CPT code 15273: Skin substitute graft, large trunk or limb wound area2026 Medicare rate & RVUs

Report this code for applying a skin substitute graft to a large wound on the trunk, arm, or leg, using the applicable area threshold.

CMS RVU26DEffective Oct 1, 2026109 payment localities13.4K Medicare services in 2024

Medicare pays $321.98 for 15273 nationally in the office and $171.68 in a hospital or facility. Local office rates run $285.52–$407.73.

Medicare rate · 15273

Skin substitute graft, large trunk or limb wound area

Office or facility?

Work RVUs
3.41
Total RVUs
9.64
Global days
000

National rate · 2026

$321.98

Office setting, before claim adjustments.

See every locality for 15273 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 15273 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 15273 covers

A clinician applies a skin substitute graft to a wound on the trunk, an arm, or a leg. This service is commonly performed by surgeons and wound-care clinicians for wounds such as chronic diabetic or venous ulcers and other wounds requiring graft coverage. The graft is applied to the wound; this code is not for harvesting a patient's own skin. The corresponding codes distinguish wound location and total treated surface area.

Choose this base code when the total wound area meets the large-area threshold for the trunk, arms, or legs. For infants and children, the area basis uses body surface area rather than the adult square-centimeter measure. Document wound location, measurements, the total area treated, and graft application. Code 15274 reports each additional area increment with this service. Medicare includes same-day preoperative and postoperative care in the 0-day global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery services are not paid, and co-surgeons and team surgery 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.

Where 15273 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$285.52 to $407.73

$285.52$346.63$407.73
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

15273 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$289.57$158.06
Alaska$381.81$221.74
Arizona$313.19$167.55
Arkansas$285.52$156.41
Atlanta, GA$329.49$176.78
Austin, TX$330.72$171.70
Bakersfield, CA$334.04$169.31
Baltimore area, MD$342.39$181.12
Beaumont, TX$303.65$166.87
Brazoria, TX$316.65$167.70

15273 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.

$285.52

$381.81

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

View every state and territory as a table
15273 office rate range by state
State / territoryOffice rate rangeLocalities
AK$381.811
AL$289.571
AR$285.521
AZ$313.191
CA$332.30–$407.7329
CO$330.811
CT$343.041
DC$363.831
DE$318.211
FL$324.16–$361.333
GA$305.72–$329.492
GU$338.941
HI$338.941
IA$293.571
ID$296.081
IL$317.34–$350.544
IN$297.661
KS$293.721
KY$299.431
LA$299.57–$313.752
MA$329.53–$360.732
MD$323.67–$363.833
ME$299.17–$312.662
MI$308.35–$329.632
MN$312.841
MO$295.59–$313.033
MS$290.531
MT$321.941
NC$301.951
ND$309.681
NE$294.681
NH$327.081
NJ$345.79–$360.552
NM$310.591
NV$318.711
NY$306.47–$382.445
OH$305.851
OK$297.321
OR$315.08–$339.302
PA$305.48–$335.712
PR$323.741
RI$328.101
SC$304.641
SD$308.231
TN$295.351
TX$303.65–$330.728
UT$308.631
VA$312.71–$363.832
VI$323.741
VT$309.881
WA$328.45–$366.422
WI$299.781
WV$306.361
WY$316.601

How the 15273 rate is calculated

Each of 15273’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 · 15273

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense5.61

5.61 RVUs× 1.000 GPCI

Malpractice0.62

0.62 RVUs× 1.000 GPCI

Adjusted RVUs

9.6400

Conversion factor

$33.4009

Medicare rate

$321.98

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

Payment rules and modifiers for 15273

The CMS indicators that decide how 15273 is paid alongside other services.

CMS payment indicators · 15273

Skin substitute graft, large trunk or limb wound area

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

15273 without 51 · national office

$321.98

Skin substitute graft, large trunk or limb wound area

15273-51 · Second procedure: 50%

$160.99

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

15273 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 15273

    Skin substitute graft, large trunk or limb wound area3.41 wRVU

    $321.98

  • 15271

    Skin substitute graft, first 25 cm², trunk/limbs1.46 wRVU

    $157.99−$163.99

  • 15274

    Skin substitute, each additional 100 sq cm0.78 wRVU

    $86.84−$235.14

  • 15275

    Skin substitute, face and other specified sites1.78 wRVU

    $160.32−$161.66

How to choose

15271Skin substitute graftFirst 25 cm², trunk/limbs
Both codes address trunk, arm, or leg wounds. Choose 15271 for the smaller wound-area category and 15273 when the total area meets the large-area threshold.
15274Skin substituteEach additional 100 sq cm
15273 covers the base area for a large wound; 15274 reports each additional area increment and is used with the base service.
15275Skin substituteFace and other specified sites
Use 15273 for wounds on the trunk, arms, or legs. Use 15275 when the treated site is the face, neck, hands, feet, or genitalia.

15273 billing questions

How does 15273 differ from 15271?

Both cover skin substitute graft application to the trunk, arms, or legs. Select between them based on the total wound surface area and the applicable adult or pediatric area measure.

When is 15274 reported with 15273?

Report 15274 for each additional area increment beyond the area covered by 15273. Document the total treated wound area to support the base and additional units.

Can modifier 50 be used for wounds on both legs?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the service based on the treated wound area and applicable coding instructions.

Is routine same-day postoperative care separately included?

The 0-day global period includes same-day preoperative and postoperative care. The code does not establish a multi-day global period.

Can an assistant-at-surgery or co-surgeon be billed?

Medicare does not pay an assistant-at-surgery service for this code. Co-surgeons and team surgery are not permitted.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

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 15273PPRRVU2026_Oct_nonQPP.csv, line 1,514 (RVU26D)

Open CMS sourceHow we calculate rates

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