CPT code 15272: Skin substitute graft, additional trunk, arm, or leg area2026 Medicare rate & RVUs in Missouri
Reports each additional 100 sq cm or part of skin substitute graft application to wounds on the trunk, arms, or legs.
Medicare pays $23.83–$25.08 for 15272 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 15272 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$23.83 to $25.08
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $24.87 | $14.52 |
| Metropolitan St. Louis, MO | $25.08 | $14.59 |
| Rest of Missouri | $23.83 | $14.33 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
15272 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 15271Skin substitute graftFirst 25 cm², trunk/limbs
- 15271 reports the primary graft application to the trunk, arms, or legs; 15272 reports additional area and is not used alone.
- 15273Skin substitute graftLarge trunk or limb wound area
- 15273 is a related primary application code for a different wound-area circumstance on the trunk, arms, or legs; 15272 is the additional-area code paired with 15271.
- 15276Skin substitute graftAdditional area, selected sites
- 15276 reports additional grafted area at specified face, neck, hand, foot, or genital sites; 15272 is for the trunk, arms, or legs.
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
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