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CMS RVU26D · Effective 2026-10-01

15201 Skin graft Medicare reimbursement rates in Nebraska

Reports each additional 20 square centimeters or part of full-thickness skin grafting on the trunk, beyond the area covered by the primary graft code. Compare 15201 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 15201 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

$136.01

1 of 1 localities have a supported rate.

Payment area: Nebraska

One mapped payment locality.

Facility setting

$58.94

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.

Find 15201 in your payment locality →

Skin grafting

About 15201: Additional full-thickness trunk skin graft

Reports each additional 20 square centimeters or part of full-thickness skin grafting on the trunk, beyond the area covered by the primary graft code.

This add-on represents additional recipient-site area covered with a free full-thickness skin graft on the trunk. A full-thickness graft contains the epidermis and the full dermis and may be used to reconstruct a trunk defect after lesion removal, trauma, or another procedure. Surgeons, including plastic and dermatologic surgeons, typically perform the graft in an operating room or other procedural setting. Direct closure of the graft donor site is part of the graft service.

Report 15201 with the primary trunk graft code, 15200, when the treated recipient area exceeds the area covered by that code. Count one unit for each additional 20 square centimeters or part thereof, using the documented grafted area rather than donor-site size. The operative report should identify the trunk recipient site, full-thickness graft type, and measured area. CMS classifies 15201 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period.

CMS billing rules for 15201

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 RVU1.29 · 29%
  • Practice expense (office) RVU2.92 · 66%
  • Malpractice RVU0.23 · 5%

185

Medicare services in 2024 · #4385 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.

15201 compared with similar codes

Office rates for Nebraska, from the same CMS release.

15200

Skin graft

Trunk, 20 sq cm or less

$803.97

15200 reports the primary full-thickness graft area on the trunk. Use 15201 only for additional area beyond the amount covered by 15200.

15221

Skin graft

Scalp, arm, or leg; each additional area

$122.97

Both are additional-area full-thickness graft codes, but 15221 applies to scalp, arms, or legs; 15201 applies to the trunk.

15101

Skin graft

Additional area, trunk or limb

$183.30

15101 reports additional split-thickness graft area. Choose the code family according to whether the graft is split-thickness or full-thickness.

Compare 15201 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

Office and facility base rates · shared scale starting at $0

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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 15201 in Nebraska.

PPRRVU2026_Oct_nonQPP.csv

1,505

Code
15201
Physician work
1.29
Practice expense
2.92
Malpractice
0.23

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Office / nonfacility calculation for 15201 in Nebraska
ComponentRVULocality factorAdjusted
Physician work1.29× 1.0001.2900
Practice expense2.92× 0.9232.6952
Malpractice0.23× 0.3780.0869
Total RVUs4.0721
Conversion factor× 33.4009

Office / nonfacility rate, Nebraska$136.01

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.291
Practice expense2.920.923
Malpractice0.230.378

(1.29 × 1 + 2.92 × 0.923 + 0.23 × 0.378) × $33.4009 = $136.01

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.291
Practice expense0.420.923
Malpractice0.230.378

(1.29 × 1 + 0.42 × 0.923 + 0.23 × 0.378) × $33.4009 = $58.94

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.

15201 billing questions

When should 15201 be reported instead of 15200?

Use 15200 for the primary full-thickness graft area on the trunk. Add 15201 for each additional 20 square centimeters or part beyond the area covered by 15200.

Can 15201 be billed by itself?

No. It is an add-on code and must be reported with the primary trunk graft procedure, 15200.

How are units determined?

Base units on the additional recipient-site area grafted, counting one unit for each additional 20 square centimeters or part. Document the measured area and do not calculate units from donor-site size.

Is closure of the donor site separately reported?

Direct closure of the donor site is included in the full-thickness graft service. The add-on units describe additional grafted recipient area.

How does the global-period rule affect 15201?

CMS treats 15201 as an add-on reported with its primary procedure, and payment falls 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.

RVUs for 15201PPRRVU2026_Oct_nonQPP.csv, line 1,505 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)