$830.35
Use 15115 for the initial 100 sq cm or less of epidermal autograft at the specified sites; use 15116 only for area beyond that amount.
On this page
CMS RVU26D · Effective 2026-10-01
15116 Epidermal graft Medicare reimbursement rates in Minnesota
Reports each additional 100 sq cm or part of epidermal autograft placed on the face, scalp, neck, hands, feet, genitalia, or multiple digits. Compare 15116 office and facility rates across CMS payment localities in Minnesota.
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 15116 in Minnesota?
Minnesota 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
$153.37
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$110.06
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 15116: Additional epidermal graft for special sites
Reports each additional 100 sq cm or part of epidermal autograft placed on the face, scalp, neck, hands, feet, genitalia, or multiple digits.
This add-on represents additional epidermal autograft coverage on the face, scalp, neck, hands, feet, genitalia, or multiple digits. It is used when the recipient area at one of these sites exceeds the initial 100 sq cm covered by the primary service. Plastic surgeons, burn surgeons, and other clinicians performing skin-graft procedures may use it to report the additional treated area in an operating room or other procedural setting.
Report 15116 with 15115, counting each additional 100 sq cm or part thereof beyond the initial 100 sq cm. The operative record should identify the recipient site, epidermal graft type, and area treated so the additional area can be supported. CMS classifies 15116 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 15116
- 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 RVU2.44 · 49%
- Practice expense (office) RVU1.93 · 39%
- Malpractice RVU0.56 · 11%
274
Medicare services in 2024 · #4061 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.
15116 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$113.08
Both report additional epidermal graft area, but 15111 is for trunk, arms, or legs; 15116 is for the face, scalp, neck, hands, feet, genitalia, or multiple digits.
$215.35
15121 reports additional split-thickness autograft area at the specified sites. 15116 is for additional epidermal autograft area.
$96.70
15136 reports additional dermal autograft area at the specified sites; 15116 reports additional epidermal autograft area.
Compare 15116 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
Minnesota →
Office / nonfacility
$153.37
Facility
$110.06
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 15116 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
1,491
- Code
- 15116
- Physician work
- 2.44
- Practice expense
- 1.93
- Malpractice
- 0.56
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.000 | 2.4400 |
| Practice expense | 1.93 | × 1.029 | 1.9860 |
| Malpractice | 0.56 | × 0.296 | 0.1658 |
| Total RVUs | 4.5917 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$153.37
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1 |
| Practice expense | 1.93 | 1.029 |
| Malpractice | 0.56 | 0.296 |
(2.44 × 1 + 1.93 × 1.029 + 0.56 × 0.296) × $33.4009 = $153.37
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1 |
| Practice expense | 0.67 | 1.029 |
| Malpractice | 0.56 | 0.296 |
(2.44 × 1 + 0.67 × 1.029 + 0.56 × 0.296) × $33.4009 = $110.06
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.
15116 billing questions
Can 15116 be reported by itself?
No. It is an add-on code and is reported with 15115, which covers the initial 100 sq cm or less at the specified sites.
How many units of 15116 should be reported?
Report one unit for each additional 100 sq cm or part thereof beyond the initial 100 sq cm. Document the total recipient area treated.
How does 15116 differ from 15115?
15115 covers the initial 100 sq cm or less of epidermal autograft at the specified sites. 15116 reports the additional area beyond that initial amount.
What documentation supports 15116?
The operative note should identify the recipient site, confirm the epidermal autograft, and record the grafted area, including the amount beyond the initial 100 sq cm.
When is 15121 used instead?
15121 reports additional split-thickness autograft area at the same designated sites. Choose the code that matches the graft type documented for the procedure.
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.
1,48815110,,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
1,49415130,,Drm agrft t/a/l 1st 100 sqcm,A,,7.34,14.40,,7.79,,1.35,23.09,16.48,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002