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CPT code 15157: Skin substitute graft, additional 1% body area2026 Medicare rate & RVUs in Queens, NY

Reports each additional 1% of body surface area treated with a cultured allogeneic skin substitute graft on specified sites in an infant or child.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Queens, NY, Medicare pays $218.77 for 15157 in the office and $170.21 when it’s performed in a hospital or facility.

$218.77Office (non-facility)
$170.21Hospital or facility
+15.7%vs the national office rate ($189.05)

Check a contract rate as a % of Medicare · 15157 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 15157 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 15157 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 15157 covers

This add-on represents an additional 1% of an infant’s or child’s body surface area treated with a tissue-cultured allogeneic skin substitute graft on the face, scalp, neck, hands, feet, or genitalia. A burn or reconstructive surgeon may apply the graft during operative wound coverage, including treatment of extensive burns or other wounds requiring skin replacement. The site and the patient’s age and body size affect how the treated area is measured within this code family.

Report 15157 with the applicable primary graft code, such as 15155, when the treated area extends beyond the initial area and the additional area is measured in 1% body-surface increments. The operative record should support the treated site, graft application, and total area covered, with enough detail to distinguish each additional increment. CMS classifies this as an add-on code: it is billed only with a primary procedure and paid within that 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 Queens, NY compares for 15157

Across 109 of 109 payment localities, the office rate for 15157 runs from $167.12 in Arkansas to $232.05 in Miami, FL. Queens, NY pays $218.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

15157 in Queens, NY vs other payment areas
  1. Queens, NY · this page$218.77
  2. Manhattan, NY · New York$221.27+$2.50
  3. NYC suburbs and Long Island, NY · New York$230.17+$11.40
  4. Poughkeepsie and northern NYC suburbs, NY · New York$205.15−$13.62
  5. Rest of New York · New York$177.97−$40.80
  6. Los Angeles, CA · California$196.05−$22.72
  7. Washington, DC area · District of Columbia$208.85−$9.92

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

Every other payment area

15157 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$232.05$189.28
Chicago, ILIllinois$224.23$182.94
AlaskaAlaska$230.35$186.59
AlabamaAlabama$169.50$133.55
ArkansasArkansas$167.12$131.82
ArizonaArizona$183.24$143.43
Bakersfield, CACalifornia$186.81$141.78
Chico, CACalifornia$184.69$139.66

15157 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.

$167.12

$230.35

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

View every state and territory as a table
15157 office rate range by state
State / territoryOffice rate rangeLocalities
AK$230.351
AL$169.501
AR$167.121
AZ$183.241
CA$184.69–$216.2129
CO$188.591
CT$201.541
DC$208.851
DE$186.101
FL$199.47–$232.053
GA$187.12–$195.682
GU$186.821
HI$186.821
IA$167.631
ID$169.961
IL$198.27–$224.234
IN$170.761
KS$169.741
KY$179.611
LA$180.49–$188.812
MA$188.69–$202.732
MD$188.64–$208.853
ME$173.89–$178.732
MI$186.82–$204.882
MN$172.351
MO$179.42–$185.993
MS$173.161
MT$189.001
NC$175.181
ND$173.381
NE$167.651
NH$188.411
NJ$201.48–$207.382
NM$188.971
NV$184.711
NY$177.97–$230.175
OH$183.621
OK$176.231
OR$180.95–$191.052
PA$182.28–$198.562
PR$189.371
RI$190.201
SC$180.171
SD$171.531
TN$170.941
TX$181.34–$199.308
UT$182.471
VA$180.19–$208.852
VI$189.371
VT$175.371
WA$187.45–$203.822
WI$168.071
WV$191.931
WY$182.191

See 15157 in every payment locality

How the 15157 rate is calculated

Each of 15157’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 · 15157

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.93

2.93 RVUs× 1.000 GPCI

Practice expense1.94

1.94 RVUs× 1.000 GPCI

Malpractice0.79

0.79 RVUs× 1.000 GPCI

Adjusted RVUs

5.6600

Conversion factor

$33.4009

Medicare rate

$189.05

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,503

Code
15157
Physician work
2.93
Practice expense
1.94
Malpractice
0.79

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 15157 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0643.1175
Practice expense1.94× 1.1822.2931
Malpractice0.79× 1.4421.1392
Total RVUs6.5498
Conversion factor× 33.4009

Office rate, Queens, NY$218.77

Office: (2.93 × 1.064 + 1.94 × 1.182 + 0.79 × 1.442) × $33.4009 = $218.77

Facility: (2.93 × 1.064 + 0.71 × 1.182 + 0.79 × 1.442) × $33.4009 = $170.21

Open 15157 in the RVU calculator

Payment rules and modifiers for 15157

The CMS indicators that decide how 15157 is paid alongside other services.

CMS payment indicators · 15157

Skin substitute graft, additional 1% body area

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 15157

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

Codes related to 15157
CodeHow it relatesOffice range, Queens, NY
Primary code
15155Cultured allograft, face and other special sitesInitial graft code for the specified sites; 15157 reports each additional 1% increment.$979.70
Same family
15156Cultured skin graft, additional 100 sq cmSibling add-on for additional graft area measured in 100-square-centimeter increments.$194.98
15152Cultured skin graft, each additional 1% body areaCorresponding additional 1% body-area code for the trunk, arms, or legs.$178.34
15150Cultured skin graft, trunk, arms, or legsInitial cultured allogeneic graft code for the trunk, arms, or legs.$887.77

How 15157 has changed in Queens, NY

15157 · Office / nonfacility

$218.77

Effective 2026-10-01

The base rate is $18.32 higher than on 2025-10-01, moving from $200.45 to $218.77 (9.1%).

