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CPT code 15274: Skin substitute, each additional 100 sq cm2026 Medicare rate & RVUs in Montana

Reports additional skin substitute graft application area on the trunk, arms, or legs beyond the initial area represented by the primary procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality34.5K Medicare services in 2024

In Montana, Medicare pays $86.83 for 15274 in the office and $39.07 when it’s performed in a hospital or facility.

$86.83Office (non-facility)
$39.07Hospital or facility
−0.0%vs the national office rate ($86.84)

Check a contract rate as a % of Medicare · 15274 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 15274 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 15274 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 15274 covers

This add-on represents application of skin substitute graft to additional wound surface area on the trunk, arms, or legs. It is used when the treated area exceeds the initial area represented by the primary procedure, such as when a large wound or multiple wounds require broader graft coverage. Surgeons and clinicians providing wound care may apply these products in hospital outpatient departments, clinics, or other treatment settings.

Report 15274 with the qualifying primary procedure, 15273, for each additional 100 sq cm or part thereof; for infants and children, the corresponding additional unit is each 1% of body surface area. Documentation should identify the treated body site, wound area, and graft application so the additional area and units are supported. CMS classifies 15274 as an add-on code: it is billed only with a primary procedure and 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 Montana compares for 15274

Across 109 of 109 payment localities, the office rate for 15274 runs from $76.32 in Arkansas to $111.43 in San Benito County, CA. Montana pays $86.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

15274 in Montana vs other payment areas
  1. Montana · this page$86.83
  2. Los Angeles, CA · California$96.09+$9.26
  3. Washington, DC area · District of Columbia$98.70+$11.87
  4. Miami, FL · Florida$97.78+$10.95
  5. Chicago, IL · Illinois$94.65+$7.82
  6. Manhattan, NY · New York$100.77+$13.94
  7. Alaska · Alaska$100.90+$14.07

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

Every other payment area

15274 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$77.49$35.70
ArkansasArkansas$76.32$35.29
ArizonaArizona$84.32$38.03
Bakersfield, CACalifornia$90.41$38.06
Chico, CACalifornia$89.94$37.59
El Centro, CACalifornia$89.97$37.62
Fresno, CACalifornia$89.94$37.59
Hanford, CACalifornia$89.94$37.59

15274 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.

$76.32

$100.90

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

View every state and territory as a table
15274 office rate range by state
State / territoryOffice rate rangeLocalities
AK$100.901
AL$77.491
AR$76.321
AZ$84.321
CA$89.94–$111.4329
CO$89.441
CT$92.801
DC$98.701
DE$85.741
FL$87.27–$97.783
GA$81.98–$88.942
GU$92.001
HI$92.001
IA$78.731
ID$79.441
IL$85.24–$94.654
IN$79.901
KS$78.741
KY$80.241
LA$80.27–$84.362
MA$89.03–$97.982
MD$87.30–$98.703
ME$80.29–$84.252
MI$82.78–$88.812
MN$84.441
MO$79.09–$84.213
MS$77.701
MT$86.831
NC$81.101
ND$83.471
NE$79.071
NH$88.391
NJ$93.51–$97.692
NM$83.411
NV$85.951
NY$82.40–$103.795
OH$82.091
OK$79.681
OR$84.94–$91.922
PA$82.01–$90.672
PR$87.361
RI$88.541
SC$81.801
SD$83.071
TN$79.201
TX$81.48–$89.448
UT$82.961
VA$84.24–$98.702
VI$87.361
VT$83.491
WA$88.74–$99.622
WI$80.601
WV$82.071
WY$85.371

See 15274 in every payment locality

How the 15274 rate is calculated

Each of 15274’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 · 15274

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense1.65

1.65 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

2.6000

Conversion factor

$33.4009

Medicare rate

$86.84

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,515

Code
15274
Physician work
0.78
Practice expense
1.65
Malpractice
0.17

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 15274 in Montana
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense1.65× 1.0001.6500
Malpractice0.17× 0.9980.1697
Total RVUs2.5997
Conversion factor× 33.4009

Office rate, Montana$86.83

Office: (0.78 × 1 + 1.65 × 1 + 0.17 × 0.998) × $33.4009 = $86.83

Facility: (0.78 × 1 + 0.22 × 1 + 0.17 × 0.998) × $33.4009 = $39.07

Open 15274 in the RVU calculator

Payment rules and modifiers for 15274

The CMS indicators that decide how 15274 is paid alongside other services.

CMS payment indicators · 15274

Skin substitute, each additional 100 sq cm

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 15274

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

Codes related to 15274
CodeHow it relatesOffice range, Montana
Add-on codes
15273Skin substitute graft, large trunk or limb wound areaPrimary trunk, arm, or leg application code paired with this additional-area code.$321.94
Same family
15272Skin substitute graft, additional trunk, arm, or leg areaAdditional-area code paired with 15271 for the smaller-area trunk, arm, or leg case.$25.72
15271Skin substitute graft, first 25 cm², trunk/limbsPrimary trunk, arm, or leg application code for the smaller-area case.$157.97
15277Skin substitute graft, large area, special sitesPrimary skin substitute graft application code for face, neck, hands, feet, or genitalia.$361.02
15278Skin substitute graft, each additional 100 cm²Additional-area counterpart for the face, neck, hands, feet, or genitalia.$101.19

How 15274 has changed in Montana

15274 · Office / nonfacility

$86.83

Effective 2026-10-01

The base rate is $9.96 higher than on 2025-10-01, moving from $76.87 to $86.83 (13.0%).

