$857.57
Use 15110 for an epidermal autograft and 15100 for a split-thickness autograft to the trunk, arms, or legs. The graft type distinguishes these codes.
On this page
CMS RVU26D · Effective 2026-10-01
15110 Epidermal graft Medicare reimbursement rates in Kentucky
Reports epidermal autograft coverage of a wound on the trunk, arms, or legs for the initial area unit, including the applicable pediatric measure. Compare 15110 office and facility rates across CMS payment localities in Kentucky.
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 15110 in Kentucky?
Kentucky 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
$841.51
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$638.41
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 15110: Epidermal autograft to trunk or limbs
Reports epidermal autograft coverage of a wound on the trunk, arms, or legs for the initial area unit, including the applicable pediatric measure.
This service covers harvesting a patient's epidermal tissue and placing it as an autograft on a wound of the trunk, an arm, or a leg. Plastic surgeons, burn surgeons, and other physicians performing wound reconstruction may use it for wound coverage in an operating room or outpatient procedure setting. The code represents the initial area unit: 100 square centimeters, or 1% of body surface area for infants and children, as applicable to the patient and code family.
Select the code by graft type, recipient site, and treated area; document the wound location, graft method, and area treated. Report 15111 for additional area beyond the initial unit when its criteria are met. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 15110
- 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 RVU10.70 · 40%
- Practice expense (office) RVU14.05 · 52%
- Malpractice RVU2.19 · 8%
601
Medicare services in 2024 · #3393 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.
15110 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$115.12
15110 reports the initial area unit; 15111 reports qualifying additional area. Do not substitute the add-on code for the initial service.
$809.42
Both codes describe epidermal autografts, but 15110 is for the trunk, arms, or legs. 15115 is for its specified face, scalp, neck, hand, foot, or genital sites.
$714.01
15130 is for a dermal autograft to the trunk, arms, or legs. Use 15110 when the graft is epidermal.
Compare 15110 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
Kentucky →
Office / nonfacility
$841.51
Facility
$638.41
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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 15110 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
1,488
- Code
- 15110
- Physician work
- 10.70
- Practice expense
- 14.05
- Malpractice
- 2.19
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.70 | × 1.000 | 10.7000 |
| Practice expense | 14.05 | × 0.889 | 12.4905 |
| Malpractice | 2.19 | × 0.915 | 2.0038 |
| Total RVUs | 25.1943 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$841.51
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.7 | 1 |
| Practice expense | 14.05 | 0.889 |
| Malpractice | 2.19 | 0.915 |
(10.7 × 1 + 14.05 × 0.889 + 2.19 × 0.915) × $33.4009 = $841.51
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.7 | 1 |
| Practice expense | 7.21 | 0.889 |
| Malpractice | 2.19 | 0.915 |
(10.7 × 1 + 7.21 × 0.889 + 2.19 × 0.915) × $33.4009 = $638.41
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.
15110 billing questions
How does 15110 differ from 15100?
15110 is for an epidermal autograft; 15100 is for a split-thickness autograft. Choose based on the graft type documented, not simply the wound location or area.
When is 15111 reported with 15110?
15110 covers the initial area unit for the trunk, arms, or legs. Report 15111 for qualifying additional area beyond that initial unit.
Which recipient sites belong to 15110?
15110 covers the trunk, arms, and legs. Epidermal autografts to the face, scalp, neck, hands, feet, or genitalia are represented by the separate site-specific code 15115.
What documentation supports 15110?
Document the recipient site, epidermal graft type, wound treated, and graft area. For infants and children, capture the body-surface-area measure used for code selection.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Medicare applies the standard multiple-procedure reduction when other procedures are performed in the same session.
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.
1,4851505F,,Pt has no resp insufficiency,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,48615100,,Splt agrft t/a/l 1st 100sqcm,A,,9.65,16.06,,8.21,,1.91,27.62,19.77,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,48715101,,Splt agrft t/a/l ea addl 100,A,,1.68,3.97,,0.95,,0.38,6.03,3.01,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,48815110,,Epidrm agrft t/a/l 1st 100,A,,10.70,14.05,,7.21,,2.19,26.94,20.10,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,48915111,,Epidrm agrft t/a/l ea addl,A,,1.80,1.42,,0.49,,0.42,3.64,2.71,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49015115,,Epdrm agrft f/s/n/h/f/g/m 1,A,,11.00,12.92,,6.58,,1.91,25.83,19.49,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49115116,,Epdrm agrft f/s/n/h/f/g/m ea,A,,2.44,1.93,,0.67,,0.56,4.93,3.67,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631