CPT code 15274: Skin substitute, each additional 100 sq cm2026 Medicare rate & RVUs in Wyoming
Reports additional skin substitute graft application area on the trunk, arms, or legs beyond the initial area represented by the primary procedure.
In Wyoming, Medicare pays $85.37 for 15274 in the office and $37.60 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Wyoming 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. Wyoming pays $85.37. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Wyoming · this page$85.37
- Los Angeles, CA · California$96.09+$10.72
- Washington, DC area · District of Columbia$98.70+$13.33
- Miami, FL · Florida$97.78+$12.41
- Chicago, IL · Illinois$94.65+$9.28
- Manhattan, NY · New York$100.77+$15.40
- Alaska · Alaska$100.90+$15.53
Other areas in Wyoming first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $89.94 | $37.59 |
| Merced, CACalifornia | $89.94 | $37.59 |
| Modesto, CACalifornia | $89.94 | $37.59 |
| Napa, CACalifornia | $103.22 | $40.26 |
| Oxnard, CACalifornia | $95.46 | $39.01 |
| Redding, CACalifornia | $89.94 | $37.59 |
| Rest of CaliforniaCalifornia | $89.94 | $37.59 |
| Riverside, CACalifornia | $91.77 | $39.42 |
| Sacramento, CACalifornia | $94.13 | $38.58 |
| Salinas, CACalifornia | $93.78 | $38.42 |
| San Diego, CACalifornia | $95.83 | $38.70 |
| Marin County, CACalifornia | $108.84 | $41.49 |
| San Francisco, CACalifornia | $108.65 | $41.30 |
| San Benito County, CACalifornia | $111.43 | $42.56 |
| Santa Clara County, CACalifornia | $110.64 | $41.77 |
| San Luis Obispo, CACalifornia | $92.31 | $37.91 |
| Santa Cruz, CACalifornia | $96.60 | $38.57 |
| Santa Maria, CACalifornia | $94.09 | $38.39 |
| Santa Rosa, CACalifornia | $97.55 | $38.90 |
| Stockton, CACalifornia | $89.94 | $37.59 |
| Vallejo, CACalifornia | $102.94 | $39.99 |
| Visalia, CACalifornia | $89.94 | $37.59 |
| Yuba City, CACalifornia | $89.94 | $37.59 |
| ColoradoColorado | $89.44 | $38.62 |
| ConnecticutConnecticut | $92.80 | $41.36 |
| DelawareDelaware | $85.74 | $38.55 |
| Fort Lauderdale, FLFlorida | $92.15 | $43.76 |
| Rest of FloridaFlorida | $87.27 | $41.61 |
| Atlanta, GAGeorgia | $88.94 | $40.42 |
| Rest of GeorgiaGeorgia | $81.98 | $39.38 |
| Hawaii, Guam, HIHawaii | $92.00 | $37.70 |
| IowaIowa | $78.73 | $35.03 |
| IdahoIdaho | $79.44 | $35.50 |
| East St. Louis, ILIllinois | $88.19 | $44.25 |
| Rest of IllinoisIllinois | $85.24 | $41.64 |
| Suburban Chicago, ILIllinois | $92.90 | $43.84 |
| IndianaIndiana | $79.90 | $35.62 |
| KansasKansas | $78.74 | $35.56 |
| KentuckyKentucky | $80.24 | $37.78 |
| New Orleans, LALouisiana | $84.36 | $39.42 |
| Rest of LouisianaLouisiana | $80.27 | $38.00 |
| Metropolitan Boston, MAMassachusetts | $97.98 | $40.95 |
| Rest of MassachusettsMassachusetts | $89.03 | $38.73 |
| Baltimore area, MDMaryland | $92.63 | $41.38 |
| Rest of MarylandMaryland | $87.30 | $38.96 |
| Rest of MaineMaine | $80.29 | $36.34 |
| Southern Maine, MEMaine | $84.25 | $36.92 |
| Detroit, MIMichigan | $88.81 | $42.72 |
| Rest of MichiganMichigan | $82.78 | $39.17 |
| MinnesotaMinnesota | $84.44 | $35.29 |
| Metropolitan Kansas City, MOMissouri | $83.35 | $38.50 |
| Metropolitan St. Louis, MOMissouri | $84.21 | $38.74 |
| Rest of MissouriMissouri | $79.09 | $37.92 |
| MississippiMississippi | $77.70 | $36.58 |
| MontanaMontana | $86.83 | $39.07 |
| North CarolinaNorth Carolina | $81.10 | $36.54 |
| North DakotaNorth Dakota | $83.47 | $35.71 |
| NebraskaNebraska | $79.07 | $34.98 |
| New HampshireNew Hampshire | $88.39 | $38.67 |
| Northern New JerseyNew Jersey | $97.69 | $42.28 |
| Rest of New JerseyNew Jersey | $93.51 | $41.35 |
| New MexicoNew Mexico | $83.41 | $39.61 |
| NevadaNevada | $85.95 | $38.14 |
| NYC suburbs and Long Island, NYNew York | $103.79 | $47.00 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $94.44 | $42.14 |
| Queens, NYNew York | $101.05 | $44.59 |
| Rest of New YorkNew York | $82.40 | $37.03 |
| OhioOhio | $82.09 | $38.49 |
| OklahomaOklahoma | $79.68 | $37.03 |
| Portland, OROregon | $91.92 | $38.86 |
| Rest of OregonOregon | $84.94 | $37.36 |
| Metropolitan Philadelphia, PAPennsylvania | $90.67 | $40.95 |
| Rest of PennsylvaniaPennsylvania | $82.01 | $38.16 |
| Puerto RicoPuerto Rico | $87.36 | $39.07 |
| Rhode IslandRhode Island | $88.54 | $39.20 |
| South CarolinaSouth Carolina | $81.80 | $37.67 |
| South DakotaSouth Dakota | $83.07 | $35.31 |
| TennesseeTennessee | $79.20 | $35.78 |
| Austin, TXTexas | $89.44 | $38.91 |
| Beaumont, TXTexas | $81.48 | $38.01 |
| Brazoria, TXTexas | $85.31 | $37.97 |
| Dallas, TXTexas | $86.05 | $38.48 |
| Fort Worth, TXTexas | $85.57 | $38.48 |
| Galveston, TXTexas | $85.69 | $38.26 |
| Houston, TXTexas | $88.80 | $41.37 |
| