Billing code 15155: Cultured allograftMedicare rate & RVUs

Reports application of a tissue-cultured allograft to the face, scalp, neck, hands, feet, or genitalia for the initial treated area.

CMS RVU26DEffective Oct 1, 2026109 payment localities44 Medicare services in 2024

Medicare pays $848.38 for 15155 nationally in the office and $657.00 in a hospital or facility. Local office rates run $754.31–$1,058.32.

Medicare rate · 15155

Cultured allograft

Swap in your local Medicare rate.

Work RVUs
9.89
Total RVUs
25.40
Global days
090

National rate · 2026

$848.38

Office setting, before claim adjustments.

See every locality for 15155 → · 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 15155 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 15155 covers

This service covers placing a tissue-cultured allograft over a prepared wound on the face, scalp, neck, hands, feet, or genitalia. It is used in wound reconstruction, including burn care, when cultured donor skin is selected for coverage. A surgeon or other qualified clinician performs the graft application, commonly in an operating room for extensive or complex wounds.

Select this code for the specified recipient sites and the initial treated area; the site and measured area, rather than the donor source alone, distinguish it from other graft codes. For infants and children, the area measure may be expressed as a percentage of body surface area. Document the recipient site, wound area, graft type, and application performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this descriptor and anatomy. Assistant-at-surgery payment is statutorily restricted; 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 15155 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

$754.31 to $1058.32

$754.31$906.31$1058.32
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

15155 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$764.74$597.28
Alaska*$1,015.81$811.98
Arizona$825.42$639.96
Arkansas$754.31$589.91
Atlanta$868.97$674.52
Austin$868.58$666.09
Bakersfield$874.62$664.86
Baltimore/Surr. Cntys$901.51$696.15
Beaumont$802.92$628.76
Brazoria$833.47$643.80

15155 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.

$754.31

$1,015.81

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

View every state and territory as a table
15155 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,015.811
AL$764.741
AR$754.311
AZ$825.421
CA$869.50–$1,058.3229
CO$868.201
CT$903.011
DC$954.461
DE$838.381
FL$859.02–$960.573
GA$810.77–$868.972
GU$885.251
HI$885.251
IA$772.691
ID$779.621
IL$843.04–$932.134
IN$783.611
KS$774.201
KY$792.471
LA$793.27–$829.742
MA$865.48–$943.852
MD$852.16–$954.463
ME$788.72–$821.722
MI$816.52–$874.322
MN$818.601
MO$783.74–$826.573
MS$768.921
MT$848.261
NC$795.701
ND$812.081
NE$775.181
NH$859.481
NJ$909.56–$946.462
NM$822.741
NV$838.631
NY$807.38–$1,008.275
OH$809.121
OK$785.861
OR$828.40–$888.742
PA$807.55–$884.862
PR$852.491
RI$863.141
SC$804.491
SD$807.801
TN$778.501
TX$802.92–$870.818
UT$814.731
VA$822.64–$954.462
VI$852.491
VT$813.621
WA$862.29–$957.442
WI$786.891
WV$814.871
WY$832.491

How the 15155 rate is calculated

Each of 15155’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 · 15155

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.89Practice expense 13.68Malpractice 1.83

25.4000 adjusted RVUs×$33.4009 conversion factor=$848.38

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

Payment rules and modifiers for 15155

15155 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15155

Cultured allograft

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 · 15155

Cultured allograft

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

15155 without 51 · national office

$848.38

Cultured allograft

15155-51 · Second procedure: 50%

$424.19

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

15155 compared with similar codes

Compare codes

15155 vs 15150 vs 15115 vs 15120 vs 15135: national Medicare rates

Swap in your local Medicare rate.

  • 15155
    Cultured allograft · 9.89 wRVU
    $848.38
  • 15150
    Cultured skin graft · 9.16 wRVU
    $763.54−$84.84
  • 15115
    Epidermal graft · 11 wRVU
    $862.75+$14.37
  • 15120
    Skin graft · 9.9 wRVU
    $874.10+$25.72
  • 15135
    Dermal autograft · 10.75 wRVU
    $901.49+$53.11

How to choose

15150Cultured skin graft
Both describe tissue-cultured allograft application, but 15150 is for the trunk, arms, or legs; 15155 is for the face, scalp, neck, hands, feet, or genitalia.
15115Epidermal graft
This code is for tissue-cultured allograft at the special sites. Code 15115 describes epidermal allograft application at those sites.
15120Skin graft
Use 15120 for split-thickness autograft application at the special sites; 15155 identifies a tissue-cultured allograft.
15135Dermal autograft
Code 15135 describes dermal autograft application at the special sites, rather than tissue-cultured allograft application.

15155 billing questions

How is this code distinguished from 15150?

The recipient site is the key distinction: 15155 is for the face, scalp, neck, hands, feet, or genitalia. Code 15150 is for the trunk, arms, or legs.

What area should the record support?

Document the treated wound area and recipient site. For an infant or child, document the relevant body-surface-area measure when using that basis.

Is this the code for any skin substitute graft?

No. This code identifies a tissue-cultured allograft at the specified sites. Other graft codes distinguish different graft types or recipient-site groups.

What postoperative care is included?

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

How are other same-session procedures paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.

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 15155PPRRVU2026_Oct_nonQPP.csv, line 1,501 (RVU26D)

Open CMS sourceHow we calculate rates

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