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CPT code 15760: Composite graft, multiple tissue types2026 Medicare rate & RVUs in North Carolina

Reports transfer of a composite graft containing multiple tissue types, such as skin with cartilage, to reconstruct a defect when a free graft is appropriate.

CMS RVU26DEffective Oct 1, 2026One payment locality865 Medicare services in 2024

In North Carolina, Medicare pays $808.40 for 15760 in the office and $578.73 when it’s performed in a hospital or facility.

$808.40Office (non-facility)
$578.73Hospital or facility
−5.7%vs the national office rate ($857.40)

Check a contract rate as a % of Medicare · 15760 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 15760 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 15760 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 15760 covers

A composite graft transfers more than one tissue type together to repair a defect. A familiar example is an ear-derived graft containing skin and cartilage used to reconstruct part of the nose, such as the nasal ala. Plastic surgeons and facial plastic surgeons commonly perform these reconstructions after tumor removal, trauma, or other tissue loss. The graft is detached from its donor site and placed into the recipient defect; it does not retain a vascular pedicle as a flap does.

Select this code when the transferred graft is composite, rather than skin alone or a dermis-fat-fascia graft. The operative report should identify the defect, donor site, tissue components transferred, and graft placement. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed 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, and 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 North Carolina compares for 15760

Across 109 of 109 payment localities, the office rate for 15760 runs from $766.48 in Arkansas to $1,089.56 in San Benito County, CA. North Carolina pays $808.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

15760 in North Carolina vs other payment areas
  1. North Carolina · this page$808.40
  2. Los Angeles, CA · California$945.67+$137.27
  3. Washington, DC area · District of Columbia$967.33+$158.93
  4. Miami, FL · Florida$945.50+$137.10
  5. Chicago, IL · Illinois$919.64+$111.24
  6. Manhattan, NY · New York$983.68+$175.28
  7. Alaska · Alaska$1,029.93+$221.53

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

Every other payment area

15760 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$776.62$561.23
ArkansasArkansas$766.48$555.03
ArizonaArizona$835.75$597.22
Bakersfield, CACalifornia$893.36$623.57
Chico, CACalifornia$889.48$619.68
El Centro, CACalifornia$889.70$619.90
Fresno, CACalifornia$889.48$619.68
Hanford, CACalifornia$889.48$619.68

15760 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.

$766.48

$1,029.93

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

View every state and territory as a table
15760 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,029.931
AL$776.621
AR$766.481
AZ$835.751
CA$889.48–$1,089.5629
CO$883.011
CT$911.031
DC$967.331
DE$848.621
FL$858.10–$945.503
GA$812.79–$875.172
GU$906.101
HI$906.101
IA$788.791
ID$794.631
IL$839.61–$919.644
IN$798.651
KS$788.141
KY$799.011
LA$798.96–$834.412
MA$879.59–$961.122
MD$862.87–$967.333
ME$801.25–$836.582
MI$820.33–$870.662
MN$840.401
MO$788.35–$833.873
MS$777.421
MT$857.311
NC$808.401
ND$831.011
NE$791.891
NH$872.021
NJ$919.81–$959.362
NM$825.491
NV$850.471
NY$819.61–$1,009.005
OH$814.951
OK$794.851
OR$842.24–$905.782
PA$814.61–$891.922
PR$862.151
RI$874.941
SC$813.351
SD$827.901
TN$792.061
TX$809.97–$881.518
UT$823.351
VA$835.98–$967.332
VI$862.151
VT$830.541
WA$877.03–$977.002
WI$806.001
WV$812.101
WY$845.851

See 15760 in every payment locality

How the 15760 rate is calculated

Each of 15760’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 · 15760

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.61

9.61 RVUs× 1.000 GPCI

Practice expense14.73

14.73 RVUs× 1.000 GPCI

Malpractice1.33

1.33 RVUs× 1.000 GPCI

Adjusted RVUs

25.6700

Conversion factor

$33.4009

Medicare rate

$857.40

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,540

Code
15760
Physician work
9.61
Practice expense
14.73
Malpractice
1.33

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 15760 in North Carolina
ComponentRVULocality factorAdjusted
Physician work9.61× 1.0009.6100
Practice expense14.73× 0.93313.7431
Malpractice1.33× 0.6390.8499
Total RVUs24.2030
Conversion factor× 33.4009

Office rate, North Carolina$808.40

Office: (9.61 × 1 + 14.73 × 0.933 + 1.33 × 0.639) × $33.4009 = $808.40

Facility: (9.61 × 1 + 7.36 × 0.933 + 1.33 × 0.639) × $33.4009 = $578.73

Open 15760 in the RVU calculator

Payment rules and modifiers for 15760

15760 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15760

Composite graft, multiple tissue types

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 · 15760

Composite graft, multiple tissue types

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

15760 without 51 · national office

$857.40

Composite graft, multiple tissue types

15760-51 · Second procedure: 50%

$428.70

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

Codes related to 15760

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

Codes related to 15760
CodeHow it relatesOffice range, North Carolina
Used instead
15260Full-thickness graft, nose, ear, eyelid, or lipUsed for a full-thickness skin graft to specified facial sites when the graft is skin alone.$946.49
15770Composite tissue graft, dermis, fat, and fasciaDescribes a dermis-fat-fascia graft rather than a composite graft such as skin with cartilage.No office rate
15740Island flap, subcutaneous vascular pedicleDescribes an island pedicle flap that remains attached to its blood supply, unlike a free composite graft.$986.83
15750Pedicle flap, neurovascular pedicleDescribes a neurovascular pedicle flap, not a detached composite graft.No office rate
15757Free flap, skin flap with microvascular hookupDescribes a free skin flap transferred with microsurgical vascular connection rather than a composite graft.No office rate

How 15760 has changed in North Carolina

15760 · Office / nonfacility

$808.40

Effective 2026-10-01

The base rate is $31.37 higher than on 2025-10-01, moving from $777.03 to $808.40 (4.0%).

