$841.51
Both describe epidermal autografting, but 15110 is for the trunk, arms, or legs. Use 15115 for the face, scalp, neck, hands, feet, genitalia, or multiple digits.
On this page
CMS RVU26D · Effective 2026-10-01
15115 Epidermal graft Medicare reimbursement rates in Kentucky
Reports the first 100 sq cm of epidermal autograft coverage on the face, scalp, neck, hands, feet, genitalia, or multiple digits. Compare 15115 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 15115 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
$809.42
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$621.17
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 15115: Epidermal autograft, special sites
Reports the first 100 sq cm of epidermal autograft coverage on the face, scalp, neck, hands, feet, genitalia, or multiple digits.
A surgeon places an epidermal graft taken from the patient to cover a wound at a specified site: the face, scalp, neck, hands, feet, genitalia, or multiple digits. Plastic surgeons and burn surgeons may perform this coverage during operative treatment of burns or other wounds, in a hospital or ambulatory surgery setting. The special-site grouping distinguishes this code from epidermal grafting on the trunk, arms, or legs.
Report 15115 for the first 100 sq cm treated; for infants and children, the measure is each 1% of body area. Document the recipient site, grafted area, and patient age when the body-area measure is used. Code 15116 reports each additional unit. A 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 15115
- 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 RVU11.00 · 43%
- Practice expense (office) RVU12.92 · 50%
- Malpractice RVU1.91 · 7%
323
Medicare services in 2024 · #3938 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.
15115 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$155.92
15115 covers the initial area; 15116 is the add-on code for each additional area unit.
$815.20
Both are for the same special-site group, but 15120 describes a split-thickness autograft rather than an epidermal autograft.
$842.68
15135 is for a dermal autograft at the special sites. Choose 15115 when the graft is epidermal.
Compare 15115 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
$809.42
Facility
$621.17
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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 15115 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
1,490
- Code
- 15115
- Physician work
- 11.00
- Practice expense
- 12.92
- Malpractice
- 1.91
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.00 | × 1.000 | 11.0000 |
| Practice expense | 12.92 | × 0.889 | 11.4859 |
| Malpractice | 1.91 | × 0.915 | 1.7476 |
| Total RVUs | 24.2335 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$809.42
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11 | 1 |
| Practice expense | 12.92 | 0.889 |
| Malpractice | 1.91 | 0.915 |
(11 × 1 + 12.92 × 0.889 + 1.91 × 0.915) × $33.4009 = $809.42
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11 | 1 |
| Practice expense | 6.58 | 0.889 |
| Malpractice | 1.91 | 0.915 |
(11 × 1 + 6.58 × 0.889 + 1.91 × 0.915) × $33.4009 = $621.17
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.
15115 billing questions
When should 15115 be chosen instead of 15110?
Use 15115 for epidermal autograft coverage on the face, scalp, neck, hands, feet, genitalia, or multiple digits. Code 15110 is for the trunk, arms, or legs.
How are additional grafted areas reported?
15115 represents the first 100 sq cm, or each 1% of body area for an infant or child. Report 15116 for each additional unit.
How does 15115 differ from 15120?
Both cover the special-site group, but 15115 is for an epidermal autograft and 15120 is for a split-thickness autograft.
What documentation supports the area reported?
Record the recipient site and the area covered. For an infant or child, document the body-area percentage used to determine the unit count.
Can modifier 50 be used for grafting both sides?
No. The CMS bilateral adjustment does not apply to 15115, and modifier 50 is inappropriate.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. The 90-day global period includes the day-before preoperative visit and related postoperative care.
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.
1,48715101,,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
1,49215120,,Splt agrft f/s/n/h/f/g/m 1st,A,,9.90,14.64,,6.88,,1.63,26.17,18.41,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49315121,,Splt agrft f/s/n/h/f/g/m ea,A,,1.95,4.25,,1.20,,0.42,6.62,3.57,0,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