15220 covers the initial graft area up to 20 square centimeters on the scalp, arms, or legs; 15221 captures additional area beyond that base amount.
On this page
CMS RVU26D · Effective 2026-10-01
15221 in Redding
Office / nonfacility
$139.99
Base rate per service
Facility setting
$56.53
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Skin grafting
About 15221: Additional full-thickness skin graft area
Reports each additional 20 square centimeters or part of full-thickness skin grafting on the scalp, arms, or legs beyond the initial area.
This add-on represents additional recipient-site area treated with a full-thickness skin autograft on the scalp, an arm, or a leg. The graft contains the full skin thickness and is transferred to cover a defect, such as one remaining after lesion removal or injury. Plastic surgeons and other surgeons commonly perform these reconstructions in operating rooms or procedure settings. The primary graft service includes direct closure of the donor site.
Report this code with the primary graft code 15220 when the total grafted area exceeds the initial 20 square centimeters. Each additional 20 square centimeters, or any portion of that increment, supports one unit. Documentation should identify the recipient site, the full-thickness graft technique, and the total area treated so the additional area can be determined. CMS classifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 15221
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.16 · 29%
- Practice expense (office) RVU2.65 · 66%
- Malpractice RVU0.20 · 5%
2.2K
Medicare services in 2024 · #2378 by national volume
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.
15221 compared with similar codes
Office rates for Redding, from the same CMS release.
15201 captures additional full-thickness graft area on the trunk. Use 15221 for additional area on the scalp, arms, or legs.
15272 is for additional skin substitute graft area on the trunk, arms, or legs; 15221 is for additional area treated with a full-thickness skin autograft.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 15221 is $140.56—$0.57 higher than the $139.99 rate in Redding. Both use the same code, release and participation basis.
15221 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$139.99
$140.56
$0.57 higher than Redding
$139.99
The same base rate than Redding
$140.03
$0.04 higher than Redding
$139.99
The same base rate than Redding
$139.99
The same base rate than Redding
$9.49 higher than Redding
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 15221 ranges from $118.22 in Arkansas to $174.22 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 15221
Office
$139.99
Facility
$56.53
The same base rate than Redding for the office setting.
Merced
California · 15221
Office
$139.99
Facility
$56.53
The same base rate than Redding for the office setting.
Modesto
California · 15221
Office
$139.99
Facility
$56.53
The same base rate than Redding for the office setting.
Napa
California · 15221
Office
$161.24
Facility
$60.87
$21.25 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 15221
Office
$148.61
Facility
$58.60
$8.62 higher than Redding for the office setting.
Rest Of California
California · 15221
Office
$139.99
Facility
$56.53
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 15221
Office
$142.15
Facility
$58.69
$2.16 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 15221
Office
$146.66
Facility
$58.09
$6.67 higher than Redding for the office setting.
Salinas
California · 15221
Office
$146.11
Facility
$57.85
$6.12 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 15221
Office
$149.39
Facility
$58.31
$9.40 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 15221
Office
$170.29
Facility
$62.92
$30.30 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 15221
Office
$170.07
Facility
$62.69
$30.08 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 15221
Office
$174.22
Facility
$64.41
$34.23 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 15221
Office
$173.29
Facility
$63.48
$33.30 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 15221
Office
$143.80
Facility
$57.06
$3.81 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 15221
Office
$150.68
Facility
$58.15
$10.69 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 15221
Office
$146.62
Facility
$57.82
$6.63 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 15221
Office
$152.18
Facility
$58.66
$12.19 higher than Redding for the office setting.
Stockton
California · 15221
Office
$139.99
Facility
$56.53
The same base rate than Redding for the office setting.
Vallejo
California · 15221
Office
$160.91
Facility
$60.54
$20.92 higher than Redding for the office setting.
Visalia
California · 15221
Office
$139.99
Facility
$56.53
The same base rate than Redding for the office setting.
Yuba City
California · 15221
Office
$139.99
Facility
$56.53
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 15221
Office
$152.54
Facility
$62.83
$12.55 higher than Redding for the office setting.
Miami
Florida · 15221
Office
$147.78
Facility
$68.50
$7.79 higher than Redding for the office setting.
Chicago
Illinois · 15221
Office
$143.30
Facility
$66.77
$3.31 higher than Redding for the office setting.
Manhattan
New York · 15221
Office
$154.67
Facility
$66.18
$14.68 higher than Redding for the office setting.
