$205.48
15100 reports the initial graft area; 15101 reports additional area increments for the same graft type and recipient region.
On this page
CMS RVU26D · Effective 2026-10-01
15100 Skin graft Medicare reimbursement rates in Rhode Island
Reports placement of a patient’s split-thickness skin graft on the trunk, arms, or legs, using the first area increment specified for the graft. Compare 15100 office and facility rates across CMS payment localities in Rhode Island.
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 15100 in Rhode Island?
Rhode Island 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
$939.47
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$668.62
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 graft surgery
About 15100: Split-thickness autograft, trunk or extremity
Reports placement of a patient’s split-thickness skin graft on the trunk, arms, or legs, using the first area increment specified for the graft.
The surgeon takes a thin layer of the patient’s own skin from a donor site and places it over a recipient wound on the trunk, arm, or leg. Common situations include coverage after burn treatment, wound excision, or traumatic skin loss. The code identifies the graft by its split-thickness type and recipient location, not by the donor site. It covers the first 100 square centimeters, or the corresponding 1% of body surface area for infants and children.
Select the code using the recipient site, graft type, and documented treated area; report 15101 for additional area increments. Documentation should identify the recipient site, graft type, area, and harvest and placement performed. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 15100
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.65 · 35%
- Practice expense (office) RVU16.06 · 58%
- Malpractice RVU1.91 · 7%
9.8K
Medicare services in 2024 · #1479 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.
15100 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$890.64
Both describe split-thickness grafting, but 15120 is for specified face, scalp, neck, hand, foot, or genital sites rather than the trunk, arms, or legs.
$914.20
15110 is for an epidermal graft on the trunk, arms, or legs; 15100 is for a split-thickness graft at those sites.
$370.32
15002 describes surgical preparation of a recipient site on the trunk, arms, or legs. It is not the graft-placement code represented by 15100.
Compare 15100 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
Rhode Island →
Office / nonfacility
$939.47
Facility
$668.62
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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 15100 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
1,486
- Code
- 15100
- Physician work
- 9.65
- Practice expense
- 16.06
- Malpractice
- 1.91
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.65 | × 1.019 | 9.8333 |
| Practice expense | 16.06 | × 1.033 | 16.5900 |
| Malpractice | 1.91 | × 0.892 | 1.7037 |
| Total RVUs | 28.1270 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$939.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.65 | 1.019 |
| Practice expense | 16.06 | 1.033 |
| Malpractice | 1.91 | 0.892 |
(9.65 × 1.019 + 16.06 × 1.033 + 1.91 × 0.892) × $33.4009 = $939.47
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.65 | 1.019 |
| Practice expense | 8.21 | 1.033 |
| Malpractice | 1.91 | 0.892 |
(9.65 × 1.019 + 8.21 × 1.033 + 1.91 × 0.892) × $33.4009 = $668.62
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.
15100 billing questions
When is 15100 used instead of 15120?
Use 15100 for a split-thickness graft placed on the trunk, arms, or legs. Code 15120 applies to the specified face, scalp, neck, hands, feet, or genital sites.
How is additional graft area reported?
15100 covers the first 100 square centimeters, or 1% of body surface area for infants and children. Report 15101 for additional area increments and document the total treated area.
Does 15100 include harvesting the donor skin?
The service includes taking and placing the patient’s split-thickness graft. Document the donor and recipient sites and the grafting work performed.
Can recipient-site preparation be reported separately?
A distinct surgical preparation of the recipient site may be reported with the graft when performed and documented; 15002 describes preparation on the trunk, arms, or legs.
Should modifier 50 be used for grafts on both sides?
No. CMS identifies bilateral adjustment as inappropriate for 15100. The descriptor and anatomy do not support modifier 50.
Can an assistant or co-surgeon be paid for 15100?
Medicare payment to an assistant at surgery is restricted for this service. 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 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.
1,4831504F,,Pt has resp insufficiency,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,48415050,,Pinch graft up to 2 cm diam,A,,5.43,11.79,,6.48,,0.92,18.14,12.83,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,4851505F,,Pt has no resp insufficiency,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537