$178.16–$207.21
Both report additional cultured allogeneic graft area on the specified sites. Choose 15157 for each additional 1% of an infant’s or child’s body surface area; 15156 uses 100-square-centimeter increments.
On this page
CMS RVU26D · Effective 2026-10-01
15157 Skin substitute graft Medicare reimbursement rates in Florida
Reports each additional 1% of body surface area treated with a cultured allogeneic skin substitute graft on specified sites in an infant or child. Compare 15157 office and facility rates across CMS payment localities in Florida.
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.
What does Medicare pay for 15157 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$199.47–$232.05
3 of 3 localities have a supported rate.
Facility setting
$160.20–$189.28
3 of 3 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 15157 pays more and less in Florida
3 payment localities
$199.47 to $232.05
Skin grafting
About 15157: Additional pediatric cultured graft area
Reports each additional 1% of body surface area treated with a cultured allogeneic skin substitute graft on specified sites in an infant or child.
This add-on represents an additional 1% of an infant’s or child’s body surface area treated with a tissue-cultured allogeneic skin substitute graft on the face, scalp, neck, hands, feet, or genitalia. A burn or reconstructive surgeon may apply the graft during operative wound coverage, including treatment of extensive burns or other wounds requiring skin replacement. The site and the patient’s age and body size affect how the treated area is measured within this code family.
Report 15157 with the applicable primary graft code, such as 15155, when the treated area extends beyond the initial area and the additional area is measured in 1% body-surface increments. The operative record should support the treated site, graft application, and total area covered, with enough detail to distinguish each additional increment. 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 15157
- 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 RVU2.93 · 52%
- Practice expense (office) RVU1.94 · 34%
- Malpractice RVU0.79 · 14%
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.
15157 compared with similar codes
Office rates for Florida, from the same CMS release.
$859.02–$960.57
15155 reports the initial graft area on the specified sites. Use 15157 only for additional 1% body-area increments beyond the initial area.
$162.80–$189.11
Both represent additional 1% body-area increments for infants or children, but 15152 applies to the trunk, arms, or legs; 15157 applies to the face, scalp, neck, hands, feet, or genitalia.
Compare 15157 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$211.21
Facility
$169.59
Miami →
Office / nonfacility
$232.05
Facility
$189.28
Rest Of Florida →
Office / nonfacility
$199.47
Facility
$160.20
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15157 billing questions
When is 15157 used instead of 15156?
Use 15157 for each additional 1% of body surface area in an infant or child. Code 15156 represents additional area measured in 100-square-centimeter increments.
Which primary code is reported with 15157?
Report it with the applicable initial graft code for the specified sites, such as 15155. It is an add-on code and is not reported by itself.
Which sites qualify for this code?
The code family covers graft application on the face, scalp, neck, hands, feet, or genitalia. The documentation should identify the treated site and support the additional 1% increment.
How many units should be reported?
Report a unit for each additional 1% of body surface area treated in an infant or child. Document the total area grafted so the reported increments can be supported.
How does CMS treat payment for 15157?
CMS treats 15157 as an add-on code billed only with a primary procedure. Payment is within that primary procedure’s global period.
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.
1,50015152,,Tis cltr skn agrft t/a/l ea,A,,2.44,1.54,,0.59,,0.64,4.62,3.67,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50115155,,Tis cltr agrft f/s/n/h/f/g 1,A,,9.89,13.68,,7.95,,1.83,25.40,19.67,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50215156,,Tis clt agrft f/s/n/h/f/g ad,A,,2.68,1.66,,0.65,,0.71,5.05,4.04,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50315157,,Tis clt agrft f/s/n/h/f/g ea,A,,2.93,1.94,,0.71,,0.79,5.66,4.43,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50415200,,Fth/gft fr trnk 20 sq cm/<,A,,8.92,15.80,,7.70,,1.50,26.22,18.12,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50515201,,Fth/gft fr trnk each addl,A,,1.29,2.92,,0.42,,0.23,4.44,1.94,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50615220,,Fth/gft fr s/a/l 20 sq cm/<,A,,7.89,14.43,,7.09,,1.12,23.44,16.10,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00