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CPT code 15272: Skin substitute graft, additional trunk, arm, or leg area2026 Medicare rate & RVUs in Washington, DC area

Reports each additional 100 sq cm or part of skin substitute graft application to wounds on the trunk, arms, or legs.

CMS RVU26DEffective Oct 1, 2026One payment locality56.9K Medicare services in 2024

In Washington, DC area, Medicare pays $28.86 for 15272 in the office and $15.88 when it’s performed in a hospital or facility.

$28.86Office (non-facility)
$15.88Hospital or facility
+12.2%vs the national office rate ($25.72)

Check a contract rate as a % of Medicare · 15272 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 15272 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 15272 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 15272 covers

This add-on reports application of a skin substitute graft to additional wound area on the trunk, arms, or legs. It may be used when a clinician treats wounds such as chronic ulcers, after measuring the total surface area treated. Physicians and other qualified practitioners commonly perform the service in an office or hospital outpatient setting. The code represents additional treated area, not a separate graft application method or a different wound site.

Report 15272 with the applicable primary application code, 15271, for additional area beyond the initial area. The record should identify the treated body site, document the wound surface area and support the amount of additional area grafted. As an add-on code, 15272 is billed only with a primary procedure and is paid within that procedure's global period.

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 Washington, DC area compares for 15272

Across 109 of 109 payment localities, the office rate for 15272 runs from $23.02 in Arkansas to $32.02 in San Benito County, CA. Washington, DC area pays $28.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

15272 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$28.86
  2. Los Angeles, CA · California$28.04−$0.82
  3. Miami, FL · Florida$28.82−$0.04
  4. Chicago, IL · Illinois$28.02−$0.84
  5. Manhattan, NY · New York$29.55+$0.69
  6. Alaska · Alaska$31.18+$2.32
  7. Alabama · Alabama$23.32−$5.54

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

15272 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$23.02$13.56
ArizonaArizona$25.06$14.38
Bakersfield, CACalifornia$26.55$14.47
Chico, CACalifornia$26.41$14.33
El Centro, CACalifornia$26.42$14.34
Fresno, CACalifornia$26.41$14.33
Hanford, CACalifornia$26.41$14.33
Madera, CACalifornia$26.41$14.33

15272 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$23.02

$31.18

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

View every state and territory as a table
15272 office rate range by state
State / territoryOffice rate rangeLocalities
AK$31.181
AL$23.321
AR$23.021
AZ$25.061
CA$26.41–$32.0229
CO$26.341
CT$27.311
DC$28.861
DE$25.441
FL$25.97–$28.823
GA$24.60–$26.302
GU$26.851
HI$26.851
IA$23.581
ID$23.771
IL$25.50–$28.024
IN$23.881
KS$23.611
KY$24.091
LA$24.11–$25.162
MA$26.26–$28.572
MD$25.85–$28.863
ME$24.02–$24.982
MI$24.77–$26.402
MN$24.931
MO$23.83–$25.083
MS$23.431
MT$25.721
NC$24.221
ND$24.731
NE$23.651
NH$26.061
NJ$27.54–$28.642
NM$24.951
NV$25.451
NY$24.55–$30.365
OH$24.571
OK$23.921
OR$25.17–$26.952
PA$24.53–$26.782
PR$25.841
RI$26.181
SC$24.451
SD$24.611
TN$23.731
TX$24.40–$26.348
UT$24.751
VA$25.00–$28.862
VI$25.841
VT$24.761
WA$26.17–$28.982
WI$24.001
WV$24.691
WY$25.281

See 15272 in every payment locality

How the 15272 rate is calculated

Each of 15272’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 · 15272

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.32

0.32 RVUs× 1.000 GPCI

Practice expense0.40

0.40 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

0.7700

Conversion factor

$33.4009

Medicare rate

$25.72

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,513

Code
15272
Physician work
0.32
Practice expense
0.40
Malpractice
0.05

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 15272 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.32× 1.0540.3373
Practice expense0.40× 1.1780.4712
Malpractice0.05× 1.1130.0557
Total RVUs0.8641
Conversion factor× 33.4009

Office rate, Washington, DC area$28.86

Office: (0.32 × 1.054 + 0.4 × 1.178 + 0.05 × 1.113) × $33.4009 = $28.86

Facility: (0.32 × 1.054 + 0.07 × 1.178 + 0.05 × 1.113) × $33.4009 = $15.88

Open 15272 in the RVU calculator

Payment rules and modifiers for 15272

The CMS indicators that decide how 15272 is paid alongside other services.

CMS payment indicators · 15272

Skin substitute graft, additional trunk, arm, or leg area

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 15272

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 15272
CodeHow it relatesOffice range, Washington, DC area
Add-on codes
15271Skin substitute graft, first 25 cm², trunk/limbsPrimary skin substitute graft application code for the trunk, arms, or legs.$179.60
Same family
15273Skin substitute graft, large trunk or limb wound areaRelated trunk, arm, or leg application code for a different wound-area circumstance.$363.83
15274Skin substitute, each additional 100 sq cmRelated additional-area code for the 15273 application series.$98.70
15276Skin substitute graft, additional area, selected sitesAdditional-area code for the specified face, neck, hand, foot, or genital sites.$37.56
Used instead
15275Skin substitute, face and other specified sitesApplication code for skin substitute grafts at specified face, neck, hand, foot, or genital sites.$181.06

How 15272 has changed in Washington, DC area

15272 · Office / nonfacility

$28.86

Effective 2026-10-01

The base rate is $2.19 higher than on 2025-10-01, moving from $26.67 to $28.86 (8.2%).