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

    $76.87changed to$86.83

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 1.42 changed to 1.65
    • Malpractice RVU 0.16 changed to 0.17
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $80.76changed to$76.87

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.46 changed to 1.42
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $79.45changed to$80.76

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $83.91changed to$79.45

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.50 changed to 1.46
    • Malpractice RVU 0.18 changed to 0.17

  5. January 1, 2023

    RVU23A

    $86.72changed to$83.91

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.53 changed to 1.50
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $85.01changed to$86.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.48 changed to 1.53
    • Malpractice RVU 0.16 changed to 0.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $83.32changed to$85.01

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.30 changed to 1.48
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $81.35changed to$83.32

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.18 changed to 1.30
    • Malpractice RVU 0.17 changed to 0.16
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $76.94changed to$81.35

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.06 changed to 1.18

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $75.83changed to$76.94

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.07 changed to 1.06
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $74.06changed to$75.83

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.06 changed to 1.07
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $73.89changed to$74.06

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.16 changed to 0.17

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $73.52changed to$73.89

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $70.45changed to$73.52

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.05 changed to 1.06
    • Malpractice RVU 0.10 changed to 0.16
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $62.27changed to$70.45

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.92 changed to 1.05
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $62.27

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$86.83$39.07RVU26D
2026-07-01$86.83$39.07RVU26C
2026-04-01$86.83$39.07RVU26B
2026-01-01$86.83$39.07RVU26A
2025-10-01$76.87$42.26RVU25D
2025-07-01$76.87$42.26RVU25C
2025-04-01$76.87$42.26RVU25B
2025-01-01$76.87$42.26RVU25A
2024-10-01$80.76$43.82RVU24D
2024-07-01$80.76$43.82RVU24C
2024-04-01$80.76$43.82RVU24B
2024-03-09$80.76$43.82RVU24AR
2024-01-01$79.45$43.10RVU24A
2023-10-01$83.91$44.94RVU23D
2023-07-01$83.91$44.94RVU23C
2023-04-01$83.91$44.94RVU23B
2023-01-01$83.91$44.94RVU23A
2022-10-01$86.72$46.23RVU22D
2022-07-01$86.72$46.23RVU22C
2022-04-01$86.72$46.23RVU22B
2022-01-01$86.72$46.23RVU22A
2021-10-01$85.01$45.93RVU21D
2021-07-01$85.01$45.93RVU21C
2021-04-01$85.01$45.93RVU21B
2021-01-01$85.01$45.93RVU21A
2020-10-01$83.32$49.39RVU20D
2020-07-01$83.32$49.39RVU20C
2020-04-01$83.32$49.39RVU20B
2020-01-01$83.32$49.39RVU20A
2019-10-01$81.35$51.80RVU19D
2019-07-01$81.35$51.80RVU19C
2019-04-01$81.35$51.80RVU19B
2019-01-01$81.35$51.80RVU19A
2018-10-01$76.94$51.74RVU18D
2018-07-01$76.94$51.74RVU18C
2018-04-01$76.94$51.74RVU18B
2018-01-01$76.94$51.74RVU18AR1
2017-10-01$75.83$50.35RVU17D
2017-07-01$75.83$50.35RVU17C
2017-04-01$75.83$50.35RVU17B
2017-01-01$75.83$50.35RVU17A
2016-10-01$74.06$49.00RVU16D
2016-07-01$74.06$49.00RVU16C
2016-04-01$74.06$49.00RVU16B
2016-01-01$74.06$49.00RVU16A
2015-10-01$73.89$48.73RVU15D
2015-07-01$73.89$48.73RVU15C
2015-04-01$73.52$48.49RVU15B
2015-01-01$73.52$48.49RVU15A
2014-10-01$70.45$45.73RVU14D
2014-07-01$70.45$45.73RVU14C
2014-04-01$70.45$45.73RVU14B
2014-01-01$70.45$45.73RVU14A
2013-10-01$62.27$41.86RVU13D
2013-07-01$62.27$41.86RVU13C
2013-04-01$62.27$41.86RVU13B
2013-01-01$62.27$41.86RVU13AR

Price 15274 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

15274 billing questions

When should 15274 be reported instead of 15272?

Use 15274 for additional area with primary code 15273, which represents the larger-area trunk, arm, or leg case. Code 15272 is the additional-area code paired with 15271.

Which primary code must accompany 15274?

Report 15274 with 15273 when additional qualifying wound area is treated. It is not reported as a standalone service.

How is the additional area counted?

Each additional 100 sq cm or part thereof supports a unit. For infants and children, the corresponding unit is each additional 1% of body surface area.

Can 15274 be used for wounds on the face or hands?

No. Code 15274 is for the trunk, arms, and legs; the separate skin substitute graft family for the face, neck, hands, feet, and genitalia includes 15277 and 15278.

What documentation supports reporting 15274?

Document the wound location, treated area, and skin substitute graft application. The record should support the additional area and the number of units reported.

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 15274PPRRVU2026_Oct_nonQPP.csv, line 1,515 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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