$1,022.58
Choose 15260 for a full-thickness skin graft to a specified facial site when the graft is skin alone. Choose 15760 when multiple tissue types are transferred together.
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CMS RVU26D · Effective 2026-10-01
15760 Composite graft Medicare reimbursement rates in Rhode Island
Reports transfer of a composite graft containing multiple tissue types, such as skin with cartilage, to reconstruct a defect when a free graft is appropriate. Compare 15760 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 15760 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
$874.94
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$620.65
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.
Plastic surgery
About 15760: Composite tissue graft reconstruction
Reports transfer of a composite graft containing multiple tissue types, such as skin with cartilage, to reconstruct a defect when a free graft is appropriate.
A composite graft transfers more than one tissue type together to repair a defect. A familiar example is an ear-derived graft containing skin and cartilage used to reconstruct part of the nose, such as the nasal ala. Plastic surgeons and facial plastic surgeons commonly perform these reconstructions after tumor removal, trauma, or other tissue loss. The graft is detached from its donor site and placed into the recipient defect; it does not retain a vascular pedicle as a flap does.
Select this code when the transferred graft is composite, rather than skin alone or a dermis-fat-fascia graft. The operative report should identify the defect, donor site, tissue components transferred, and graft placement. The 90-day global period includes the day-before preoperative visit and 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 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 15760
- 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 RVU9.61 · 37%
- Practice expense (office) RVU14.73 · 57%
- Malpractice RVU1.33 · 5%
865
Medicare services in 2024 · #3071 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.
15760 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
15770 is for a dermis-fat-fascia graft. 15760 applies when the graft combines tissue types such as skin and cartilage.
$1,070.04
15740 describes an island pedicle flap that keeps a vascular attachment. 15760 describes a detached graft placed into the defect.
Compare 15760 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
$874.94
Facility
$620.65
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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 15760 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
1,540
- Code
- 15760
- Physician work
- 9.61
- Practice expense
- 14.73
- Malpractice
- 1.33
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.61 | × 1.019 | 9.7926 |
| Practice expense | 14.73 | × 1.033 | 15.2161 |
| Malpractice | 1.33 | × 0.892 | 1.1864 |
| Total RVUs | 26.1950 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$874.94
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.61 | 1.019 |
| Practice expense | 14.73 | 1.033 |
| Malpractice | 1.33 | 0.892 |
(9.61 × 1.019 + 14.73 × 1.033 + 1.33 × 0.892) × $33.4009 = $874.94
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.61 | 1.019 |
| Practice expense | 7.36 | 1.033 |
| Malpractice | 1.33 | 0.892 |
(9.61 × 1.019 + 7.36 × 1.033 + 1.33 × 0.892) × $33.4009 = $620.65
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.
15760 billing questions
When should I report 15760 instead of a full-thickness skin graft code?
Use 15760 when the graft transfers multiple tissue types together, such as skin with cartilage. A graft consisting of skin alone is generally reported with the applicable skin-graft code.
Is an ear-to-nose graft a typical example?
Yes. An auricular composite graft containing skin and cartilage may be used to reconstruct a nasal defect, including part of the ala.
Can the donor-site harvest be billed separately?
The graft procedure includes obtaining and placing the composite tissue. Do not separately report the harvest as a second graft procedure.
Should modifier 50 be used for grafts on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the service based on the procedure performed, not with modifier 50.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. 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.
1,53715756,,Free myo/skin flap microvasc,A,,36.02,16.83,NA,16.83,,5.89,58.74,58.74,0,090,0.10,0.71,0.19,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53815757,,Free skin flap microvasc,A,,36.22,16.32,NA,16.32,,5.71,58.25,58.25,0,090,0.10,0.71,0.19,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,53915758,,Free fascial flap microvasc,A,,35.98,16.41,NA,16.41,,5.73,58.12,58.12,0,090,0.10,0.71,0.19,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54015760,,Composite skin graft,A,,9.61,14.73,,7.36,,1.33,25.67,18.30,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54115769,,Grfg autol soft tiss dir exc,A,,6.51,5.77,NA,5.77,,1.33,13.61,13.61,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54215770,,Derma-fat-fascia graft,A,,8.74,8.00,NA,8.00,,1.41,18.15,18.15,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54315771,,Grfg autol fat lipo 50 cc/<,A,,6.56,12.05,,6.39,,1.23,19.84,14.18,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,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