CPT code 15271: Skin substitute graft, first 25 cm², trunk/limbs2026 Medicare rate & RVUs in South Dakota

Reports skin substitute graft application to trunk, arms, or legs for a treated wound area up to 100 cm², beginning with the first 25 cm².

CMS RVU26DEffective Oct 1, 2026One payment locality292K Medicare services in 2024

In South Dakota, Medicare pays $153.33 for 15271 in the office and $70.49 when it’s performed in a hospital or facility.

$153.33Office (non-facility)
$70.49Hospital or facility
−2.9%vs the national office rate ($157.99)

Check a contract rate as a % of Medicare · 15271 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 15271 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 15271 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 15271 covers

This service covers preparing the wound bed when performed and applying a skin substitute graft to wounds on the trunk, arms, or legs. It is commonly performed by surgeons and wound care clinicians in office, clinic, or facility settings for wounds such as diabetic foot ulcers on the leg or chronic ulcers on the trunk. The code represents the application service, not the skin substitute product itself; the product may be reported separately under an applicable product code when billing rules allow.

Choose 15271 when the combined treated wound area is up to 100 cm², for the first 25 cm² or less. Report 15272 for each additional 25 cm² or part of that amount within the 100 cm² range; use the larger-area code family when the total exceeds 100 cm². Document wound locations, measured treated area, wound-bed preparation, and graft application. The code has a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not append modifier 50. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.

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.

How South Dakota compares for 15271

Across 109 of 109 payment localities, the office rate for 15271 runs from $140.17 in Arkansas to $205.27 in San Benito County, CA. South Dakota pays $153.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

15271 in South Dakota vs other payment areas
  1. South Dakota · this page$153.33
  2. Los Angeles, CA · California$176.33+$23.00
  3. Washington, DC area · District of Columbia$179.60+$26.27
  4. Miami, FL · Florida$172.90+$19.57
  5. Chicago, IL · Illinois$167.92+$14.59
  6. Manhattan, NY · New York$181.78+$28.45
  7. Alaska · Alaska$185.86+$32.53

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

15271 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$142.17$69.69
ArkansasArkansas$140.17$69.02
ArizonaArizona$153.81$73.54
Bakersfield, CACalifornia$165.98$75.20
Chico, CACalifornia$165.37$74.59
El Centro, CACalifornia$165.41$74.62
Fresno, CACalifornia$165.37$74.59
Hanford, CACalifornia$165.37$74.59

15271 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$140.17

$185.86

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
15271 office rate range by state
State / territoryOffice rate rangeLocalities
AK$185.861
AL$142.171
AR$140.171
AZ$153.811
CA$165.37–$205.2729
CO$163.581
CT$168.301
DC$179.601
DE$156.301
FL$157.02–$172.903
GA$148.29–$161.182
GU$169.041
HI$169.041
IA$145.071
ID$146.111
IL$153.04–$167.924
IN$146.921
KS$144.701
KY$146.051
LA$145.94–$152.912
MA$162.76–$179.042
MD$159.13–$179.603
ME$147.16–$154.482
MI$150.00–$159.222
MN$156.011
MO$143.70–$153.093
MS$141.951
MT$157.971
NC$148.611
ND$153.821
NE$145.751
NH$161.301
NJ$170.02–$177.892
NM$150.911
NV$156.921
NY$150.79–$186.445
OH$149.151
OK$145.491
OR$155.49–$168.322
PA$149.22–$164.412
PR$159.011
RI$161.531
SC$149.171
SD$153.331
TN$145.441
TX$148.29–$163.218
UT$151.141
VA$154.19–$179.602
VI$159.011
VT$153.501
WA$162.36–$182.342
WI$148.841
WV$147.621
WY$156.161

See 15271 in every payment locality

How the 15271 rate is calculated

Each of 15271’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 15271

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.46

1.46 RVUs× 1.000 GPCI

Practice expense3.06

3.06 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

4.7300

Conversion factor

$33.4009

Medicare rate

$157.99

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,512

Code
15271
Physician work
1.46
Practice expense
3.06
Malpractice
0.21

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 15271 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0001.4600
Practice expense3.06× 1.0003.0600
Malpractice0.21× 0.3360.0706
Total RVUs4.5906
Conversion factor× 33.4009

Office rate, South Dakota$153.33

Office: (1.46 × 1 + 3.06 × 1 + 0.21 × 0.336) × $33.4009 = $153.33

Facility: (1.46 × 1 + 0.58 × 1 + 0.21 × 0.336) × $33.4009 = $70.49

Open 15271 in the RVU calculator

Payment rules and modifiers for 15271

The CMS indicators that decide how 15271 is paid alongside other services.