Alaska*
Alaska · 15221
Office
$156.06
Facility
$74.96
$16.07 higher than Redding for the office setting.
Alabama
Alabama · 15221
Office
$119.97
Facility
$53.34
$20.02 lower than Redding for the office setting.
Arkansas
Arkansas · 15221
Office
$118.22
Facility
$52.80
$21.77 lower than Redding for the office setting.
Arizona
Arizona · 15221
Office
$130.23
Facility
$56.44
$9.76 lower than Redding for the office setting.
Colorado
Colorado · 15221
Office
$138.60
Facility
$57.58
$1.39 lower than Redding for the office setting.
Connecticut
Connecticut · 15221
Office
$142.93
Facility
$60.91
$2.94 higher than Redding for the office setting.
Delaware
Delaware · 15221
Office
$132.39
Facility
$57.15
$7.60 lower than Redding for the office setting.
Fort Lauderdale
Florida · 15221
Office
$140.49
Facility
$63.34
$0.50 higher than Redding for the office setting.
Rest Of Florida
Florida · 15221
Office
$133.40
Facility
$60.60
$6.59 lower than Redding for the office setting.
Atlanta
Georgia · 15221
Office
$136.81
Facility
$59.44
$3.18 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 15221
Office
$125.66
Facility
$57.73
$14.33 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 15221
Office
$143.25
Facility
$56.66
$3.26 higher than Redding for the office setting.
Iowa
Iowa · 15221
Office
$122.39
Facility
$52.70
$17.60 lower than Redding for the office setting.
Idaho
Idaho · 15221
Office
$123.34
Facility
$53.27
$16.65 lower than Redding for the office setting.
East St. Louis
Illinois · 15221
Office
$133.63
Facility
$63.57
$6.36 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 15221
Office
$130.00
Facility
$60.47
$9.99 lower than Redding for the office setting.
Suburban Chicago
Illinois · 15221
Office
$141.76
Facility
$63.55
$1.77 higher than Redding for the office setting.
Indiana
Indiana · 15221
Office
$124.04
Facility
$53.45
$15.95 lower than Redding for the office setting.
Kansas
Kansas · 15221
Office
$122.13
Facility
$53.28
$17.86 lower than Redding for the office setting.
Kentucky
Kentucky · 15221
Office
$123.54
Facility
$55.84
$16.45 lower than Redding for the office setting.
New Orleans
Louisiana · 15221
Office
$129.62
Facility
$57.96
$10.37 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 15221
Office
$123.48
Facility
$56.08
$16.51 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 15221
Office
$151.96
Facility
$61.03
$11.97 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 15221
Office
$137.89
Facility
$57.70
$2.10 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 15221
Office
$142.60
Facility
$60.89
$2.61 higher than Redding for the office setting.
Rest Of Maryland
Maryland · 15221
Office
$134.84
Facility
$57.77
$5.15 lower than Redding for the office setting.
Rest Of Maine
Maine · 15221
Office
$124.33
Facility
$54.27
$15.66 lower than Redding for the office setting.
Southern Maine
Maine · 15221
Office
$130.68
Facility
$55.21
$9.31 lower than Redding for the office setting.
Detroit
Michigan · 15221
Office
$135.42
Facility
$61.93
$4.57 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 15221
Office
$127.10
Facility
$57.57
$12.89 lower than Redding for the office setting.
Minnesota
Minnesota · 15221
Office
$131.80
Facility
$53.44
$8.19 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 15221
Office
$128.38
Facility
$56.88
$11.61 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 15221
Office
$129.70
Facility
$57.20
$10.29 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 15221
Office
$121.55
Facility
$55.90
$18.44 lower than Redding for the office setting.
Mississippi
Mississippi · 15221
Office
$119.89
Facility
$54.32
$20.10 lower than Redding for the office setting.
Montana**
Montana · 15221
Office
$133.92
Facility
$57.77
$6.07 lower than Redding for the office setting.
North Carolina
North Carolina · 15221
Office
$125.60
Facility
$54.54
$14.39 lower than Redding for the office setting.
North Dakota**
North Dakota · 15221
Office
$129.97
Facility
$53.82
$10.02 lower than Redding for the office setting.
Nebraska
Nebraska · 15221
Office
$122.97
Facility
$52.68
$17.02 lower than Redding for the office setting.
