Billing code 15120: Skin graftMedicare rate & RVUs

Reports the initial split-thickness skin autograft area for reconstruction of the face, hands, feet, genitalia, or other designated sites.

CMS RVU26DEffective Oct 1, 2026109 payment localities7K Medicare services in 2024

Medicare pays $874.10 for 15120 nationally in the office and $614.91 in a hospital or facility. Local office rates run $778.75–$1,101.35.

Medicare rate · 15120

Skin graft

Swap in your local Medicare rate.

Work RVUs
9.9
Total RVUs
26.17
Global days
090

National rate · 2026

$874.10

Office setting, before claim adjustments.

See every locality for 15120 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 15120 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 15120 covers

A split-thickness autograft transfers the patient’s own epidermis and part of the dermis from a donor site to a recipient wound. This code covers the initial area when the recipient site is the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, or multiple digits. Plastic and reconstructive surgeons, burn surgeons, and other surgeons may use it for burn wounds, traumatic defects, or defects after excision in hospital or outpatient settings.

Report 15120 for the first 100 square centimeters, or the corresponding 1% body-area increment for infants and children. Document the recipient site, graft type, total area treated, and the patient’s age when using the pediatric body-area basis. Code additional area with 15121. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, 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.

Where 15120 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$778.75 to $1101.35

$778.75$940.05$1101.35
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

15120 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$789.35$562.56
Alaska*$1,046.78$770.74
Arizona$851.10$599.95
Arkansas$778.75$556.10
Atlanta$893.86$630.52
Austin$896.92$622.69
Bakersfield$906.04$621.97
Baltimore/Surr. Cntys$927.99$649.88
Beaumont$826.23$590.36
Brazoria$860.37$603.51

15120 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$778.75

$1,046.78

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

View every state and territory as a table
15120 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,046.781
AL$789.351
AR$778.751
AZ$851.101
CA$901.40–$1,101.3529
CO$897.441
CT$929.801
DC$985.151
DE$864.391
FL$879.97–$977.393
GA$831.74–$893.862
GU$918.171
HI$918.171
IA$799.711
ID$806.291
IL$862.21–$949.374
IN$810.421
KS$800.151
KY$815.201
LA$815.58–$852.662
MA$894.26–$976.532
MD$878.81–$985.153
ME$814.40–$849.612
MI$838.58–$894.342
MN$849.951
MO$805.21–$850.743
MS$791.921
MT$873.991
NC$821.691
ND$841.761
NE$802.591
NH$887.341
NJ$937.60–$976.872
NM$844.461
NV$865.501
NY$833.48–$1,034.345
OH$832.001
OK$809.641
OR$855.98–$919.732
PA$831.01–$910.612
PR$878.661
RI$890.641
SC$828.771
SD$837.951
TN$804.401
TX$826.23–$896.928
UT$839.211
VA$849.78–$985.152
VI$878.661
VT$842.321
WA$891.30–$991.672
WI$815.891
WV$833.511
WY$859.951

How the 15120 rate is calculated

Each of 15120’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 · 15120

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.90Practice expense 14.64Malpractice 1.63

26.1700 adjusted RVUs×$33.4009 conversion factor=$874.10

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 15120

15120 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15120

Skin graft

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 · 15120

Skin graft

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

15120 without 51 · national office

$874.10

Skin graft

15120-51 · Second procedure: 50%

$437.05

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

15120 compared with similar codes

Compare codes

15120 vs 15100 vs 15121 vs 15115 vs 15135: national Medicare rates

Swap in your local Medicare rate.

  • 15120
    Skin graft · 9.9 wRVU
    $874.10
  • 15100
    Skin graft · 9.65 wRVU
    $922.53+$48.43
  • 15121
    Skin graft · 1.95 wRVU
    $221.11−$652.99
  • 15115
    Epidermal graft · 11 wRVU
    $862.75−$11.35
  • 15135
    Dermal autograft · 10.75 wRVU
    $901.49+$27.39

How to choose

15100Skin graft
Choose 15100 for split-thickness autografting of the trunk, arms, or legs. Choose 15120 for the designated special sites, including the face, hands, feet, and genitalia.
15121Skin graft
15120 reports the initial area; 15121 reports each additional area increment for the same special-site grafting service.
15115Epidermal graft
15115 covers an epidermal graft to the special-site group. 15120 is for a split-thickness autograft, which includes part of the dermis.
15135Dermal autograft
15135 is for a dermal autograft to the special-site group. Select 15120 when the graft is split-thickness rather than dermal.

15120 billing questions

How does 15120 differ from 15100?

15120 is for the designated special sites, such as the face, hands, feet, and genitalia. 15100 is for trunk, arms, and legs.

When should 15121 be added?

Use 15121 for grafted area beyond the initial area reported with 15120. The record should support the additional area treated.

Can recipient-site preparation be reported separately?

When separately performed, recipient-site preparation may be reported with the applicable preparation code, such as 15004 for these sites. Document the preparation as a distinct service.

Should modifier 50 be used for grafts on both sides?

No. The CMS bilateral adjustment does not apply to 15120, and modifier 50 is inappropriate for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for the graft.

Is assistant-at-surgery payment available?

No. CMS lists a statutory restriction on assistant-at-surgery payment for 15120.

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 15120PPRRVU2026_Oct_nonQPP.csv, line 1,492 (RVU26D)

Open CMS sourceHow we calculate rates

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