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

    $200.45changed to$218.77

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.00 changed to 2.93
    • Practice expense RVU 1.57 changed to 1.94
    • Malpractice RVU 0.77 changed to 0.79
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $204.69changed to$200.45

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.53 changed to 1.57

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $201.35changed to$204.69

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $223.08changed to$201.35

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.75 changed to 0.77
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $244.21changed to$223.08

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.52 changed to 1.53
    • Malpractice RVU 0.76 changed to 0.75
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $244.38changed to$244.21

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.74 changed to 0.76

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $241.07changed to$244.38

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.46 changed to 1.52
    • Malpractice RVU 0.73 changed to 0.74
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $231.48changed to$241.07

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.45 changed to 1.46
    • Malpractice RVU 0.72 changed to 0.73
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $232.43changed to$231.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.46 changed to 1.45
    • Malpractice RVU 0.73 changed to 0.72

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $226.73changed to$232.43

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.81 changed to 1.46
    • Malpractice RVU 0.46 changed to 0.73
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $213.19changed to$226.73

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.57 changed to 1.81
    • Malpractice RVU 0.42 changed to 0.46
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $184.50changed to$213.19

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.25 changed to 1.57
    • Malpractice RVU 0.22 changed to 0.42

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $183.59changed to$184.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $189.58changed to$183.59

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.45 changed to 1.25
    • Malpractice RVU 0.21 changed to 0.22
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $210.22changed to$189.58

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.23 changed to 1.45
    • Malpractice RVU 0.22 changed to 0.21
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $210.22

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$218.77$170.21RVU26D
2026-07-01$218.77$170.21RVU26C
2026-04-01$218.77$170.21RVU26B
2026-01-01$218.77$170.21RVU26A
2025-10-01$200.45$183.44RVU25D
2025-07-01$200.45$183.44RVU25C
2025-04-01$200.45$183.44RVU25B
2025-01-01$200.45$183.44RVU25A
2024-10-01$204.69$187.58RVU24D
2024-07-01$204.69$187.58RVU24C
2024-04-01$204.69$187.58RVU24B
2024-03-09$204.69$187.58RVU24AR
2024-01-01$201.35$184.52RVU24A
2023-10-01$223.08$205.83RVU23D
2023-07-01$223.08$205.83RVU23C
2023-04-01$223.08$205.83RVU23B
2023-01-01$223.08$205.83RVU23A
2022-10-01$244.21$227.21RVU22D
2022-07-01$244.21$227.21RVU22C
2022-04-01$244.21$227.21RVU22B
2022-01-01$244.21$227.21RVU22A
2021-10-01$244.38$227.24RVU21D
2021-07-01$244.38$227.24RVU21C
2021-04-01$244.38$227.24RVU21B
2021-01-01$244.38$227.24RVU21A
2020-10-01$241.07$224.86RVU20D
2020-07-01$241.07$224.86RVU20C
2020-04-01$241.07$224.86RVU20B
2020-01-01$241.07$224.86RVU20A
2019-10-01$231.48$214.62RVU19D
2019-07-01$231.48$214.62RVU19C
2019-04-01$231.48$214.62RVU19B
2019-01-01$231.48$214.62RVU19A
2018-10-01$232.43$215.15RVU18D
2018-07-01$232.43$215.15RVU18C
2018-04-01$232.43$215.15RVU18B
2018-01-01$232.43$215.15RVU18AR1
2017-10-01$226.73$212.08RVU17D
2017-07-01$226.73$212.08RVU17C
2017-04-01$226.73$212.08RVU17B
2017-01-01$226.73$212.08RVU17A
2016-10-01$213.19$199.46RVU16D
2016-07-01$213.19$199.46RVU16C
2016-04-01$213.19$199.46RVU16B
2016-01-01$213.19$199.46RVU16A
2015-10-01$184.50$171.15RVU15D
2015-07-01$184.50$171.15RVU15C
2015-04-01$183.59$170.30RVU15B
2015-01-01$183.59$170.30RVU15A
2014-10-01$189.58$176.72RVU14D
2014-07-01$189.58$176.72RVU14C
2014-04-01$189.58$176.72RVU14B
2014-01-01$189.58$176.72RVU14A
2013-10-01$210.22$193.15RVU13D
2013-07-01$210.22$193.15RVU13C
2013-04-01$210.22$193.15RVU13B
2013-01-01$210.22$193.15RVU13AR

Price 15157 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

15157 billing questions

When is 15157 used instead of 15156?

Use 15157 for each additional 1% of body surface area in an infant or child. Code 15156 represents additional area measured in 100-square-centimeter increments.

Which primary code is reported with 15157?

Report it with the applicable initial graft code for the specified sites, such as 15155. It is an add-on code and is not reported by itself.

Which sites qualify for this code?

The code family covers graft application on the face, scalp, neck, hands, feet, or genitalia. The documentation should identify the treated site and support the additional 1% increment.

How many units should be reported?

Report a unit for each additional 1% of body surface area treated in an infant or child. Document the total area grafted so the reported increments can be supported.

How does CMS treat payment for 15157?

CMS treats 15157 as an add-on code billed only with a primary procedure. Payment is within that primary procedure’s global period.

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 15157PPRRVU2026_Oct_nonQPP.csv, line 1,503 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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