CPT code 15200: Skin graft, trunk, 20 sq cm or less2026 Medicare rate & RVUs in New Mexico
Reports placement of a free full-thickness skin graft on the trunk when the treated graft area is 20 square centimeters or less.
In New Mexico, Medicare pays $842.04 for 15200 in the office and $593.95 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $842.04. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$842.04
- Los Angeles, CA · California$967.73+$125.69
- Washington, DC area · District of Columbia$991.46+$149.42
- Miami, FL · Florida$974.01+$131.97
- Chicago, IL · Illinois$945.38+$103.34
- Manhattan, NY · New York$1,009.69+$167.65
- Alaska · Alaska$1,036.55+$194.51
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $788.06 | $551.33 |
| 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 |
| Merced, CACalifornia | $908.25 | $611.73 |
| Modesto, CACalifornia | $908.25 | $611.73 |
| Napa, CACalifornia | $1,037.71 | $681.13 |
| Oxnard, CACalifornia | $961.27 | $641.49 |
| Redding, CACalifornia | $908.25 | $611.73 |
| Rest of CaliforniaCalifornia | $908.25 | $611.73 |
| Riverside, CACalifornia | $924.43 | $627.91 |
| Sacramento, CACalifornia | $949.27 | $634.62 |
| Salinas, CACalifornia | $945.67 | $632.11 |
| San Diego, CACalifornia | $965.20 | $641.62 |
| Marin County, CACalifornia | $1,093.34 | $711.87 |
| San Francisco, CACalifornia | $1,091.64 | $710.17 |
| San Benito County, CACalifornia | $1,118.56 | $728.43 |
| Santa Clara County, CACalifornia | $1,111.59 | $721.46 |
| San Luis Obispo, CACalifornia | $930.94 | $622.79 |
| Santa Cruz, CACalifornia | $972.24 | $643.53 |
| Santa Maria, CACalifornia | $948.47 | $633.01 |
| Santa Rosa, CACalifornia | $981.79 | $649.55 |
| Stockton, CACalifornia | $908.25 | $611.73 |
| Vallejo, CACalifornia | $1,035.26 | $678.67 |
| Visalia, CACalifornia | $908.25 | $611.73 |
| Yuba City, CACalifornia | $908.25 | $611.73 |
| ColoradoColorado | $902.15 | $614.29 |
| ConnecticutConnecticut | $932.89 | $641.51 |
| DelawareDelaware | $865.87 | $598.57 |
| Fort Lauderdale, FLFlorida | $923.11 | $649.05 |
| Rest of FloridaFlorida | $877.75 | $619.11 |
| Atlanta, GAGeorgia | $895.18 | $620.30 |
| Rest of GeorgiaGeorgia | $828.40 | $587.07 |
| Hawaii, Guam, HIHawaii | $926.98 | $619.37 |
| IowaIowa | $800.70 | $553.15 |
| IdahoIdaho | $807.15 | $558.25 |
| East St. Louis, ILIllinois | $884.36 | $635.45 |
| Rest of IllinoisIllinois | $858.07 | $611.06 |
| Suburban Chicago, ILIllinois | $930.78 | $652.93 |
| IndianaIndiana | $811.49 | $560.70 |
| KansasKansas | $800.26 | $555.68 |
| KentuckyKentucky | $812.93 | $572.42 |
| New Orleans, LALouisiana | $851.45 | $596.86 |
| Rest of LouisianaLouisiana | $812.98 | $573.54 |
| Metropolitan Boston, MAMassachusetts | $984.86 | $661.82 |
| Rest of MassachusettsMassachusetts | $898.34 | $613.45 |
| Baltimore area, MDMaryland | $930.94 | $640.64 |
| Rest of MarylandMaryland | $880.98 | $607.18 |
| Rest of MaineMaine | $814.61 | $565.71 |
| Southern Maine, MEMaine | $852.53 | $584.42 |
| Detroit, MIMichigan | $891.67 | $630.59 |
| Rest of MichiganMichigan | $836.32 | $589.31 |
| MinnesotaMinnesota | $855.80 | $577.41 |
| Metropolitan Kansas City, MOMissouri | $842.43 | $588.38 |
| Metropolitan St. Louis, MOMissouri | $850.54 | $592.98 |
| Rest of MissouriMissouri | $801.64 | $568.43 |
| MississippiMississippi | $789.34 | $556.40 |
| MontanaMontana | $875.67 | $605.12 |
| North CarolinaNorth Carolina | $822.33 | $569.91 |
| North DakotaNorth Dakota | $846.01 | $575.46 |
| NebraskaNebraska | $803.97 | $554.26 |
| New HampshireNew Hampshire | $891.15 | $609.51 |
| Northern New JerseyNew Jersey | $982.39 | $668.55 |
| Rest of New JerseyNew Jersey | $941.10 | $645.66 |
| NevadaNevada | $867.93 | $597.11 |
| NYC suburbs and Long Island, NYNew York | $1,037.52 | $715.84 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $949.83 | $653.59 |
