Billing code 15100: Skin graftMedicare rate & RVUs in Alaska

Reports placement of a patient’s split-thickness skin graft on the trunk, arms, or legs, using the first area increment specified for the graft.

CMS RVU26DEffective Oct 1, 20261 payment locality9.8K Medicare services in 2024

Medicare pays $1,089.92 for 15100 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$1,089.92Office (non-facility)
$810.68Hospital or facility

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 15100 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 15100 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 15100 covers

The surgeon takes a thin layer of the patient’s own skin from a donor site and places it over a recipient wound on the trunk, arm, or leg. Common situations include coverage after burn treatment, wound excision, or traumatic skin loss. The code identifies the graft by its split-thickness type and recipient location, not by the donor site. It covers the first 100 square centimeters, or the corresponding 1% of body surface area for infants and children.

Select the code using the recipient site, graft type, and documented treated area; report 15101 for additional area increments. Documentation should identify the recipient site, graft type, area, and harvest and placement performed. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. 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.

15100 in Alaska*

15100 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$1,089.92$810.68

How the 15100 rate is calculated

Each of 15100’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 · 15100

RVUs × geographic indexes × conversion factor

Work9.65

9.65 RVUs× 1.000 GPCI

Practice expense16.06

16.06 RVUs× 1.000 GPCI

Malpractice1.91

1.91 RVUs× 1.000 GPCI

Adjusted RVUs

27.6200

Conversion factor

$33.4009

Medicare rate

$922.53

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

Payment rules and modifiers for 15100

15100 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15100

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 · 15100

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.

  • 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

15100 without 51 · national office

$922.53

Skin graft

15100-51 · Second procedure: 50%

$461.27

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

15100 compared with similar codes

Compare codes · National

5 codes, side by side

  • 15100

    Skin graft9.65 wRVU

    $922.53

  • 15101

    Skin graft1.68 wRVU

    $201.41−$721.12

  • 15120

    Skin graft9.9 wRVU

    $874.10−$48.43

  • 15110

    Epidermal graft10.7 wRVU

    $899.82−$22.71

  • 15002

    Wound preparation3.56 wRVU

    $363.07−$559.46

How to choose

15101Skin graft
15100 reports the initial graft area; 15101 reports additional area increments for the same graft type and recipient region.
15120Skin graft
Both describe split-thickness grafting, but 15120 is for specified face, scalp, neck, hand, foot, or genital sites rather than the trunk, arms, or legs.
15110Epidermal graft
15110 is for an epidermal graft on the trunk, arms, or legs; 15100 is for a split-thickness graft at those sites.
15002Wound preparation
15002 describes surgical preparation of a recipient site on the trunk, arms, or legs. It is not the graft-placement code represented by 15100.

15100 billing questions

When is 15100 used instead of 15120?

Use 15100 for a split-thickness graft placed on the trunk, arms, or legs. Code 15120 applies to the specified face, scalp, neck, hands, feet, or genital sites.

How is additional graft area reported?

15100 covers the first 100 square centimeters, or 1% of body surface area for infants and children. Report 15101 for additional area increments and document the total treated area.

Does 15100 include harvesting the donor skin?

The service includes taking and placing the patient’s split-thickness graft. Document the donor and recipient sites and the grafting work performed.

Can recipient-site preparation be reported separately?

A distinct surgical preparation of the recipient site may be reported with the graft when performed and documented; 15002 describes preparation on the trunk, arms, or legs.

Should modifier 50 be used for grafts on both sides?

No. CMS identifies bilateral adjustment as inappropriate for 15100. The descriptor and anatomy do not support modifier 50.

Can an assistant or co-surgeon be paid for 15100?

Medicare payment to an assistant at surgery is restricted for this service. 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 15100PPRRVU2026_Oct_nonQPP.csv, line 1,486 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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