CPT code 15200: Skin graft, trunk, 20 sq cm or less2026 Medicare rate & RVUs in Washington, DC area

Reports placement of a free full-thickness skin graft on the trunk when the treated graft area is 20 square centimeters or less.

CMS RVU26DEffective Oct 1, 2026One payment locality426 Medicare services in 2024

In Washington, DC area, Medicare pays $991.46 for 15200 in the office and $672.75 when it’s performed in a hospital or facility.

$991.46Office (non-facility)
$672.75Hospital or facility
+13.2%vs the national office rate ($875.77)

Check a contract rate as a % of Medicare · 15200 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 15200 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 15200 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 15200 covers

A surgeon uses this code to cover a trunk defect with a free graft containing the epidermis and full dermis, commonly after excision or injury. The graft is taken from a donor site, and direct closure of that donor site is included. Plastic, general, and other reconstructive surgeons may perform the service in an operating room or ambulatory surgery setting.

Choose this code for a trunk recipient site when the graft area is 20 sq cm or less; document the site, graft type, and area treated. For additional area, report 15201 with the base code for each additional 20 sq cm or part thereof. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 Washington, DC area compares for 15200

Across 109 of 109 payment localities, the office rate for 15200 runs from $777.06 in Arkansas to $1,118.56 in San Benito County, CA. Washington, DC area pays $991.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

15200 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$991.46
  2. Los Angeles, CA · California$967.73−$23.73
  3. Miami, FL · Florida$974.01−$17.45
  4. Chicago, IL · Illinois$945.38−$46.08
  5. Manhattan, NY · New York$1,009.69+$18.23
  6. Alaska · Alaska$1,036.55+$45.09
  7. Alabama · Alabama$788.06−$203.40

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

15200 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$777.06$544.66
ArizonaArizona$852.20$590.04
Bakersfield, CACalifornia$912.51$615.99
Chico, CACalifornia$908.25$611.73
El Centro, CACalifornia$908.50$611.98
Fresno, CACalifornia$908.25$611.73
Hanford, CACalifornia$908.25$611.73
Madera, CACalifornia$908.25$611.73

15200 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.

$777.06

$1,036.55

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

View every state and territory as a table
15200 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,036.551
AL$788.061
AR$777.061
AZ$852.201
CA$908.25–$1,118.5629
CO$902.151
CT$932.891
DC$991.461
DE$865.871
FL$877.75–$974.013
GA$828.40–$895.182
GU$926.981
HI$926.981
IA$800.701
ID$807.151
IL$858.07–$945.384
IN$811.491
KS$800.261
KY$812.931
LA$812.98–$851.452
MA$898.34–$984.862
MD$880.98–$991.463
ME$814.61–$852.532
MI$836.32–$891.672
MN$855.801
MO$801.64–$850.543
MS$789.341
MT$875.671
NC$822.331
ND$846.011
NE$803.971
NH$891.151
NJ$941.10–$982.392
NM$842.041
NV$867.931
NY$834.50–$1,037.525
OH$830.261
OK$808.131
OR$858.78–$926.292
PA$829.74–$912.442
PR$880.831
RI$893.441
SC$828.151
SD$842.501
TN$804.551
TX$824.72–$901.268
UT$839.001
VA$852.07–$991.462
VI$880.831
VT$845.741
WA$895.64–$1,001.302
WI$818.941
WV$828.231
WY$862.751

See 15200 in every payment locality

How the 15200 rate is calculated

Each of 15200’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 · 15200

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.92

8.92 RVUs× 1.000 GPCI

Practice expense15.80

15.80 RVUs× 1.000 GPCI

Malpractice1.50

1.50 RVUs× 1.000 GPCI

Adjusted RVUs

26.2200

Conversion factor

$33.4009

Medicare rate

$875.77

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,504

Code
15200
Physician work
8.92
Practice expense
15.80
Malpractice
1.50

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 15200 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work8.92× 1.0549.4017
Practice expense15.80× 1.17818.6124
Malpractice1.50× 1.1131.6695
Total RVUs29.6836
Conversion factor× 33.4009

Office rate, Washington, DC area$991.46

Office: (8.92 × 1.054 + 15.8 × 1.178 + 1.5 × 1.113) × $33.4009 = $991.46

Facility: (8.92 × 1.054 + 7.7 × 1.178 + 1.5 × 1.113) × $33.4009 = $672.75

Open 15200 in the RVU calculator

Payment rules and modifiers for 15200

15200 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15200

Skin graft, trunk, 20 sq cm or less

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 · 15200

Skin graft, trunk, 20 sq cm or less

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

15200 without 51 · national office

$875.77

Skin graft, trunk, 20 sq cm or less

15200-51 · Second procedure: 50%

$437.89

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 15200 has changed in Washington, DC area

15200 · Office / nonfacility

$991.46

Effective 2026-10-01

The base rate is $55.99 higher than on 2025-10-01, moving from $935.47 to $991.46 (6.0%).