| Queens, NYNew York | $1,013.03 | $693.25 |
| Rest of New YorkNew York | $834.50 | $577.48 |
| OhioOhio | $830.26 | $583.25 |
| OklahomaOklahoma | $808.13 | $566.53 |
| Portland, OROregon | $926.29 | $625.71 |
| Rest of OregonOregon | $858.78 | $589.32 |
| Metropolitan Philadelphia, PAPennsylvania | $912.44 | $630.80 |
| Rest of PennsylvaniaPennsylvania | $829.74 | $581.38 |
| Puerto RicoPuerto Rico | $880.83 | $607.30 |
| Rhode IslandRhode Island | $893.44 | $613.96 |
| South CarolinaSouth Carolina | $828.15 | $578.16 |
| South DakotaSouth Dakota | $842.50 | $571.96 |
| TennesseeTennessee | $804.55 | $558.62 |
| Austin, TXTexas | $901.26 | $615.03 |
| Beaumont, TXTexas | $824.72 | $578.52 |
| Brazoria, TXTexas | $862.38 | $594.27 |
| Dallas, TXTexas | $869.23 | $599.76 |
| Fort Worth, TXTexas | $864.60 | $597.84 |
| Galveston, TXTexas | $865.84 | $597.19 |
| Houston, TXTexas | $893.30 | $624.65 |
| Rest of TexasTexas | $844.00 | $587.25 |
| UtahUtah | $839.00 | $584.68 |
| VirginiaVirginia | $852.07 | $586.12 |
| Virgin Islands, VIUnited States Virgin Islands | $880.83 | $607.30 |
| VermontVermont | $845.74 | $577.90 |
| Rest of WashingtonWashington | $895.64 | $610.75 |
| King County, WAWashington | $1,001.30 | $669.33 |
| WisconsinWisconsin | $818.94 | $559.75 |
| West VirginiaWest Virginia | $828.23 | $593.13 |
| WyomingWyoming | $862.75 | $592.20 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,036.55 | 1 |
| AL | $788.06 | 1 |
| AR | $777.06 | 1 |
| AZ | $852.20 | 1 |
| CA | $908.25–$1,118.56 | 29 |
| CO | $902.15 | 1 |
| CT | $932.89 | 1 |
| DC | $991.46 | 1 |
| DE | $865.87 | 1 |
| FL | $877.75–$974.01 | 3 |
| GA | $828.40–$895.18 | 2 |
| GU | $926.98 | 1 |
| HI | $926.98 | 1 |
| IA | $800.70 | 1 |
| ID | $807.15 | 1 |
| IL | $858.07–$945.38 | 4 |
| IN | $811.49 | 1 |
| KS | $800.26 | 1 |
| KY | $812.93 | 1 |
| LA | $812.98–$851.45 | 2 |
| MA | $898.34–$984.86 | 2 |
| MD | $880.98–$991.46 | 3 |
| ME | $814.61–$852.53 | 2 |
| MI | $836.32–$891.67 | 2 |
| MN | $855.80 | 1 |
| MO | $801.64–$850.54 | 3 |
| MS | $789.34 | 1 |
| MT | $875.67 | 1 |
| NC | $822.33 | 1 |
| ND | $846.01 | 1 |
| NE | $803.97 | 1 |
| NH | $891.15 | 1 |
| NJ | $941.10–$982.39 | 2 |
| NM | $842.04 | 1 |
| NV | $867.93 | 1 |
| NY | $834.50–$1,037.52 | 5 |
| OH | $830.26 | 1 |
| OK | $808.13 | 1 |
| OR | $858.78–$926.29 | 2 |
| PA | $829.74–$912.44 | 2 |
| PR | $880.83 | 1 |
| RI | $893.44 | 1 |
| SC | $828.15 | 1 |
| SD | $842.50 | 1 |
| TN | $804.55 | 1 |
| TX | $824.72–$901.26 | 8 |
| UT | $839.00 | 1 |
| VA | $852.07–$991.46 | 2 |
| VI | $880.83 | 1 |
| VT | $845.74 | 1 |
| WA | $895.64–$1,001.30 | 2 |
| WI | $818.94 | 1 |
| WV | $828.23 | 1 |
| WY | $862.75 | 1 |
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
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 New Mexico 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
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.92 | × 1.000 | 8.9200 |
| Practice expense | 15.80 | × 0.917 | 14.4886 |
| Malpractice | 1.50 | × 1.201 | 1.8015 |
| Total RVUs | 25.2101 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$842.04
Office: (8.92 × 1 + 15.8 × 0.917 + 1.5 × 1.201) × $33.4009 = $842.04
Facility: (8.92 × 1 + 7.7 × 0.917 + 1.5 × 1.201) × $33.4009 = $593.95
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.71/0.19 | Share 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.
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%).
How 15200 has changed in New Mexico
15200 · Office / nonfacility
$842.04
Effective 2026-10-01
The base rate is $57.36 higher than on 2025-10-01, moving from $784.68 to $842.04 (7.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$784.68changed to$842.04
- 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
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$807.82changed to$784.68
- 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.
