{
    "code": "15260",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/15260/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/15260/2017/C",
    "description": "A skin graft that takes all layers of skin, epidermis and dermis together, from a donor site and transplants it to a defect on the nose, ear, eyelid, or lip; the donor site is then stitched closed. Full-thickness grafts are chosen for these areas because they contract less and match the surrounding skin better than thinner split-thickness grafts. This code covers a smaller graft area, with a companion code for each further block of area on a larger reconstruction. Grafts to the face more broadly, or to the trunk and limbs, fall under different codes.",
    "answer": {
        "question": "How much did Medicare pay for CPT 15260 in Q3 2017?",
        "text": "Medicare paid $1,036.11 for CPT 15260 in the office (non-facility) setting and $889.32 in a facility under the Q3 2017 Physician Fee Schedule, effective July 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it increased 0.5%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "C",
        "label": "Q3 2017",
        "effective": "July 1 – September 30, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1036.11,
        "facility": 889.32,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 11.64,
        "practice_expense_non_facility": 15.53,
        "practice_expense_facility": 11.44,
        "malpractice": 1.7
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q3 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/C",
        "file": "PPRRVU17_JULY_V0503.csv",
        "row": 5355,
        "sha256": "900a883af582a5aea1ddfbf94ff14f240d036b71a2c76cfeb2f699e487fef5ce"
    },
    "modified_at": "2026-08-04T03:07:49+00:00"
}