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

    $935.47changed to$991.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 9.15 changed to 8.92
    • Practice expense RVU 14.60 changed to 15.80
    • Malpractice RVU 1.58 changed to 1.50
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $962.23changed to$935.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 14.52 changed to 14.60
    • Malpractice RVU 1.65 changed to 1.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $946.52changed to$962.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $985.35changed to$946.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.36 changed to 14.52
    • Malpractice RVU 1.61 changed to 1.65
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $1009.41changed to$985.35

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.09 changed to 14.36
    • Malpractice RVU 1.63 changed to 1.61
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1009.80changed to$1009.41

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.02 changed to 14.09
    • Malpractice RVU 1.52 changed to 1.63

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1000.68changed to$1009.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.30 changed to 14.02
    • Malpractice RVU 1.48 changed to 1.52
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $985.30changed to$1000.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.10 changed to 13.30
    • Malpractice RVU 1.58 changed to 1.48
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $980.31changed to$985.30

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.01 changed to 13.10

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $976.30changed to$980.31

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.93 changed to 13.01
    • Malpractice RVU 1.60 changed to 1.58
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $972.94changed to$976.30

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.86 changed to 12.93
    • Malpractice RVU 1.61 changed to 1.60
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $973.26changed to$972.94

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 12.85 changed to 12.86
    • Malpractice RVU 1.55 changed to 1.61

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $968.41changed to$973.26

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $960.08changed to$968.41

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 12.72 changed to 12.85
    • Malpractice RVU 1.58 changed to 1.55
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $965.93changed to$960.08

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.13 changed to 12.72
    • Malpractice RVU 1.65 changed to 1.58
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $965.93

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$991.46$672.75RVU26D
2026-07-01$991.46$672.75RVU26C
2026-04-01$991.46$672.75RVU26B
2026-01-01$991.46$672.75RVU26A
2025-10-01$935.47$744.61RVU25D
2025-07-01$935.47$744.61RVU25C
2025-04-01$935.47$744.61RVU25B
2025-01-01$935.47$744.61RVU25A
2024-10-01$962.23$761.06RVU24D
2024-07-01$962.23$761.06RVU24C
2024-04-01$962.23$761.06RVU24B
2024-03-09$962.23$761.06RVU24AR
2024-01-01$946.52$748.64RVU24A
2023-10-01$985.35$776.36RVU23D
2023-07-01$985.35$776.36RVU23C
2023-04-01$985.35$776.36RVU23B
2023-01-01$985.35$776.36RVU23A
2022-10-01$1,009.41$791.70RVU22D
2022-07-01$1,009.41$791.70RVU22C
2022-04-01$1,009.41$791.70RVU22B
2022-01-01$1,009.41$791.70RVU22A
2021-10-01$1,009.80$789.84RVU21D
2021-07-01$1,009.80$789.84RVU21C
2021-04-01$1,009.80$789.84RVU21B
2021-01-01$1,009.80$789.84RVU21A
2020-10-01$1,000.68$796.21RVU20D
2020-07-01$1,000.68$796.21RVU20C
2020-04-01$1,000.68$796.21RVU20B
2020-01-01$1,000.68$796.21RVU20A
2019-10-01$985.30$790.31RVU19D
2019-07-01$985.30$790.31RVU19C
2019-04-01$985.30$790.31RVU19B
2019-01-01$985.30$790.31RVU19A
2018-10-01$980.31$789.88RVU18D
2018-07-01$980.31$789.88RVU18C
2018-04-01$980.31$789.88RVU18B
2018-01-01$980.31$789.88RVU18AR1
2017-10-01$976.30$789.47RVU17D
2017-07-01$976.30$789.47RVU17C
2017-04-01$976.30$789.47RVU17B
2017-01-01$976.30$789.47RVU17A
2016-10-01$972.94$786.99RVU16D
2016-07-01$972.94$786.99RVU16C
2016-04-01$972.94$786.99RVU16B
2016-01-01$972.94$786.99RVU16A
2015-10-01$973.26$787.07RVU15D
2015-07-01$973.26$787.07RVU15C
2015-04-01$968.41$783.15RVU15B
2015-01-01$968.41$783.15RVU15A
2014-10-01$960.08$778.37RVU14D
2014-07-01$960.08$778.37RVU14C
2014-04-01$960.08$778.37RVU14B
2014-01-01$960.08$778.37RVU14A
2013-10-01$965.93$770.69RVU13D
2013-07-01$965.93$770.69RVU13C
2013-04-01$965.93$770.69RVU13B
2013-01-01$965.93$770.69RVU13AR

Price 15200 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

15200 billing questions

When should 15200 be used instead of 15201?

Use 15200 for the first 20 sq cm or less of full-thickness graft area on the trunk. Report 15201 as an add-on for each additional 20 sq cm or part thereof.

Does the code include closure of the donor site?

Yes. Direct closure of the donor site is included in the graft service.

What documentation supports 15200?

Record the trunk recipient site, that a full-thickness graft was placed, and the area treated. Document the donor site and its closure as part of the operative record.

Can modifier 50 be used for grafts on both sides of the trunk?

No. The descriptor and anatomy make modifier 50 inappropriate, and a bilateral adjustment does not apply.

How does the 90-day global period affect postoperative billing?

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

Can an assistant or co-surgeon be paid for this procedure?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 15200PPRRVU2026_Oct_nonQPP.csv, line 1,504 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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