$718.09
15220 covers the initial graft area up to 20 square centimeters on the scalp, arms, or legs; 15221 captures additional area beyond that base amount.
On this page
CMS RVU26D · Effective 2026-10-01
15221 Skin graft Medicare reimbursement rates in Kansas
Reports each additional 20 square centimeters or part of full-thickness skin grafting on the scalp, arms, or legs beyond the initial area. Compare 15221 office and facility rates across CMS payment localities in Kansas.
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 15221 in Kansas?
Kansas 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
$122.13
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$53.28
1 of 1 localities have a supported rate.
Payment area: Kansas
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 15221: Additional full-thickness skin graft area
Reports each additional 20 square centimeters or part of full-thickness skin grafting on the scalp, arms, or legs beyond the initial area.
This add-on represents additional recipient-site area treated with a full-thickness skin autograft on the scalp, an arm, or a leg. The graft contains the full skin thickness and is transferred to cover a defect, such as one remaining after lesion removal or injury. Plastic surgeons and other surgeons commonly perform these reconstructions in operating rooms or procedure settings. The primary graft service includes direct closure of the donor site.
Report this code with the primary graft code 15220 when the total grafted area exceeds the initial 20 square centimeters. Each additional 20 square centimeters, or any portion of that increment, supports one unit. Documentation should identify the recipient site, the full-thickness graft technique, and the total area treated so the additional area can be determined. 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 15221
- 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 RVU1.16 · 29%
- Practice expense (office) RVU2.65 · 66%
- Malpractice RVU0.20 · 5%
2.2K
Medicare services in 2024 · #2378 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.
15221 compared with similar codes
Office rates for Kansas, from the same CMS release.
$135.13
15201 captures additional full-thickness graft area on the trunk. Use 15221 for additional area on the scalp, arms, or legs.
$23.61
15272 is for additional skin substitute graft area on the trunk, arms, or legs; 15221 is for additional area treated with a full-thickness skin autograft.
Compare 15221 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
Kansas →
Office / nonfacility
$122.13
Facility
$53.28
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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 15221 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
1,507
- Code
- 15221
- Physician work
- 1.16
- Practice expense
- 2.65
- Malpractice
- 0.20
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.16 | × 1.000 | 1.1600 |
| Practice expense | 2.65 | × 0.904 | 2.3956 |
| Malpractice | 0.20 | × 0.504 | 0.1008 |
| Total RVUs | 3.6564 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$122.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.16 | 1 |
| Practice expense | 2.65 | 0.904 |
| Malpractice | 0.2 | 0.504 |
(1.16 × 1 + 2.65 × 0.904 + 0.2 × 0.504) × $33.4009 = $122.13
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.16 | 1 |
| Practice expense | 0.37 | 0.904 |
| Malpractice | 0.2 | 0.504 |
(1.16 × 1 + 0.37 × 0.904 + 0.2 × 0.504) × $33.4009 = $53.28
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.
15221 billing questions
When is 15221 reported instead of 15220?
Use 15220 for the initial grafted area up to 20 square centimeters. Report 15221 for each additional 20 square centimeters or part of that increment.
Can 15221 be billed by itself?
No. It is an add-on code and must be billed with primary code 15220 for the qualifying full-thickness graft.
How are units determined?
Base units on the grafted area beyond the first 20 square centimeters. Each additional 20 square centimeters or fraction supports one unit.
What documentation supports the additional area?
Document the recipient-site location, that a full-thickness skin graft was performed, and the total grafted area. The recorded area should support the units billed beyond the initial area.
How does this differ from a skin substitute graft add-on?
15221 applies to additional area treated with a full-thickness skin autograft on the scalp, arms, or legs. Codes such as 15272 describe an additional area treated with a skin substitute graft.
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.
1,50415200,,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
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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958