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

    $777.03changed to$808.40

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 9.86 changed to 9.61
    • Practice expense RVU 14.31 changed to 14.73
    • Malpractice RVU 1.37 changed to 1.33
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $797.79changed to$777.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 14.25 changed to 14.31

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $784.77changed to$797.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $812.64changed to$784.77

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.16 changed to 14.25
    • Malpractice RVU 1.34 changed to 1.37
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $820.81changed to$812.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 13.76 changed to 14.16
    • Malpractice RVU 1.33 changed to 1.34
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $823.04changed to$820.81

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 13.61 changed to 13.76
    • Malpractice RVU 1.34 changed to 1.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $827.01changed to$823.04

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 12.98 changed to 13.61
    • Malpractice RVU 1.30 changed to 1.34
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $826.17changed to$827.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 12.95 changed to 12.98
    • Malpractice RVU 1.45 changed to 1.30
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $824.84changed to$826.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.93 changed to 12.95
    • Malpractice RVU 1.46 changed to 1.45

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $826.24changed to$824.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.99 changed to 12.93
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $825.39changed to$826.24

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.98 changed to 12.99
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $826.82changed to$825.39

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.00 changed to 12.98
    • Malpractice RVU 1.38 changed to 1.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $822.71changed to$826.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $819.78changed to$822.71

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 12.83 changed to 13.00
    • Malpractice RVU 1.51 changed to 1.38
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $823.52changed to$819.78

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.29 changed to 12.83
    • Malpractice RVU 1.58 changed to 1.51
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $823.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$808.40$578.73RVU26D
2026-07-01$808.40$578.73RVU26C
2026-04-01$808.40$578.73RVU26B
2026-01-01$808.40$578.73RVU26A
2025-10-01$777.03$644.64RVU25D
2025-07-01$777.03$644.64RVU25C
2025-04-01$777.03$644.64RVU25B
2025-01-01$777.03$644.64RVU25A
2024-10-01$797.79$658.77RVU24D
2024-07-01$797.79$658.77RVU24C
2024-04-01$797.79$658.77RVU24B
2024-03-09$797.79$658.77RVU24AR
2024-01-01$784.77$648.02RVU24A
2023-10-01$812.64$671.59RVU23D
2023-07-01$812.64$671.59RVU23C
2023-04-01$812.64$671.59RVU23B
2023-01-01$812.64$671.59RVU23A
2022-10-01$820.81$678.54RVU22D
2022-07-01$820.81$678.54RVU22C
2022-04-01$820.81$678.54RVU22B
2022-01-01$820.81$678.54RVU22A
2021-10-01$823.04$679.60RVU21D
2021-07-01$823.04$679.60RVU21C
2021-04-01$823.04$679.60RVU21B
2021-01-01$823.04$679.60RVU21A
2020-10-01$827.01$690.74RVU20D
2020-07-01$827.01$690.74RVU20C
2020-04-01$827.01$690.74RVU20B
2020-01-01$827.01$690.74RVU20A
2019-10-01$826.17$691.96RVU19D
2019-07-01$826.17$691.96RVU19C
2019-04-01$826.17$691.96RVU19B
2019-01-01$826.17$691.96RVU19A
2018-10-01$824.84$692.46RVU18D
2018-07-01$824.84$692.46RVU18C
2018-04-01$824.84$692.46RVU18B
2018-01-01$824.84$692.46RVU18AR1
2017-10-01$826.24$695.60RVU17D
2017-07-01$826.24$695.60RVU17C
2017-04-01$826.24$695.60RVU17B
2017-01-01$826.24$695.60RVU17A
2016-10-01$825.39$694.86RVU16D
2016-07-01$825.39$694.86RVU16C
2016-04-01$825.39$694.86RVU16B
2016-01-01$825.39$694.86RVU16A
2015-10-01$826.82$695.82RVU15D
2015-07-01$826.82$695.82RVU15C
2015-04-01$822.71$692.36RVU15B
2015-01-01$822.71$692.36RVU15A
2014-10-01$819.78$691.32RVU14D
2014-07-01$819.78$691.32RVU14C
2014-04-01$819.78$691.32RVU14B
2014-01-01$819.78$691.32RVU14A
2013-10-01$823.52$686.01RVU13D
2013-07-01$823.52$686.01RVU13C
2013-04-01$823.52$686.01RVU13B
2013-01-01$823.52$686.01RVU13AR

Price 15760 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

15760 billing questions

When should I report 15760 instead of a full-thickness skin graft code?

Use 15760 when the graft transfers multiple tissue types together, such as skin with cartilage. A graft consisting of skin alone is generally reported with the applicable skin-graft code.

Is an ear-to-nose graft a typical example?

Yes. An auricular composite graft containing skin and cartilage may be used to reconstruct a nasal defect, including part of the ala.

Can the donor-site harvest be billed separately?

The graft procedure includes obtaining and placing the composite tissue. Do not separately report the harvest as a second graft procedure.

Should modifier 50 be used for grafts on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the service based on the procedure performed, not with modifier 50.

Can an assistant or co-surgeon be reported?

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 15760PPRRVU2026_Oct_nonQPP.csv, line 1,540 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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