$802.59
15120 reports the initial split-thickness graft area on the specified sites; 15121 reports additional area and is used with 15120.
On this page
CMS RVU26D · Effective 2026-10-01
15121 Skin graft Medicare reimbursement rates in Nebraska
Reports each additional area of split-thickness skin grafting on specified sites such as the face, hands, feet, or multiple digits. Compare 15121 office and facility rates across CMS payment localities in Nebraska.
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 15121 in Nebraska?
Nebraska 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
$201.46
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$107.43
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 15121: Additional split-thickness skin graft
Reports each additional area of split-thickness skin grafting on specified sites such as the face, hands, feet, or multiple digits.
This add-on represents additional recipient area covered with a split-thickness skin graft on sites such as the face, scalp, neck, hands, feet, genitalia, or multiple digits. The graft uses a thin layer of the patient’s own skin. Plastic surgeons, burn surgeons, and other surgeons may use it for reconstruction after burns, trauma, or excision, often in an operating room or hospital setting.
Use 15121 only with the initial-area code 15120. The additional area is counted in 100-square-centimeter increments, or in 1% body-area increments for infants and children. Document the recipient site, graft type, patient age when relevant, and the measured graft area supporting the units reported. CMS classifies 15121 as an add-on code: it is billed with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 15121
- 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 RVU1.95 · 29%
- Practice expense (office) RVU4.25 · 64%
- Malpractice RVU0.42 · 6%
1.4K
Medicare services in 2024 · #2707 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.
15121 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$183.30
15101 is the additional-area split-thickness graft code for the trunk, arms, or legs. 15121 is for the specified face, scalp, neck, hand, foot, genital, or multiple-digit sites.
$148.07
15116 reports additional epidermal graft area on specified sites. Choose 15121 when the additional graft is split-thickness.
$92.74
15136 reports additional dermal graft area on specified sites; 15121 is for additional split-thickness graft area.
Compare 15121 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
Nebraska →
Office / nonfacility
$201.46
Facility
$107.43
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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 15121 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
1,493
- Code
- 15121
- Physician work
- 1.95
- Practice expense
- 4.25
- Malpractice
- 0.42
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.95 | × 1.000 | 1.9500 |
| Practice expense | 4.25 | × 0.923 | 3.9228 |
| Malpractice | 0.42 | × 0.378 | 0.1588 |
| Total RVUs | 6.0315 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$201.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.95 | 1 |
| Practice expense | 4.25 | 0.923 |
| Malpractice | 0.42 | 0.378 |
(1.95 × 1 + 4.25 × 0.923 + 0.42 × 0.378) × $33.4009 = $201.46
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.95 | 1 |
| Practice expense | 1.2 | 0.923 |
| Malpractice | 0.42 | 0.378 |
(1.95 × 1 + 1.2 × 0.923 + 0.42 × 0.378) × $33.4009 = $107.43
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.
15121 billing questions
Can 15121 be reported without 15120?
No. It is an add-on for additional split-thickness graft area and is reported with 15120 for the initial area.
How is the additional graft area counted?
Count additional area in 100-square-centimeter increments. For infants and children, the measure is each additional 1% of body area.
When should 15100 or 15101 be used instead?
Those split-thickness graft codes apply to the trunk, arms, or legs. Use the 15120/15121 site group for the face, scalp, neck, hands, feet, genitalia, or multiple digits.
How does 15121 differ from 15116?
Both are add-on codes for specified sites, but 15121 is for split-thickness grafting and 15116 is for epidermal grafting.
What documentation supports reporting 15121?
Record the graft type, recipient site, and measured area. For an infant or child, document the body-area measure used to support the additional units.
How does the global-period rule affect payment?
CMS identifies 15121 as an add-on billed with a primary procedure and paid within that procedure’s global period.
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.
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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
1,49515131,,Drm agrft t/a/l ea addl,A,,1.46,1.37,,0.53,,0.26,3.09,2.25,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49615135,,Drm agrft f/s/n/h/f/g/m 1st,A,,10.75,14.63,,7.82,,1.61,26.99,20.18,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068