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CPT code 15156: Cultured skin graft, additional 100 sq cm2026 Medicare rate & RVUs in Fort Worth, TX

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 Fort Worth, TX, Medicare pays $165.64 for 15156 in the office and $132.38 when it’s performed in a hospital or facility.

$165.64Office (non-facility)
$132.38Hospital or facility
−1.8%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $165.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

15156 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$165.64
  2. Austin, TX · Texas$169.37+$3.73
  3. Beaumont, TX · Texas$162.00−$3.64
  4. Brazoria, TX · Texas$163.67−$1.97
  5. Dallas, TX · Texas$165.89+$0.25
  6. Galveston, TX · Texas$164.92−$0.72
  7. Houston, TX · Texas$177.92+$12.28

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

Every other payment area

15156 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$163.55$131.53
Los Angeles, CACalifornia$174.52$134.61
Washington, DC areaDistrict of Columbia$186.06$146.32
Miami, FLFlorida$207.21$172.09
Chicago, ILIllinois$200.29$166.39
Manhattan, NYNew York$197.28$158.08
AlaskaAlaska$206.39$170.46
AlabamaAlabama$151.45$121.93

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 15156 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work2.68× 1.0092.7041
Practice expense1.66× 0.9861.6368
Malpractice0.71× 0.8710.6184
Total RVUs4.9593
Conversion factor× 33.4009

Office rate, Fort Worth, TX$165.64

Office: (2.68 × 1.009 + 1.66 × 0.986 + 0.71 × 0.871) × $33.4009 = $165.64

Facility: (2.68 × 1.009 + 0.65 × 0.986 + 0.71 × 0.871) × $33.4009 = $132.38

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, Fort Worth, TX
Add-on codes
15155Cultured allograft, face and other special sitesPrimary cultured skin graft code for the initial area at these sites.$837.07
Same family
15157Skin substitute graft, additional 1% body areaAdditional cultured-graft area measured in 1% body-surface-area increments for infants and children.$185.62
Used instead
15150Cultured skin graft, trunk, arms, or legsCultured skin graft code for the trunk, arms, or legs.$750.44
15120Skin graft, special sites, initial areaSplit-thickness autograft code for the same general special-site group.$863.21
15135Dermal autograft, specified sites, initial areaDermal autograft code for the same general special-site group.$890.94

How 15156 has changed in Fort Worth, TX

15156 · Office / nonfacility

$165.64

Effective 2026-10-01

The base rate is $11.74 higher than on 2025-10-01, moving from $153.90 to $165.64 (7.6%).

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

    $153.90changed to$165.64

    • 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
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $157.38changed to$153.90

    • 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

    $154.82changed to$157.38

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $155.14changed to$154.82

    • 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 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $154.85changed to$155.14

    • 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 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $155.41changed to$154.85

    • 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

    $159.77changed to$155.41

    • 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 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $161.63changed to$159.77

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.66 changed to 0.65
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $161.45changed to$161.63

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $163.53changed to$161.45

    • 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 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $158.17changed to$163.53

    • 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 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $162.59changed to$158.17

    • 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

    $161.78changed to$162.59

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $159.29changed to$161.78

    • 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 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $156.11changed to$159.29

    • 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 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $156.11

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$165.64$132.38RVU26D
2026-07-01$165.64$132.38RVU26C
2026-04-01$165.64$132.38RVU26B
2026-01-01$165.64$132.38RVU26A
2025-10-01$153.90$144.22RVU25D
2025-07-01$153.90$144.22RVU25C
2025-04-01$153.90$144.22RVU25B
2025-01-01$153.90$144.22RVU25A
2024-10-01$157.38$147.42RVU24D
2024-07-01$157.38$147.42RVU24C
2024-04-01$157.38$147.42RVU24B
2024-03-09$157.38$147.42RVU24AR
2024-01-01$154.82$145.01RVU24A
2023-10-01$155.14$145.35RVU23D
2023-07-01$155.14$145.35RVU23C
2023-04-01$155.14$145.35RVU23B
2023-01-01$155.14$145.35RVU23A
2022-10-01$154.85$145.21RVU22D
2022-07-01$154.85$145.21RVU22C
2022-04-01$154.85$145.21RVU22B
2022-01-01$154.85$145.21RVU22A
2021-10-01$155.41$145.69RVU21D
2021-07-01$155.41$145.69RVU21C
2021-04-01$155.41$145.69RVU21B
2021-01-01$155.41$145.69RVU21A
2020-10-01$159.77$150.83RVU20D
2020-07-01$159.77$150.83RVU20C
2020-04-01$159.77$150.83RVU20B
2020-01-01$159.77$150.83RVU20A
2019-10-01$161.63$152.04RVU19D
2019-07-01$161.63$152.04RVU19C
2019-04-01$161.63$152.04RVU19B
2019-01-01$161.63$152.04RVU19A
2018-10-01$161.45$151.87RVU18D
2018-07-01$161.45$151.87RVU18C
2018-04-01$161.45$151.87RVU18B
2018-01-01$161.45$151.87RVU18AR1
2017-10-01$163.53$155.00RVU17D
2017-07-01$163.53$155.00RVU17C
2017-04-01$163.53$155.00RVU17B
2017-01-01$163.53$155.00RVU17A
2016-10-01$158.17$149.98RVU16D
2016-07-01$158.17$149.98RVU16C
2016-04-01$158.17$149.98RVU16B
2016-01-01$158.17$149.98RVU16A
2015-10-01$162.59$153.65RVU15D
2015-07-01$162.59$153.65RVU15C
2015-04-01$161.78$152.89RVU15B
2015-01-01$161.78$152.89RVU15A
2014-10-01$159.29$150.10RVU14D
2014-07-01$159.29$150.10RVU14C
2014-04-01$159.29$150.10RVU14B
2014-01-01$159.29$150.10RVU14A
2013-10-01$156.11$146.45RVU13D
2013-07-01$156.11$146.45RVU13C
2013-04-01$156.11$146.45RVU13B
2013-01-01$156.11$146.45RVU13AR

Price 15156 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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