March 9, 2024
RVU24AR
$794.63changed to$807.82
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$812.78changed to$794.63
- 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
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$819.31changed to$812.78
- 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
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$819.44changed to$819.31
- 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.
January 1, 2021
RVU21A
$830.52changed to$819.44
- 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
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$835.58changed to$830.52
- 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
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$831.68changed to$835.58
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 13.01 changed to 13.10
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$824.44changed to$831.68
- 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
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$817.68changed to$824.44
- 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
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$817.80changed to$817.68
- 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.
July 1, 2015
RVU15C
$813.73changed to$817.80
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$807.15changed to$813.73
- 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
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$807.64changed to$807.15
- 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
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $807.64
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $842.04 | $593.95 | RVU26D |
| 2026-07-01 | $842.04 | $593.95 | RVU26C |
| 2026-04-01 | $842.04 | $593.95 | RVU26B |
| 2026-01-01 | $842.04 | $593.95 | RVU26A |
| 2025-10-01 | $784.68 | $639.29 | RVU25D |
| 2025-07-01 | $784.68 | $639.29 | RVU25C |
| 2025-04-01 | $784.68 | $639.29 | RVU25B |
| 2025-01-01 | $784.68 | $639.29 | RVU25A |
| 2024-10-01 | $807.82 | $654.58 | RVU24D |
| 2024-07-01 | $807.82 | $654.58 | RVU24C |
| 2024-04-01 | $807.82 | $654.58 | RVU24B |
| 2024-03-09 | $807.82 | $654.58 | RVU24AR |
| 2024-01-01 | $794.63 | $643.90 | RVU24A |
| 2023-10-01 | $812.78 | $657.50 | RVU23D |
| 2023-07-01 | $812.78 | $657.50 | RVU23C |
| 2023-04-01 | $812.78 | $657.50 | RVU23B |
| 2023-01-01 | $812.78 | $657.50 | RVU23A |
| 2022-10-01 | $819.31 | $661.48 | RVU22D |
| 2022-07-01 | $819.31 | $661.48 | RVU22C |
| 2022-04-01 | $819.31 | $661.48 | RVU22B |
| 2022-01-01 | $819.31 | $661.48 | RVU22A |
| 2021-10-01 | $819.44 | $659.99 | RVU21D |
| 2021-07-01 | $819.44 | $659.99 | RVU21C |
| 2021-04-01 | $819.44 | $659.99 | RVU21B |
| 2021-01-01 | $819.44 | $659.99 | RVU21A |
| 2020-10-01 | $830.52 | $678.47 | RVU20D |
| 2020-07-01 | $830.52 | $678.47 | RVU20C |
| 2020-04-01 | $830.52 | $678.47 | RVU20B |
| 2020-01-01 | $830.52 | $678.47 | RVU20A |
| 2019-10-01 | $835.58 | $686.55 | RVU19D |
| 2019-07-01 | $835.58 | $686.55 | RVU19C |
| 2019-04-01 | $835.58 | $686.55 | RVU19B |
| 2019-01-01 | $835.58 | $686.55 | RVU19A |
| 2018-10-01 | $831.68 | $686.13 | RVU18D |
| 2018-07-01 | $831.68 | $686.13 | RVU18C |
| 2018-04-01 | $831.68 | $686.13 | RVU18B |
| 2018-01-01 | $831.68 | $686.13 | RVU18AR1 |
| 2017-10-01 | $824.44 | $681.80 | RVU17D |
| 2017-07-01 | $824.44 | $681.80 | RVU17C |
| 2017-04-01 | $824.44 | $681.80 | RVU17B |
| 2017-01-01 | $824.44 | $681.80 | RVU17A |
| 2016-10-01 | $817.68 | $675.87 | RVU16D |
| 2016-07-01 | $817.68 | $675.87 | RVU16C |
| 2016-04-01 | $817.68 | $675.87 | RVU16B |
| 2016-01-01 | $817.68 | $675.87 | RVU16A |
| 2015-10-01 | $817.80 | $675.80 | RVU15D |
| 2015-07-01 | $817.80 | $675.80 | RVU15C |
| 2015-04-01 | $813.73 | $672.44 | RVU15B |
| 2015-01-01 | $813.73 | $672.44 | RVU15A |
| 2014-10-01 | $807.15 | $668.38 | RVU14D |
| 2014-07-01 | $807.15 | $668.38 | RVU14C |
| 2014-04-01 | $807.15 | $668.38 | RVU14B |
| 2014-01-01 | $807.15 | $668.38 | RVU14A |
| 2013-10-01 | $807.64 | $658.36 | RVU13D |
| 2013-07-01 | $807.64 | $658.36 | RVU13C |
| 2013-04-01 | $807.64 | $658.36 | RVU13B |
| 2013-01-01 | $807.64 | $658.36 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
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Fee sheets
Put 15200 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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