2025 Skin Cell Suspension Autograft Fees

Published 10/09/2025

2025 Jurisdiction J (JJ) Skin Cell Suspension Autograft Fees

Palmetto GBA recently established contractor pricing for skin cell suspension autograft codes. 

Table 1
15011 Harvest of skin for skin cell suspension self skin graft, first 25 sq cm or less
15012 Harvest of skin for skin cell suspension self skin graft, each additional 25 sq cm
15013 Preparation of skin cell suspension self skin graft, first 25 sq cm or less of harvested skin
15014 Preparation of skin cell suspension self skin graft, each additional 25 sq cm or less of harvested skin
15015 Application of skin cell suspension self skin graft to wound and donor sites to trunk, arms, legs, first 480 sq cm or less
15016 Application of skin cell suspension self skin graft to wound and donor sites to trunk, arms, legs, each additional 480 sq cm
15017 Application of skin cell suspension self skin graft to wound and donor sites to face, scalp, eyelids, mouth, neck, ears, eye sockets, genitalia, hands, feet, and/or multiple fingers/toes, first 480 sq cm or less
15018 Application of skin cell suspension self skin graft to wound and donor sites to face, scalp, eyelids, mouth, neck, ears, eye sockets, genitalia, hands, feet, and/or multiple fingers/toes, each additional 480 sq cm

The fees below are effective January 1, 2025, and have been implemented for claims processing.  

Table 2: 15011
15011
State Carrier Locality Facility Fee Non-Facility Fee
Alabama 10112 00 $111.68 $224.67
Georgia 10212 01 $124.35 $254.00
Georgia 10212 99 $119.08 $233.90
Tennessee 10312 35 $112.53 $229.04
Table 3: 15012
15012
State Carrier Locality Facility Fee Non-Facility Fee
Alabama 10112 00 $111.68 $224.67
Georgia 10212 01 $124.35 $254.00
Georgia 10212 99 $119.08 $233.90
Tennessee 10312 35 $112.53 $229.04
Table 4: 15013
15013
State Carrier Locality Facility Fee Non-Facility Fee
Alabama 10112 00 $111.68 $224.67
Georgia 10212 01 $124.35 $254.00
Georgia 10212 99 $119.08 $233.90
Tennessee 10312 35 $112.53 $229.04
Table 5: 15014
15014
State Carrier Locality Facility Fee Non-Facility Fee
Alabama 10112 00 $111.68 $224.67
Georgia 10212 01 $124.35 $254.00
Georgia 10212 99 $119.08 $233.90
Tennessee 10312 35 $112.53 $229.04
Table 6: 15015
15015
State Carrier Locality Facility Fee Non-Facility Fee
Alabama 10112 00 $632.82 $728.96
Georgia 10212 01 $706.03 $816.33
Georgia 10212 99 $674.56 $772.24
Tennessee 10312 35 $638.09 $737.21
Table 7: 15016
15016
State Carrier Locality Facility Fee Non-Facility Fee
Alabama 10112 00 $89.48 $100.16
Georgia 10212 01 $100.36 $112.62
Georgia 10212 99 $97.48 $108.33
Tennessee 10312 35 $89.72 $100.74
Table 8: 15017
15017
State Carrier Locality Facility Fee Non-Facility Fee
Alabama 10112 00 $626.42 $720.02
Georgia 10212 01 $691.15 $798.54
Georgia 10212 99 $660.89 $756.00
Tennessee 10312 35 $631.81 $728.32
Table 9: 15018
15018
State Carrier Locality Facility Fee Non-Facility Fee
Alabama 10112 00 $121.36 $135.13
Georgia 10212 01 $135.81 $151.61
Georgia 10212 99 $131.81 $145.80
Tennessee 10312 35 $121.73 $135.93

Please note that the inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.


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