15200 reports the primary full-thickness graft area on the trunk. Use 15201 only for additional area beyond the amount covered by 15200.
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CMS RVU26D · Effective 2026-10-01
15201 Skin graft Medicare reimbursement rates in Virginia
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 Virginia.
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 Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$144.38–$168.86
2 of 2 localities have a supported rate.
Facility setting
$62.30–$70.49
2 of 2 localities have a supported rate.
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 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 Virginia, from the same CMS release.
Both are additional-area full-thickness graft codes, but 15221 applies to scalp, arms, or legs; 15201 applies to the trunk.
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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$168.86
Facility
$70.49
Virginia →
Office / nonfacility
$144.38
Facility
$62.30
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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.
