CPT code 15272: Skin substitute graft, additional trunk, arm, or leg area2026 Medicare rate & RVUs in Chicago, IL

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 Chicago, IL, Medicare pays $28.02 for 15272 in the office and $16.95 when it’s performed in a hospital or facility.

$28.02Office (non-facility)
$16.95Hospital or facility
+8.9%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 Chicago, IL
  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 Chicago, IL 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. Chicago, IL pays $28.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

15272 in Chicago, IL vs other payment areas
  1. Chicago, IL · this page$28.02
  2. East St. Louis, IL · Illinois$26.34−$1.68
  3. Rest of Illinois · Illinois$25.50−$2.52
  4. Suburban Chicago, IL · Illinois$27.44−$0.58
  5. Los Angeles, CA · California$28.04+$0.02
  6. Washington, DC area · District of Columbia$28.86+$0.84
  7. Miami, FL · Florida$28.82+$0.80

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

Every other payment area

15272 in every other Medicare payment locality
Payment localityOfficeFacility
Manhattan, NYNew York$29.55$16.74
AlaskaAlaska$31.18$19.44
AlabamaAlabama$23.32$13.68
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

15272 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.

$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 Chicago, IL 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

48

Locality
Chicago, IL
Physician work
1.007
Practice expense
1.005
Malpractice
2.295
Office calculation for 15272 in Chicago, IL
ComponentRVULocality factorAdjusted
Physician work0.32× 1.0070.3222
Practice expense0.40× 1.0050.4020
Malpractice0.05× 2.2950.1148
Total RVUs0.8390
Conversion factor× 33.4009

Office rate, Chicago, IL$28.02

Office: (0.32 × 1.007 + 0.4 × 1.005 + 0.05 × 2.295) × $33.4009 = $28.02

Facility: (0.32 × 1.007 + 0.07 × 1.005 + 0.05 × 2.295) × $33.4009 = $16.95

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.

How 15272 has changed in Chicago, IL

15272 · Office / nonfacility

$28.02

Effective 2026-10-01

The base rate is $2.75 higher than on 2025-10-01, moving from $25.27 to $28.02 (10.9%).

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

    $25.27changed to$28.02

    • 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
    • Practice expense GPCI 1.023 changed to 1.005
    • Malpractice GPCI 2.018 changed to 2.295

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $26.68changed to$25.27

    • 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

    $26.24changed to$26.68

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $26.17changed to$26.24

    • 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 1.009 changed to 1.007
    • Practice expense GPCI 1.033 changed to 1.023
    • Malpractice GPCI 1.945 changed to 2.018
  5. January 1, 2023

    RVU23A

    $28.72changed to$26.17

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.07 changed to 0.04
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 1.871 changed to 1.945

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $28.02changed to$28.72

    • 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

    $29.63changed to$28.02

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.009 changed to 1.011
    • Practice expense GPCI 1.039 changed to 1.044
    • Malpractice GPCI 1.898 changed to 1.871

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $29.62changed to$29.63

    • 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 1.008 changed to 1.009
    • Practice expense GPCI 1.034 changed to 1.039
    • Malpractice GPCI 1.925 changed to 1.898

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $30.33changed to$29.62

    • 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

    $30.02changed to$30.33

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.39 changed to 0.40
    • Work GPCI 1.012 changed to 1.008
    • Practice expense GPCI 1.036 changed to 1.034
    • Malpractice GPCI 1.972 changed to 1.925

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $30.10changed to$30.02

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.016 changed to 1.012
    • Practice expense GPCI 1.037 changed to 1.036
    • Malpractice GPCI 2.019 changed to 1.972

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $30.21changed to$30.10

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $30.06changed to$30.21

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $29.24changed to$30.06

    • 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 1.023 changed to 1.016
    • Practice expense GPCI 1.044 changed to 1.037
    • Malpractice GPCI 2.048 changed to 2.019

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $27.98changed to$29.24

    • Conversion factor 34.0230 changed to 35.8228
    • Work GPCI 1.030 changed to 1.023
    • Practice expense GPCI 1.051 changed to 1.044
    • Malpractice GPCI 2.077 changed to 2.048

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$27.98

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$28.02$16.95RVU26D
2026-07-01$28.02$16.95RVU26C
2026-04-01$28.02$16.95RVU26B
2026-01-01$28.02$16.95RVU26A
2025-10-01$25.27$17.66RVU25D
2025-07-01$25.27$17.66RVU25C
2025-04-01$25.27$17.66RVU25B
2025-01-01$25.27$17.66RVU25A
2024-10-01$26.68$18.51RVU24D
2024-07-01$26.68$18.51RVU24C
2024-04-01$26.68$18.51RVU24B
2024-03-09$26.68$18.51RVU24AR
2024-01-01$26.24$18.20RVU24A
2023-10-01$26.17$18.12RVU23D
2023-07-01$26.17$18.12RVU23C
2023-04-01$26.17$18.12RVU23B
2023-01-01$26.17$18.12RVU23A
2022-10-01$28.72$20.41RVU22D
2022-07-01$28.72$20.41RVU22C
2022-04-01$28.72$20.41RVU22B
2022-01-01$28.72$20.41RVU22A
2021-10-01$28.02$19.28RVU21D
2021-07-01$28.02$19.28RVU21C
2021-04-01$28.02$19.28RVU21B
2021-01-01$28.02$19.28RVU21A
2020-10-01$29.63$20.63RVU20D
2020-07-01$29.63$20.63RVU20C
2020-04-01$29.63$20.63RVU20B
2020-01-01$29.63$20.63RVU20A
2019-10-01$29.62$19.93RVU19D
2019-07-01$29.62$19.93RVU19C
2019-04-01$29.62$19.93RVU19B
2019-01-01$29.62$19.93RVU19A
2018-10-01$30.33$20.28RVU18D
2018-07-01$30.33$20.28RVU18C
2018-04-01$30.33$20.28RVU18B
2018-01-01$30.33$20.28RVU18AR1
2017-10-01$30.02$19.99RVU17D
2017-07-01$30.02$19.99RVU17C
2017-04-01$30.02$19.99RVU17B
2017-01-01$30.02$19.99RVU17A
2016-10-01$30.10$20.07RVU16D
2016-07-01$30.10$20.07RVU16C
2016-04-01$30.10$20.07RVU16B
2016-01-01$30.10$20.07RVU16A
2015-10-01$30.21$20.15RVU15D
2015-07-01$30.21$20.15RVU15C
2015-04-01$30.06$20.05RVU15B
2015-01-01$30.06$20.05RVU15A
2014-10-01$29.24$19.52RVU14D
2014-07-01$29.24$19.52RVU14C
2014-04-01$29.24$19.52RVU14B
2014-01-01$29.24$19.52RVU14A
2013-10-01$27.98$19.04RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 15272 for an earlier date of service

Where the Chicago, IL rate applies

Chicago, IL is a Medicare payment area, not a city. Our Census mapping connects it to 137 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.

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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 Chicago, ILGPCI2026.csv, line 48 (RVU26D)

Open CMS sourceHow we calculate rates

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