Billing code 15050: Pinch graftMedicare rate & RVUs in Nevada

Report a pinch graft when one or more small skin fragments are placed to cover a recipient area no larger than 2 cm in diameter.

CMS RVU26DEffective Oct 1, 20261 payment locality364 Medicare services in 2024

Medicare pays $601.15 for 15050 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$601.15Office (non-facility)
$423.62Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 15050 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 15050 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 15050 covers

A pinch graft covers a very small skin defect using one or more small pieces of the patient’s own skin transferred to the wound. Surgeons, including plastic and dermatologic surgeons, may use the technique for a small wound or ulcer when this graft method is selected. The code is defined by the size of the covered area, not by the number of skin fragments placed.

Document the recipient site, the covered area’s diameter, the graft technique, and the clinical reason for grafting. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

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.

15050 in Nevada**

15050 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$601.15$423.62

How the 15050 rate is calculated

Each of 15050’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 15050

RVUs × geographic indexes × conversion factor

Work5.43

5.43 RVUs× 1.000 GPCI

Practice expense11.79

11.79 RVUs× 1.000 GPCI

Malpractice0.92

0.92 RVUs× 1.000 GPCI

Adjusted RVUs

18.1400

Conversion factor

$33.4009

Medicare rate

$605.89

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 15050

15050 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 15050

Pinch graft

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 15050

Pinch graft

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

15050 without 51 · national office

$605.89

Pinch graft

15050-51 · Second procedure: 50%

$302.95

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

15050 compared with similar codes

Compare codes · National

4 codes, side by side

  • 15050

    Pinch graft5.43 wRVU

    $605.89

  • 15100

    Skin graft9.65 wRVU

    $922.53+$316.64

  • 15120

    Skin graft9.9 wRVU

    $874.10+$268.21

  • 15002

    Wound preparation3.56 wRVU

    $363.07−$242.82

How to choose

15100Skin graft
15050 describes the pinch-graft method for a recipient area up to 2 cm in diameter. 15100 describes a split-thickness graft for the trunk, arms, or legs.
15120Skin graft
Choose 15120 for a split-thickness graft at its specified anatomic sites, such as the face, hands, or feet; 15050 is selected for the small-area pinch-graft technique.
15002Wound preparation
15002 reports recipient-site preparation on the trunk, arms, or legs, not placement of the pinch graft itself.

15050 billing questions

When should I choose 15050 instead of a split-thickness graft code?

Use 15050 for a small recipient area up to 2 cm in diameter treated with the pinch-graft technique. Split-thickness graft codes describe a different graft method and are selected according to the recipient site.

Does each pinch of skin support a separate unit?

No. The code covers one or multiple skin fragments used to cover the qualifying small area; the number of fragments does not make each one a separate service.

Can wound-bed preparation be reported with the graft?

A separately performed and documented wound-preparation service may be coded using the applicable site-specific preparation code. For example, 15002 is for preparation involving the trunk, arms, or legs.

Should modifier 50 be appended for grafts on both sides?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be paid?

Medicare does not pay an assistant at surgery for 15050. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 15050PPRRVU2026_Oct_nonQPP.csv, line 1,484 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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