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

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 Utah, Medicare pays $24.75 for 15272 in the office and $14.39 when it’s performed in a hospital or facility.

$24.75Office (non-facility)
$14.39Hospital or facility
−3.8%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 Utah
  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 Utah 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. Utah pays $24.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

15272 in Utah vs other payment areas
  1. Utah · this page$24.75
  2. Los Angeles, CA · California$28.04+$3.29
  3. Washington, DC area · District of Columbia$28.86+$4.11
  4. Miami, FL · Florida$28.82+$4.07
  5. Chicago, IL · Illinois$28.02+$3.27
  6. Manhattan, NY · New York$29.55+$4.80
  7. Alaska · Alaska$31.18+$6.43

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

Every other payment area

15272 in every other Medicare payment locality
Payment localityOfficeFacility
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
Fresno, CACalifornia$26.41$14.33
Hanford, CACalifornia$26.41$14.33

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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 15272 in Utah
ComponentRVULocality factorAdjusted
Physician work0.32× 1.0000.3200
Practice expense0.40× 0.9400.3760
Malpractice0.05× 0.8980.0449
Total RVUs0.7409
Conversion factor× 33.4009

Office rate, Utah$24.75

Office: (0.32 × 1 + 0.4 × 0.94 + 0.05 × 0.898) × $33.4009 = $24.75

Facility: (0.32 × 1 + 0.07 × 0.94 + 0.05 × 0.898) × $33.4009 = $14.39

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 Utah

15272 · Office / nonfacility

$24.75

Effective 2026-10-01

The base rate is $2.01 higher than on 2025-10-01, moving from $22.74 to $24.75 (8.8%).

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

    $22.74changed to$24.75

    • 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 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $23.71changed to$22.74

    • 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

    $23.33changed to$23.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $23.34changed to$23.33

    • 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
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $24.49changed to$23.34

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.07 changed to 0.04
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $24.45changed to$24.49

    • 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

    $26.03changed to$24.45

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $26.69changed to$26.03

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $27.33changed to$26.69

    • 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

    $26.88changed to$27.33

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.39 changed to 0.40
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $26.78changed to$26.88

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $26.88changed to$26.78

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $26.75changed to$26.88

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $25.96changed to$26.75

    • 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
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $24.57changed to$25.96

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $24.57

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$24.75$14.39RVU26D
2026-07-01$24.75$14.39RVU26C
2026-04-01$24.75$14.39RVU26B
2026-01-01$24.75$14.39RVU26A
2025-10-01$22.74$15.80RVU25D
2025-07-01$22.74$15.80RVU25C
2025-04-01$22.74$15.80RVU25B
2025-01-01$22.74$15.80RVU25A
2024-10-01$23.71$16.26RVU24D
2024-07-01$23.71$16.26RVU24C
2024-04-01$23.71$16.26RVU24B
2024-03-09$23.71$16.26RVU24AR
2024-01-01$23.33$15.99RVU24A
2023-10-01$23.34$16.12RVU23D
2023-07-01$23.34$16.12RVU23C
2023-04-01$23.34$16.12RVU23B
2023-01-01$23.34$16.12RVU23A
2022-10-01$24.49$17.17RVU22D
2022-07-01$24.49$17.17RVU22C
2022-04-01$24.49$17.17RVU22B
2022-01-01$24.49$17.17RVU22A
2021-10-01$24.45$16.76RVU21D
2021-07-01$24.45$16.76RVU21C
2021-04-01$24.45$16.76RVU21B
2021-01-01$24.45$16.76RVU21A
2020-10-01$26.03$18.03RVU20D
2020-07-01$26.03$18.03RVU20C
2020-04-01$26.03$18.03RVU20B
2020-01-01$26.03$18.03RVU20A
2019-10-01$26.69$18.00RVU19D
2019-07-01$26.69$18.00RVU19C
2019-04-01$26.69$18.00RVU19B
2019-01-01$26.69$18.00RVU19A
2018-10-01$27.33$18.32RVU18D
2018-07-01$27.33$18.32RVU18C
2018-04-01$27.33$18.32RVU18B
2018-01-01$27.33$18.32RVU18AR1
2017-10-01$26.88$17.92RVU17D
2017-07-01$26.88$17.92RVU17C
2017-04-01$26.88$17.92RVU17B
2017-01-01$26.88$17.92RVU17A
2016-10-01$26.78$17.87RVU16D
2016-07-01$26.78$17.87RVU16C
2016-04-01$26.78$17.87RVU16B
2016-01-01$26.78$17.87RVU16A
2015-10-01$26.88$17.93RVU15D
2015-07-01$26.88$17.93RVU15C
2015-04-01$26.75$17.84RVU15B
2015-01-01$26.75$17.84RVU15A
2014-10-01$25.96$17.40RVU14D
2014-07-01$25.96$17.40RVU14C
2014-04-01$25.96$17.40RVU14B
2014-01-01$25.96$17.40RVU14A
2013-10-01$24.57$16.78RVU13D
2013-07-01$24.57$16.78RVU13C
2013-04-01$24.57$16.78RVU13B
2013-01-01$24.57$16.78RVU13AR

Price 15272 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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