$863.68
15240 reports the initial graft area, up to 20 cm², for its designated sites. Add 15241 for each further 20 cm² or portion.
On this page
CMS RVU26D · Effective 2026-10-01
15241 Skin graft Medicare reimbursement rates in Iowa
Reports each additional 20 cm² or portion of a full-thickness skin graft to designated sites, beyond the area covered by the primary graft code. Compare 15241 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 15241 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
$164.54
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$82.03
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 15241: Additional full-thickness skin graft area
Reports each additional 20 cm² or portion of a full-thickness skin graft to designated sites, beyond the area covered by the primary graft code.
Code 15241 captures additional recipient-site area when a surgeon places a free full-thickness skin graft at sites assigned to the 15240 family: face, scalp, eyelids, mouth, neck, ears, genitalia, hands, or feet. The patient’s own skin is commonly used to cover a defect after excision or injury or to repair a contracture. Plastic, reconstructive, hand, and other surgeons perform these repairs in operating rooms or procedure settings; direct closure of the donor site is part of the graft service.
Report 15241 only with 15240, after the first 20 cm² of grafted area; each unit represents another 20 cm² or any fraction. Base units on the documented total graft area, not the number of graft pieces, and identify the recipient site and measured area. CMS classifies 15241 as an add-on: it is not billed alone, and its payment falls within the primary procedure’s global period. Documentation should identify the graft as full thickness and support the treated area and primary graft procedure.
CMS billing rules for 15241
- 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 RVU1.81 · 34%
- Practice expense (office) RVU3.28 · 61%
- Malpractice RVU0.29 · 5%
1.4K
Medicare services in 2024 · #2723 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.
15241 compared with similar codes
Office rates for Iowa, from the same CMS release.
$122.39
15221 is the additional-area code in the full-thickness graft family for the scalp, arms, and legs; 15241 belongs to the 15240 site group.
$191.06
15261 reports additional full-thickness graft area for the nose, ears, eyelids, or lips, rather than the recipient-site group paired with 15240.
Compare 15241 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
$164.54
Facility
$82.03
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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 15241 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
1,509
- Code
- 15241
- Physician work
- 1.81
- Practice expense
- 3.28
- Malpractice
- 0.29
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.81 | × 1.000 | 1.8100 |
| Practice expense | 3.28 | × 0.915 | 3.0012 |
| Malpractice | 0.29 | × 0.397 | 0.1151 |
| Total RVUs | 4.9263 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$164.54
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.81 | 1 |
| Practice expense | 3.28 | 0.915 |
| Malpractice | 0.29 | 0.397 |
(1.81 × 1 + 3.28 × 0.915 + 0.29 × 0.397) × $33.4009 = $164.54
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.81 | 1 |
| Practice expense | 0.58 | 0.915 |
| Malpractice | 0.29 | 0.397 |
(1.81 × 1 + 0.58 × 0.915 + 0.29 × 0.397) × $33.4009 = $82.03
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.
15241 billing questions
Can 15241 be reported by itself?
No. It is an add-on reported with 15240 when grafted area exceeds the first 20 cm².
How are units counted?
Report one unit for each additional 20 cm² or portion beyond the first 20 cm². Base the count on grafted area, not the number of graft pieces.
What documentation supports 15241?
Document the full-thickness graft, qualifying recipient site, total area treated, and the primary graft procedure. The measured area should support the additional units.
How does 15241 differ from 15221?
Both report additional full-thickness graft area, but 15221 belongs to the family for scalp, arms, and legs. Use the family that matches the recipient site.
How does 15241 differ from 15261?
15261 reports additional full-thickness graft area for the nose, ears, eyelids, or lips. 15241 is paired with 15240 for its designated recipient-site group.
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.
1,50615220,,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
1,50815240,,Fth/gft f/c/c/m/n/ax/g/h/f20,A,,10.15,16.59,,9.42,,1.33,28.07,20.90,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50915241,,Fth/gft f/c/c/m/n/a/g/h/f ea,A,,1.81,3.28,,0.58,,0.29,5.38,2.68,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51015260,,Fth/gft fr n/e/e/l 20 sqcm/<,A,,11.35,17.31,,9.12,,1.31,29.97,21.78,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51115261,,Fth/gft fr n/e/e/l each addl,A,,2.17,3.75,,0.90,,0.30,6.22,3.37,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51215271,,Skin sub graft trnk/arm/leg,A,,1.46,3.06,,0.58,,0.21,4.73,2.25,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,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