$214.71
15786 is reported for the first lesion treated by abrasion. Use 15787 only for additional separate lesions treated in the same session.
On this page
CMS RVU26D · Effective 2026-10-01
15787 Lesion abrasion Medicare reimbursement rates in Iowa
Reports abrasion of each additional skin lesion treated in the same session after the first lesion is reported with the primary abrasion code. Compare 15787 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 15787 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
$29.29
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$13.70
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.
Dermatology procedure
About 15787: Additional skin lesion abrasion
Reports abrasion of each additional skin lesion treated in the same session after the first lesion is reported with the primary abrasion code.
CPT 15787 accounts for abrasion treatment of additional separate skin lesions after the first lesion. The service may be used for lesions such as scars or actinic keratoses when abrasion is the chosen treatment. Dermatologists and plastic surgeons commonly perform these procedures in an office setting, using an abrasive instrument to treat the targeted skin surface.
Report 15786 for the first lesion and 15787 for each additional lesion treated during the session. The note should identify the treated lesions, their locations, the treatment performed, and the clinical reason for abrasion. Count distinct lesions, not passes over one lesion or the size of the treated area. CMS classifies 15787 as an add-on code: bill it only with a primary procedure, and payment falls within that procedure's global period.
CMS billing rules for 15787
- 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 RVU0.32 · 34%
- Practice expense (office) RVU0.60 · 64%
- Malpractice RVU0.02 · 2%
130
Medicare services in 2024 · #4667 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.
15787 compared with similar codes
Office rates for Iowa, from the same CMS release.
$408.80
15783 describes superficial dermabrasion at any site. 15787 is for additional individual lesions when lesion abrasion is performed.
$102.49
17110 is for destruction of benign lesions by a destructive method. Choose 15787 when additional lesions are treated by abrasion instead.
Compare 15787 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
$29.29
Facility
$13.70
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 15787 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
1,556
- Code
- 15787
- Physician work
- 0.32
- Practice expense
- 0.60
- Malpractice
- 0.02
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.32 | × 1.000 | 0.3200 |
| Practice expense | 0.60 | × 0.915 | 0.5490 |
| Malpractice | 0.02 | × 0.397 | 0.0079 |
| Total RVUs | 0.8769 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$29.29
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.32 | 1 |
| Practice expense | 0.6 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(0.32 × 1 + 0.6 × 0.915 + 0.02 × 0.397) × $33.4009 = $29.29
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.32 | 1 |
| Practice expense | 0.09 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(0.32 × 1 + 0.09 × 0.915 + 0.02 × 0.397) × $33.4009 = $13.70
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.
15787 billing questions
When should 15787 be reported instead of 15786?
Use 15786 for the first lesion treated by abrasion. Report 15787 for each additional separate lesion treated in the same session.
Can 15787 be billed by itself?
No. It is an add-on code and must be reported with a primary procedure, typically 15786 for the first lesion.
How should the number of units be determined?
Count each additional lesion treated after the first. Do not count multiple passes over one lesion as additional lesions.
What documentation supports additional units?
Document each treated lesion's location, the abrasion performed, and the clinical reason for treatment. The record should make clear which lesion was first and which were additional.
Is 15787 paid separately from the primary procedure's global period?
CMS identifies it as an add-on code paid within the primary procedure's global period. It is not reported as a standalone service.
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.
1,55315782,,Dermabrasion other than face,A,,4.33,9.48,,4.83,,0.43,14.24,9.59,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55415783,,Dermabrasion suprfl any site,A,,4.30,8.49,,4.46,,0.43,13.22,9.19,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55515786,,Abrasion lesion single,A,,2.03,4.72,,1.33,,0.20,6.95,3.56,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55615787,,Abrasion lesions add-on,A,,0.32,0.60,,0.09,,0.02,0.94,0.43,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55715788,,Chemical peel facial epidrm,R,,2.04,9.17,,3.60,,0.22,11.43,5.86,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55815789,,Chemical peel facial dermal,R,,4.79,10.42,,5.42,,0.50,15.71,10.71,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55915792,,Chem peel nonfacial epidrm,R,,1.81,7.85,,3.73,,0.21,9.87,5.75,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,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