CMS payment indicators · 15271

Skin substitute graft, first 25 cm², trunk/limbs

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

15271 without 51 · national office

$157.99

Skin substitute graft, first 25 cm², trunk/limbs

15271-51 · Second procedure: 50%

$79.00

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 15271 has changed in South Dakota

15271 · Office / nonfacility

$153.33

Effective 2026-10-01

The base rate is $9.06 higher than on 2025-10-01, moving from $144.27 to $153.33 (6.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $144.27changed to$153.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 2.88 changed to 3.06
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $149.60changed to$144.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.91 changed to 2.88
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $147.15changed to$149.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $151.14changed to$147.15

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.88 changed to 2.91
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $154.91changed to$151.14

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.90 changed to 2.88
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $153.75changed to$154.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.83 changed to 2.90

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $149.58changed to$153.75

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.56 changed to 2.83
    • Malpractice RVU 0.23 changed to 0.22
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $144.58changed to$149.58

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.43 changed to 2.56
    • Malpractice RVU 0.21 changed to 0.23
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $140.46changed to$144.58

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.32 changed to 2.43

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $138.28changed to$140.46

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.27 changed to 2.32
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $138.35changed to$138.28

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.28 changed to 2.27
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $138.99changed to$138.35

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $138.30changed to$138.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $138.27changed to$138.30

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.26 changed to 2.28
    • Malpractice RVU 0.24 changed to 0.22
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $132.28changed to$138.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.28 changed to 2.26
    • Malpractice RVU 0.25 changed to 0.24
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $132.28

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$153.33$70.49RVU26D
2026-07-01$153.33$70.49RVU26C
2026-04-01$153.33$70.49RVU26B
2026-01-01$153.33$70.49RVU26A
2025-10-01$144.27$77.32RVU25D
2025-07-01$144.27$77.32RVU25C
2025-04-01$144.27$77.32RVU25B
2025-01-01$144.27$77.32RVU25A
2024-10-01$149.60$78.69RVU24D
2024-07-01$149.60$78.69RVU24C
2024-04-01$149.60$78.69RVU24B
2024-03-09$149.60$78.69RVU24AR
2024-01-01$147.15$77.41RVU24A
2023-10-01$151.14$78.96RVU23D
2023-07-01$151.14$78.96RVU23C
2023-04-01$151.14$78.96RVU23B
2023-01-01$151.14$78.96RVU23A
2022-10-01$154.91$80.16RVU22D
2022-07-01$154.91$80.16RVU22C
2022-04-01$154.91$80.16RVU22B
2022-01-01$154.91$80.16RVU22A
2021-10-01$153.75$80.48RVU21D
2021-07-01$153.75$80.48RVU21C
2021-04-01$153.75$80.48RVU21B
2021-01-01$153.75$80.48RVU21A
2020-10-01$149.58$83.17RVU20D
2020-07-01$149.58$83.17RVU20C
2020-04-01$149.58$83.17RVU20B
2020-01-01$149.58$83.17RVU20A
2019-10-01$144.58$82.59RVU19D
2019-07-01$144.58$82.59RVU19C
2019-04-01$144.58$82.59RVU19B
2019-01-01$144.58$82.59RVU19A
2018-10-01$140.46$82.86RVU18D
2018-07-01$140.46$82.86RVU18C
2018-04-01$140.46$82.86RVU18B
2018-01-01$140.46$82.86RVU18AR1
2017-10-01$138.28$83.01RVU17D
2017-07-01$138.28$83.01RVU17C
2017-04-01$138.28$83.01RVU17B
2017-01-01$138.28$83.01RVU17A
2016-10-01$138.35$82.85RVU16D
2016-07-01$138.35$82.85RVU16C
2016-04-01$138.35$82.85RVU16B
2016-01-01$138.35$82.85RVU16A
2015-10-01$138.99$82.93RVU15D
2015-07-01$138.99$82.93RVU15C
2015-04-01$138.30$82.52RVU15B
2015-01-01$138.30$82.52RVU15A
2014-10-01$138.27$83.46RVU14D
2014-07-01$138.27$83.46RVU14C
2014-04-01$138.27$83.46RVU14B
2014-01-01$138.27$83.46RVU14A
2013-10-01$132.28$81.93RVU13D
2013-07-01$132.28$81.93RVU13C
2013-04-01$132.28$81.93RVU13B
2013-01-01$132.28$81.93RVU13AR

Price 15271 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

15271 billing questions

When should 15271 be selected instead of 15273?

Use 15271 when the combined treated wound area on the trunk, arms, or legs is up to 100 cm². For a total area greater than 100 cm², use the larger-area code family beginning with 15273.

How are additional wound-area units reported?

15271 covers the first 25 cm² or less. Report add-on code 15272 for each additional 25 cm² or part thereof, within the up-to-100 cm² range.

Can the skin substitute product be billed separately?

The application service is distinct from the product. The product may be reported with its applicable product code when billing rules allow.

Should modifier 50 be used when both sides are treated?

No. Modifier 50 is inappropriate for this code, even when treatment involves both sides of the body.

What documentation supports 15271?

Record the treated wound locations, total treated surface area, wound-bed preparation when performed, and the graft application. The measurements support selection of the initial and any add-on area codes.

Can an assistant or co-surgeon be reported?

Medicare payment for an assistant at surgery is statutorily restricted for this code. Co-surgeon and team-surgery billing are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 15271PPRRVU2026_Oct_nonQPP.csv, line 1,512 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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