$103.92
15135 represents the initial grafted area at the specified sites; 15136 represents qualifying additional area.
On this page
CMS RVU26D · Effective 2026-10-01
15135 Dermal autograft Medicare reimbursement rates in Guam
Reports initial dermal autograft coverage of specified anatomic sites, using the grafted area to select the initial service for the patient. Compare 15135 office and facility rates across CMS payment localities in Guam.
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 15135 in Guam?
Guam has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$945.80
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$687.17
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
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.
Skin grafting
About 15135: Dermal autograft to specified sites
Reports initial dermal autograft coverage of specified anatomic sites, using the grafted area to select the initial service for the patient.
Code 15135 reports placement of a dermal autograft on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, or feet. The graft comes from the patient and is used to cover a wound or defect. Plastic surgeons and burn surgeons commonly perform the procedure in an operating room for reconstructive coverage after burns, trauma, or excision.
Select this initial-area code when the documented dermal autograft at these sites reaches the first 100 sq cm, or the applicable 1% body-surface-area threshold for an infant or child. Record the graft type, recipient site, and treated area; report additional area with 15136. The 90-day global includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures occur in one 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.
CMS billing rules for 15135
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.75 · 40%
- Practice expense (office) RVU14.63 · 54%
- Malpractice RVU1.61 · 6%
81
Medicare services in 2024 · #5032 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.
15135 compared with similar codes
Office rates for Guam, from the same CMS release.
$818.14
Both report dermal autografts, but 15130 applies to the trunk, arms, or legs; 15135 applies to the specified face, head, neck, genital, hand, and foot sites.
$918.17
15120 is for a split-thickness autograft at the specified sites. Choose 15135 when the graft is dermal.
$895.01
15115 reports an epidermal autograft at the specified sites, rather than the dermal autograft represented by 15135.
Compare 15135 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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$945.80
Facility
$687.17
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 15135 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
1,496
- Code
- 15135
- Physician work
- 10.75
- Practice expense
- 14.63
- Malpractice
- 1.61
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.75 | × 1.000 | 10.7500 |
| Practice expense | 14.63 | × 1.137 | 16.6343 |
| Malpractice | 1.61 | × 0.579 | 0.9322 |
| Total RVUs | 28.3165 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$945.80
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.75 | 1 |
| Practice expense | 14.63 | 1.137 |
| Malpractice | 1.61 | 0.579 |
(10.75 × 1 + 14.63 × 1.137 + 1.61 × 0.579) × $33.4009 = $945.80
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.75 | 1 |
| Practice expense | 7.82 | 1.137 |
| Malpractice | 1.61 | 0.579 |
(10.75 × 1 + 7.82 × 1.137 + 1.61 × 0.579) × $33.4009 = $687.17
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.
15135 billing questions
How is 15135 distinguished from 15130?
15135 is for dermal autografting at the specified sites, such as the face, hands, or feet. Code 15130 is the initial-area dermal autograft code for the trunk, arms, or legs.
When is 15136 reported with 15135?
Report 15135 for the initial area and 15136 for qualifying additional area at the specified sites. Documentation should support the total grafted area and the additional area.
Can modifier 50 be used for bilateral grafting?
No. The CMS bilateral adjustment does not apply to 15135, and modifier 50 is inappropriate.
Does the global period include postoperative visits?
Yes. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 15135. Co-surgeons and team surgery are not permitted.
What supports reporting 15135 rather than a split-thickness graft code?
Document that the graft is a dermal autograft, the recipient site, and the grafted area. A split-thickness autograft is reported with a different 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 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.
1,49315121,,Splt agrft f/s/n/h/f/g/m ea,A,,1.95,4.25,,1.20,,0.42,6.62,3.57,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49415130,,Drm agrft t/a/l 1st 100 sqcm,A,,7.34,14.40,,7.79,,1.35,23.09,16.48,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49515131,,Drm agrft t/a/l ea addl,A,,1.46,1.37,,0.53,,0.26,3.09,2.25,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49615135,,Drm agrft f/s/n/h/f/g/m 1st,A,,10.75,14.63,,7.82,,1.61,26.99,20.18,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49715136,,Drm agrft f/s/n/h/f/g/m ea,A,,1.46,1.32,,0.53,,0.26,3.04,2.25,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49815150,,Tis cltr skn agrft t/a/l 1st,A,,9.16,11.24,,6.86,,2.46,22.86,18.48,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49915151,,Tis cltr skn agrft t/a/l add,A,,1.95,1.30,,0.47,,0.50,3.75,2.92,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014