15100 reports the initial split-thickness graft area on the trunk, arms, or legs; 15101 reports each additional area increment and cannot stand alone.
On this page
CMS RVU26D · Effective 2026-10-01
15101 Skin graft Medicare reimbursement rates in Missouri
Report 15101 for each additional grafted area after the initial split-thickness skin graft on the trunk, arms, or legs. Compare 15101 office and facility rates across CMS payment localities in Missouri.
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 15101 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$182.78–$195.07
3 of 3 localities have a supported rate.
Facility setting
$95.83–$99.04
3 of 3 localities have a supported rate.
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.
Where 15101 pays more and less in Missouri
3 payment localities
$182.78 to $195.07
Skin grafting
About 15101: Additional split-thickness graft, trunk or limb
Report 15101 for each additional grafted area after the initial split-thickness skin graft on the trunk, arms, or legs.
Code 15101 represents additional area covered with an autologous split-thickness skin graft on the trunk, arms, or legs. In this procedure, the surgeon takes a thin layer of the patient’s skin from a donor site and transfers it to a wound, such as a burn or a defect left after tissue removal. Plastic, burn, and other surgeons may perform the graft in an operating room or another surgical setting.
Report 15101 only with the initial-area code 15100. It represents each additional 100 square centimeters, or each additional 1% of body surface area for infants and children. The operative report should identify the recipient site, graft type, and total area treated so the base and additional increments can be supported. CMS classifies 15101 as an add-on code: it is billed with the primary procedure and paid within that procedure’s global period.
CMS billing rules for 15101
- 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 RVU1.68 · 28%
- Practice expense (office) RVU3.97 · 66%
- Malpractice RVU0.38 · 6%
13.1K
Medicare services in 2024 · #1338 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.
15101 compared with similar codes
Office rates for Missouri, from the same CMS release.
15121 reports additional split-thickness graft area at designated sites such as the face, scalp, neck, hands, or feet. Use 15101 for additional area on the trunk, arms, or legs.
15111 is for additional epidermal graft area on the trunk, arms, or legs. Code 15101 is for a split-thickness graft at those sites.
Compare 15101 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$193.03
Facility
$98.31
Metropolitan St. Louis →
Office / nonfacility
$195.07
Facility
$99.04
Rest Of Missouri →
Office / nonfacility
$182.78
Facility
$95.83
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15101 billing questions
Can 15101 be reported by itself?
No. It is an add-on code and must be reported with the primary code 15100 for the initial grafted area.
How is the number of units determined?
Report a unit for each additional 100 square centimeters, or each additional 1% of body surface area for infants and children. Document the total recipient area and how it supports the reported increments.
When should 15121 be used instead?
Use the 15120/15121 code family for split-thickness grafting of designated sites such as the face, scalp, neck, hands, or feet. Code 15101 is for additional grafted area on the trunk, arms, or legs.
Does 15101 describe an epidermal graft?
No. It is for additional area treated with a split-thickness graft. The 15110/15111 family describes epidermal grafting on the trunk, arms, or legs.
What should the operative report support?
Document the split-thickness graft, recipient body site, total grafted area, and the initial and additional area increments. The primary graft procedure must also be reported.
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.
