$135.38
15200 covers the initial trunk graft area up to 20 sq cm; 15201 reports each additional 20 sq cm or part and is used with the base code.
On this page
CMS RVU26D · Effective 2026-10-01
15200 Skin graft Medicare reimbursement rates in Iowa
Reports placement of a free full-thickness skin graft on the trunk when the treated graft area is 20 square centimeters or less. Compare 15200 office and facility rates across CMS payment localities in Iowa.
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 15200 in Iowa?
Iowa 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
$800.70
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$553.15
1 of 1 localities have a supported rate.
Payment area: Iowa
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 15200: Full-thickness trunk skin graft
Reports placement of a free full-thickness skin graft on the trunk when the treated graft area is 20 square centimeters or less.
A surgeon uses this code to cover a trunk defect with a free graft containing the epidermis and full dermis, commonly after excision or injury. The graft is taken from a donor site, and direct closure of that donor site is included. Plastic, general, and other reconstructive surgeons may perform the service in an operating room or ambulatory surgery setting.
Choose this code for a trunk recipient site when the graft area is 20 sq cm or less; document the site, graft type, and area treated. For additional area, report 15201 with the base code for each additional 20 sq cm or part thereof. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. 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.
CMS billing rules for 15200
- 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 RVU8.92 · 34%
- Practice expense (office) RVU15.80 · 60%
- Malpractice RVU1.50 · 6%
426
Medicare services in 2024 · #3680 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.
15200 compared with similar codes
Office rates for Iowa, from the same CMS release.
$719.39
Both codes describe free full-thickness skin grafting, but 15220 applies to its specified scalp, arm, or leg recipient-site group rather than the trunk.
$838.47
Choose 15100 when the graft is split-thickness; choose 15200 when it is full-thickness and placed on the trunk.
Compare 15200 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
Iowa →
Office / nonfacility
$800.70
Facility
$553.15
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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 15200 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
1,504
- Code
- 15200
- Physician work
- 8.92
- Practice expense
- 15.80
- Malpractice
- 1.50
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.92 | × 1.000 | 8.9200 |
| Practice expense | 15.80 | × 0.915 | 14.4570 |
| Malpractice | 1.50 | × 0.397 | 0.5955 |
| Total RVUs | 23.9725 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$800.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.92 | 1 |
| Practice expense | 15.8 | 0.915 |
| Malpractice | 1.5 | 0.397 |
(8.92 × 1 + 15.8 × 0.915 + 1.5 × 0.397) × $33.4009 = $800.70
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.92 | 1 |
| Practice expense | 7.7 | 0.915 |
| Malpractice | 1.5 | 0.397 |
(8.92 × 1 + 7.7 × 0.915 + 1.5 × 0.397) × $33.4009 = $553.15
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.
15200 billing questions
When should 15200 be used instead of 15201?
Use 15200 for the first 20 sq cm or less of full-thickness graft area on the trunk. Report 15201 as an add-on for each additional 20 sq cm or part thereof.
Does the code include closure of the donor site?
Yes. Direct closure of the donor site is included in the graft service.
What documentation supports 15200?
Record the trunk recipient site, that a full-thickness graft was placed, and the area treated. Document the donor site and its closure as part of the operative record.
Can modifier 50 be used for grafts on both sides of the trunk?
No. The descriptor and anatomy make modifier 50 inappropriate, and a bilateral adjustment does not apply.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be paid for this procedure?
Medicare does not pay an assistant at surgery for this code. 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 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.
1,50115155,,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
1,50715221,,Fth/gft fr s/a/l each addl,A,,1.16,2.65,,0.37,,0.20,4.01,1.73,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136