New Hampshire
New Hampshire · 15221
Office
$136.73
Facility
$57.46
$3.26 lower than Redding for the office setting.
Northern Nj
New Jersey · 15221
Office
$150.99
Facility
$62.66
$11.00 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 15221
Office
$144.28
Facility
$61.12
$4.29 higher than Redding for the office setting.
New Mexico
New Mexico · 15221
Office
$127.93
Facility
$58.10
$12.06 lower than Redding for the office setting.
Nevada**
Nevada · 15221
Office
$132.91
Facility
$56.68
$7.08 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 15221
Office
$158.87
Facility
$68.32
$18.88 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 15221
Office
$145.49
Facility
$62.10
$5.50 higher than Redding for the office setting.
Queens
New York · 15221
Office
$155.48
Facility
$65.47
$15.49 higher than Redding for the office setting.
Rest Of New York
New York · 15221
Office
$127.53
Facility
$55.18
$12.46 lower than Redding for the office setting.
Ohio
Ohio · 15221
Office
$126.29
Facility
$56.76
$13.70 lower than Redding for the office setting.
Oklahoma
Oklahoma · 15221
Office
$122.98
Facility
$54.97
$17.01 lower than Redding for the office setting.
Portland
Oregon · 15221
Office
$142.67
Facility
$58.07
$2.68 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 15221
Office
$131.60
Facility
$55.75
$8.39 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 15221
Office
$139.55
Facility
$60.28
$0.44 lower than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 15221
Office
$126.31
Facility
$56.40
$13.68 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 15221
Office
$134.81
Facility
$57.82
$5.18 lower than Redding for the office setting.
Rhode Island
Rhode Island · 15221
Office
$136.87
Facility
$58.21
$3.12 lower than Redding for the office setting.
South Carolina
South Carolina · 15221
Office
$126.21
Facility
$55.84
$13.78 lower than Redding for the office setting.
South Dakota**
South Dakota · 15221
Office
$129.50
Facility
$53.35
$10.49 lower than Redding for the office setting.
Tennessee
Tennessee · 15221
Office
$122.79
Facility
$53.57
$17.20 lower than Redding for the office setting.
Austin
Texas · 15221
Office
$138.39
Facility
$57.82
$1.60 lower than Redding for the office setting.
Beaumont
Texas · 15221
Office
$125.50
Facility
$56.20
$14.49 lower than Redding for the office setting.
Brazoria
Texas · 15221
Office
$131.98
Facility
$56.51
$8.01 lower than Redding for the office setting.
Dallas
Texas · 15221
Office
$132.98
Facility
$57.13
$7.01 lower than Redding for the office setting.
Fort Worth
Texas · 15221
Office
$132.19
Facility
$57.10
$7.80 lower than Redding for the office setting.
Galveston
Texas · 15221
Office
$132.48
Facility
$56.86
$7.51 lower than Redding for the office setting.
Houston
Texas · 15221
Office
$136.14
Facility
$60.52
$3.85 lower than Redding for the office setting.
Rest Of Texas
Texas · 15221
Office
$128.78
Facility
$56.51
$11.21 lower than Redding for the office setting.
Utah
Utah · 15221
Office
$127.95
Facility
$56.36
$12.04 lower than Redding for the office setting.
Virginia
Virginia · 15221
Office
$130.47
Facility
$55.61
$9.52 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 15221
Office
$134.81
Facility
$57.82
$5.18 lower than Redding for the office setting.
Vermont
Vermont · 15221
Office
$129.75
Facility
$54.36
$10.24 lower than Redding for the office setting.
Rest Of Washington
Washington · 15221
Office
$137.54
Facility
$57.35
$2.45 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 15221
Office
$154.74
Facility
$61.30
$14.75 higher than Redding for the office setting.
Wisconsin
Wisconsin · 15221
Office
$125.60
Facility
$52.64
$14.39 lower than Redding for the office setting.
West Virginia
West Virginia · 15221
Office
$125.22
Facility
$59.04
$14.77 lower than Redding for the office setting.
Wyoming**
Wyoming · 15221
Office
$132.20
Facility
$56.05
$7.79 lower than Redding for the office setting.