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

    $26.67changed to$28.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.33 changed to 0.32
    • Practice expense RVU 0.36 changed to 0.40
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $27.84changed to$26.67

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $27.38changed to$27.84

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $27.88changed to$27.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.35 changed to 0.36
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $30.14changed to$27.88

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.07 changed to 0.04
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $29.92changed to$30.14

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.36 changed to 0.35
    • Malpractice RVU 0.05 changed to 0.07

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $31.12changed to$29.92

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $31.20changed to$31.12

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.38 changed to 0.36
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $32.04changed to$31.20

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.40 changed to 0.38

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $31.56changed to$32.04

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.39 changed to 0.40
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $31.54changed to$31.56

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $31.65changed to$31.54

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $31.49changed to$31.65

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $30.50changed to$31.49

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.38 changed to 0.39
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $28.80changed to$30.50

    • Conversion factor 34.0230 changed to 35.8228
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $28.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$28.86$15.88RVU26D
2026-07-01$28.86$15.88RVU26C
2026-04-01$28.86$15.88RVU26B
2026-01-01$28.86$15.88RVU26A
2025-10-01$26.67$17.81RVU25D
2025-07-01$26.67$17.81RVU25C
2025-04-01$26.67$17.81RVU25B
2025-01-01$26.67$17.81RVU25A
2024-10-01$27.84$18.32RVU24D
2024-07-01$27.84$18.32RVU24C
2024-04-01$27.84$18.32RVU24B
2024-03-09$27.84$18.32RVU24AR
2024-01-01$27.38$18.02RVU24A
2023-10-01$27.88$18.41RVU23D
2023-07-01$27.88$18.41RVU23C
2023-04-01$27.88$18.41RVU23B
2023-01-01$27.88$18.41RVU23A
2022-10-01$30.14$20.30RVU22D
2022-07-01$30.14$20.30RVU22C
2022-04-01$30.14$20.30RVU22B
2022-01-01$30.14$20.30RVU22A
2021-10-01$29.92$19.57RVU21D
2021-07-01$29.92$19.57RVU21C
2021-04-01$29.92$19.57RVU21B
2021-01-01$29.92$19.57RVU21A
2020-10-01$31.12$20.55RVU20D
2020-07-01$31.12$20.55RVU20C
2020-04-01$31.12$20.55RVU20B
2020-01-01$31.12$20.55RVU20A
2019-10-01$31.20$19.91RVU19D
2019-07-01$31.20$19.91RVU19C
2019-04-01$31.20$19.91RVU19B
2019-01-01$31.20$19.91RVU19A
2018-10-01$32.04$20.32RVU18D
2018-07-01$32.04$20.32RVU18C
2018-04-01$32.04$20.32RVU18B
2018-01-01$32.04$20.32RVU18AR1
2017-10-01$31.56$19.88RVU17D
2017-07-01$31.56$19.88RVU17C
2017-04-01$31.56$19.88RVU17B
2017-01-01$31.56$19.88RVU17A
2016-10-01$31.54$19.89RVU16D
2016-07-01$31.54$19.89RVU16C
2016-04-01$31.54$19.89RVU16B
2016-01-01$31.54$19.89RVU16A
2015-10-01$31.65$19.96RVU15D
2015-07-01$31.65$19.96RVU15C
2015-04-01$31.49$19.86RVU15B
2015-01-01$31.49$19.86RVU15A
2014-10-01$30.50$19.31RVU14D
2014-07-01$30.50$19.31RVU14C
2014-04-01$30.50$19.31RVU14B
2014-01-01$30.50$19.31RVU14A
2013-10-01$28.80$18.61RVU13D
2013-07-01$28.80$18.61RVU13C
2013-04-01$28.80$18.61RVU13B
2013-01-01$28.80$18.61RVU13AR

Price 15272 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

15272 billing questions

When is 15272 reported instead of 15271?

15271 reports the primary application for the trunk, arms, or legs. Report 15272 for each additional 100 sq cm or part thereof, with 15271.

Can 15272 be reported by itself?

No. It is an add-on code and must be billed with the applicable primary procedure, 15271.

What documentation supports an additional unit?

Document the treated site and total wound surface area, with enough detail to support each additional 100 sq cm or part thereof.

Does 15272 cover wounds on the face or neck?

No. This code applies to additional treated area on the trunk, arms, or legs. The skin substitute graft family has separate codes for the face, neck, hands, feet, and genitalia.

How does the global-period rule affect 15272?

CMS pays this add-on within the primary procedure's global period; it is not a separately paid standalone service.

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 15272PPRRVU2026_Oct_nonQPP.csv, line 1,513 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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