
2020-10-01$166.14$155.82RVU20D
2020-07-01$166.14$155.82RVU20C
2020-04-01$166.14$155.82RVU20B
2020-01-01$166.14$155.82RVU20A
2019-10-01$165.02$153.87RVU19D
2019-07-01$165.02$153.87RVU19C
2019-04-01$165.02$153.87RVU19B
2019-01-01$165.02$153.87RVU19A
2018-10-01$164.84$153.70RVU18D
2018-07-01$164.84$153.70RVU18C
2018-04-01$164.84$153.70RVU18B
2018-01-01$164.84$153.70RVU18AR1
2017-10-01$168.59$158.65RVU17D
2017-07-01$168.59$158.65RVU17C
2017-04-01$168.59$158.65RVU17B
2017-01-01$168.59$158.65RVU17A
2016-10-01$162.13$152.56RVU16D
2016-07-01$162.13$152.56RVU16C
2016-04-01$162.13$152.56RVU16B
2016-01-01$162.13$152.56RVU16A
2015-10-01$166.19$155.75RVU15D
2015-07-01$166.19$155.75RVU15C
2015-04-01$165.36$154.97RVU15B
2015-01-01$165.36$154.97RVU15A
2014-10-01$164.20$153.41RVU14D
2014-07-01$164.20$153.41RVU14C
2014-04-01$164.20$153.41RVU14B
2014-01-01$164.20$153.41RVU14A
2013-10-01$161.80$150.41RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 15156 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

15156 billing questions

When should 15156 be reported instead of 15155?

Use 15155 for the initial area and 15156 for each additional 100 sq cm at the specified sites. The add-on requires 15155 as the primary procedure.

When is 15157 used instead of 15156?

For infants and children whose wound area is reported in body-surface-area increments, 15157 represents each additional 1%. Code 15156 represents each additional 100 sq cm.

Can 15156 be billed by itself?

No. It is an add-on code reported with 15155, and CMS pays it within the primary procedure’s global period.

What area documentation supports additional units?

Document the qualifying treated sites and the total wound surface area covered with cultured autologous graft. The additional units must be supported by area beyond the initial amount reported with 15155.

How does 15156 differ from split-thickness graft code 15120?

15156 is for additional area treated with cultured autologous skin graft. Code 15120 describes a split-thickness autograft for the specified sites, rather than cultured graft application.

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 15156PPRRVU2026_Oct_nonQPP.csv, line 1,502 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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