See how rates vary across the country
15221 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$118.22
$157.11
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $156.06 | 1 |
| AL | $119.97 | 1 |
| AR | $118.22 | 1 |
| AZ | $130.23 | 1 |
| CA | $139.99–$174.22 | 29 |
| CO | $138.60 | 1 |
| CT | $142.93 | 1 |
| DC | $152.54 | 1 |
| DE | $132.39 | 1 |
| FL | $133.40–$147.78 | 3 |
| GA | $125.66–$136.81 | 2 |
| GU | $143.25 | 1 |
| HI | $143.25 | 1 |
| IA | $122.39 | 1 |
| ID | $123.34 | 1 |
| IL | $130.00–$143.30 | 4 |
| IN | $124.04 | 1 |
| KS | $122.13 | 1 |
| KY | $123.54 | 1 |
| LA | $123.48–$129.62 | 2 |
| MA | $137.89–$151.96 | 2 |
| MD | $134.84–$152.54 | 3 |
| ME | $124.33–$130.68 | 2 |
| MI | $127.10–$135.42 | 2 |
| MN | $131.80 | 1 |
| MO | $121.55–$129.70 | 3 |
| MS | $119.89 | 1 |
| MT | $133.92 | 1 |
| NC | $125.60 | 1 |
| ND | $129.97 | 1 |
| NE | $122.97 | 1 |
| NH | $136.73 | 1 |
| NJ | $144.28–$150.99 | 2 |
| NM | $127.93 | 1 |
| NV | $132.91 | 1 |
| NY | $127.53–$158.87 | 5 |
| OH | $126.29 | 1 |
| OK | $122.98 | 1 |
| OR | $131.60–$142.67 | 2 |
| PA | $126.31–$139.55 | 2 |
| PR | $134.81 | 1 |
| RI | $136.87 | 1 |
| SC | $126.21 | 1 |
| SD | $129.50 | 1 |
| TN | $122.79 | 1 |
| TX | $125.50–$138.39 | 8 |
| UT | $127.95 | 1 |
| VA | $130.47–$152.54 | 2 |
| VI | $134.81 | 1 |
| VT | $129.75 | 1 |
| WA | $137.54–$154.74 | 2 |
| WI | $125.60 | 1 |
| WV | $125.22 | 1 |
| WY | $132.20 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 15221 in Redding, the physician’s office rate is $139.99 and the facility-setting rate is $56.53: a difference of $83.46.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 15221 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$153.99
$139.99 × 110% = $153.99
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 15221 in Redding.
PPRRVU2026_Oct_nonQPP.csv
1,507
- Code
- 15221
- Physician work
- 1.16
- Practice expense
- 2.65
- Malpractice
- 0.20
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.16 | × 1.017 | 1.1797 |
| Practice expense | 2.65 | × 1.096 | 2.9044 |
| Malpractice | 0.20 | × 0.536 | 0.1072 |
| Total RVUs | 4.1913 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$139.99
Open 15221 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.16 | 1.017 |
| Practice expense | 2.65 | 1.096 |
| Malpractice | 0.2 | 0.536 |
(1.16 × 1.017 + 2.65 × 1.096 + 0.2 × 0.536) × $33.4009 = $139.99
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.16 | 1.017 |
| Practice expense | 0.37 | 1.096 |
| Malpractice | 0.2 | 0.536 |
(1.16 × 1.017 + 0.37 × 1.096 + 0.2 × 0.536) × $33.4009 = $56.53
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
15221 · Office / nonfacility
$139.99
Effective 2026-10-01
The base rate is $11.95 higher than on 2025-10-01, moving from $128.04 to $139.99 (9.3%).
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
$128.04changed to$139.99
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.19 changed to 1.16
- Practice expense RVU 2.41 changed to 2.65
- Malpractice RVU 0.21 changed to 0.20
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $128.04
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
15221 billing questions
When is 15221 reported instead of 15220?
Use 15220 for the initial grafted area up to 20 square centimeters. Report 15221 for each additional 20 square centimeters or part of that increment.
Can 15221 be billed by itself?
No. It is an add-on code and must be billed with primary code 15220 for the qualifying full-thickness graft.
How are units determined?
Base units on the grafted area beyond the first 20 square centimeters. Each additional 20 square centimeters or fraction supports one unit.
What documentation supports the additional area?
Document the recipient-site location, that a full-thickness skin graft was performed, and the total grafted area. The recorded area should support the units billed beyond the initial area.
How does this differ from a skin substitute graft add-on?
15221 applies to additional area treated with a full-thickness skin autograft on the scalp, arms, or legs. Codes such as 15272 describe an additional area treated with a skin substitute graft.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
