$116.57
15151 counts additional trunk, arm, or leg graft area in 100-square-centimeter increments. 15152 counts each additional 1% of body area for an infant or child.
On this page
CMS RVU26D · Effective 2026-10-01
15152 Cultured skin graft Medicare reimbursement rates in Vermont
Reports each additional 1% of body area treated with a cultured skin autograft on an infant’s or child’s trunk, arms, or legs. Compare 15152 office and facility rates across CMS payment localities in Vermont.
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 15152 in Vermont?
Vermont 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
$143.24
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$111.82
1 of 1 localities have a supported rate.
Payment area: Vermont
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 15152: Pediatric cultured skin graft, additional area
Reports each additional 1% of body area treated with a cultured skin autograft on an infant’s or child’s trunk, arms, or legs.
This add-on reports additional recipient area treated with a tissue-cultured skin autograft on the trunk, arms, or legs of an infant or child. Burn and plastic surgeons commonly use cultured autologous skin in extensive burn care when grafting large wound areas. The code represents each additional 1% of body area treated, rather than another 100-square-centimeter increment.
Report 15152 with the applicable primary cultured-skin-graft procedure, generally 15150 for the initial area. Documentation should identify the treated body sites, the total area grafted, and the patient’s body-area calculation supporting each additional 1% unit. CMS classifies 15152 as an add-on: it is not billed by itself, and its payment is included within the primary procedure’s global period.
CMS billing rules for 15152
- 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 RVU2.44 · 53%
- Practice expense (office) RVU1.54 · 33%
- Malpractice RVU0.64 · 14%
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.
15152 compared with similar codes
Office rates for Vermont, from the same CMS release.
$175.37
15157 uses additional 1% body-area increments for specified sites including the face, scalp, neck, hands, feet, or genitals. 15152 is for the trunk, arms, or legs.
$719.20
15150 reports the initial area of a cultured skin autograft on the trunk, arms, or legs; 15152 reports additional pediatric area and is an add-on.
$885.65
15100 describes a split-thickness autograft for the trunk, arms, or legs. 15152 is an additional-area code for a tissue-cultured autograft in an infant or child.
Compare 15152 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
Vermont →
Office / nonfacility
$143.24
Facility
$111.82
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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 15152 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
1,500
- Code
- 15152
- Physician work
- 2.44
- Practice expense
- 1.54
- Malpractice
- 0.64
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.000 | 2.4400 |
| Practice expense | 1.54 | × 0.990 | 1.5246 |
| Malpractice | 0.64 | × 0.506 | 0.3238 |
| Total RVUs | 4.2884 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$143.24
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1 |
| Practice expense | 1.54 | 0.99 |
| Malpractice | 0.64 | 0.506 |
(2.44 × 1 + 1.54 × 0.99 + 0.64 × 0.506) × $33.4009 = $143.24
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1 |
| Practice expense | 0.59 | 0.99 |
| Malpractice | 0.64 | 0.506 |
(2.44 × 1 + 0.59 × 0.99 + 0.64 × 0.506) × $33.4009 = $111.82
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.
15152 billing questions
When should 15152 be chosen instead of 15151?
Use 15152 for each additional 1% of body area in an infant or child. Code 15151 represents additional area in 100-square-centimeter increments.
Which primary code is reported with 15152?
Report it with the primary cultured skin autograft service for the initial area, generally 15150 for the trunk, arms, or legs.
Can 15152 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How many units should be reported?
Report a unit for each additional 1% of the infant’s or child’s body area treated. The record should support the body-area calculation and treated extent.
What documentation supports this code?
Document the cultured autograft, recipient sites on the trunk, arms, or legs, total treated area, and the calculation supporting each additional 1% unit.
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.
1,49715136,,Drm agrft f/s/n/h/f/g/m ea,A,,1.46,1.32,,0.53,,0.26,3.04,2.25,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49815150,,Tis cltr skn agrft t/a/l 1st,A,,9.16,11.24,,6.86,,2.46,22.86,18.48,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,49915151,,Tis cltr skn agrft t/a/l add,A,,1.95,1.30,,0.47,,0.50,3.75,2.92,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50015152,,Tis cltr skn agrft t/a/l ea,A,,2.44,1.54,,0.59,,0.64,4.62,3.67,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50115155,,Tis cltr agrft f/s/n/h/f/g 1,A,,9.89,13.68,,7.95,,1.83,25.40,19.67,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50215156,,Tis clt agrft f/s/n/h/f/g ad,A,,2.68,1.66,,0.65,,0.71,5.05,4.04,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,50315157,,Tis clt agrft f/s/n/h/f/g ea,A,,2.93,1.94,,0.71,,0.79,5.66,4.43,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817