$833.16–$877.44
15110 reports the initial epidermal autograft area on the trunk, arms, or legs; 15111 reports additional area and must accompany the primary code.
On this page
CMS RVU26D · Effective 2026-10-01
15111 Epidermal graft Medicare reimbursement rates in Missouri
Reports each additional measured area treated with an epidermal autograft on the trunk, arms, or legs, beyond the initial area. Compare 15111 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 15111 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
$114.67–$119.33
3 of 3 localities have a supported rate.
Facility setting
$87.89–$89.76
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 15111 pays more and less in Missouri
3 payment localities
$114.67 to $119.33
Skin grafting
About 15111: Additional epidermal autograft area
Reports each additional measured area treated with an epidermal autograft on the trunk, arms, or legs, beyond the initial area.
Code 15111 represents additional recipient-site area treated with an epidermal autograft on the trunk, an arm, or a leg. A surgeon or other qualified clinician prepares the wound and applies epidermal tissue or cells obtained from the patient. These grafts may be used when a wound requires epidermal coverage, including in burn and wound-care surgery, commonly in a hospital or ambulatory surgical setting.
Report this add-on code with the primary code for the initial treated area, 15110. Count each additional 100 square centimeters or part of that increment; for infants and children, the corresponding measure is each additional 1% of body surface area. The operative note should identify the recipient site, treated area, graft method, and total area supporting the reported units. CMS pays 15111 within the primary procedure’s global period, so it is not reported as a stand-alone service.
CMS billing rules for 15111
- 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 RVU1.80 · 49%
- Practice expense (office) RVU1.42 · 39%
- Malpractice RVU0.42 · 12%
4.8K
Medicare services in 2024 · #1899 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.
15111 compared with similar codes
Office rates for Missouri, from the same CMS release.
$182.78–$195.07
15101 reports additional split-thickness graft area. Choose the code matching the graft technique rather than the recipient site alone.
$155.28–$161.61
15116 is the additional-area epidermal graft code for specified face, scalp, neck, hand, foot, or genital sites; 15111 is for the trunk, arms, or legs.
$96.67–$101.03
15131 reports additional dermal autograft area on the trunk, arms, or legs, while 15111 is for epidermal autografting.
Compare 15111 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
$118.36
Facility
$89.20
Metropolitan St. Louis →
Office / nonfacility
$119.33
Facility
$89.76
Rest Of Missouri →
Office / nonfacility
$114.67
Facility
$87.89
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15111 billing questions
When should 15111 be reported instead of 15110?
Use 15110 for the initial treated area on the trunk, arms, or legs. Report 15111 for each additional area increment beyond that initial amount.
Can 15111 be submitted without 15110?
No. It is an add-on code and must be billed with the primary procedure for the initial area, 15110.
How are units determined?
Count each additional 100 square centimeters or part of that increment. For infants and children, count each additional 1% of body surface area.
What documentation supports the units?
Document the recipient site and the measured area treated, including the total area that supports the initial and additional increments. Identify the epidermal graft method used.
Is 15111 paid outside the primary procedure's global period?
No. CMS pays this add-on code within the global period of the primary 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.
1,48615100,,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
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