# CPT 15100: Split-thickness autograft, trunk/arms/legs, first 100 sq cm

Medicare CPT 15100 pays $922.53 in a non-facility setting and $660.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $815.96 in Arkansas to $1,089.92 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/15100-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Plastic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $922.53 |
| National facility | $660.34 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,089.92 | $810.68 |
| District of Columbia | $1,042.63 | $733.76 |
| New York | $1,022.76 | $730.25 |
| New Jersey | $1,011.98 | $716.76 |
| California | $1,003.20 | $692.95 |
| Washington | $994.33 | $695.42 |
| Massachusetts | $987.98 | $693.41 |
| Florida | $984.71 | $721.64 |
| Connecticut | $983.68 | $701.29 |
| Hawaii | $969.16 | $671.05 |
| Illinois | $963.68 | $710.33 |
| Maryland | $954.47 | $681.13 |
| Colorado | $946.76 | $667.78 |
| Rhode Island | $939.47 | $668.62 |
| New Hampshire | $936.55 | $663.60 |
| Oregon | $936.17 | $659.95 |
| Puerto Rico | $927.48 | $662.40 |
| Virgin Islands | $927.48 | $662.40 |
| Montana | $922.41 | $660.21 |
| Pennsylvania | $918.84 | $662.02 |
| Michigan | $915.81 | $669.61 |
| Nevada | $912.42 | $649.96 |
| Texas | $911.45 | $653.32 |
| Delaware | $911.26 | $652.21 |
| Georgia | $910.88 | $660.74 |
| Wyoming | $905.95 | $643.75 |
| Arizona | $896.72 | $642.65 |
| Virginia | $894.66 | $636.92 |
| Minnesota | $893.18 | $623.38 |
| New Mexico | $890.83 | $650.40 |
| Vermont | $885.65 | $626.08 |
| North Dakota | $884.64 | $622.44 |
| Utah | $883.84 | $637.38 |
| South Dakota | $880.17 | $617.98 |
| West Virginia | $879.76 | $651.91 |
| Louisiana | $878.87 | $639.48 |
| Missouri | $877.37 | $636.76 |
| Ohio | $876.37 | $636.99 |
| Maine | $874.83 | $624.31 |
| South Carolina | $872.20 | $629.93 |
| North Carolina | $863.56 | $618.93 |
| Kentucky | $857.57 | $624.47 |
| Wisconsin | $855.86 | $604.67 |
| Oklahoma | $850.91 | $616.77 |
| Indiana | $850.58 | $607.53 |
| Idaho | $846.00 | $604.78 |
| Tennessee | $844.18 | $605.84 |
| Nebraska | $841.55 | $599.54 |
| Kansas | $839.39 | $602.37 |
| Iowa | $838.47 | $598.56 |
| Mississippi | $831.32 | $605.57 |
| Alabama | $827.79 | $598.37 |
| Arkansas | $815.96 | $590.73 |

## Related codes

- 10060: Incision and drainage of abscess, simple — https://www.med-reveal.com/rates/10060-cpt-fee-schedule
- 10061: Incision and drainage of abscess, complicated — https://www.med-reveal.com/rates/10061-cpt-fee-schedule
- 10120: Incision and removal of foreign body, subcutaneous, simple — https://www.med-reveal.com/rates/10120-cpt-fee-schedule
- 10121: Incision and removal of foreign body, subcutaneous, complicated — https://www.med-reveal.com/rates/10121-cpt-fee-schedule
- 11000: Debridement of extensive eczematous or infected skin, first 10% of body surface — https://www.med-reveal.com/rates/11000-cpt-fee-schedule
- 11042: Debridement, subcutaneous tissue, first 20 sq cm or less — https://www.med-reveal.com/rates/11042-cpt-fee-schedule
- 11043: Debridement, muscle and/or fascia, first 20 sq cm or less — https://www.med-reveal.com/rates/11043-cpt-fee-schedule
- 11044: Debridement, bone, first 20 sq cm or less — https://www.med-reveal.com/rates/11044-cpt-fee-schedule

Commercial negotiated rates for 15100 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules
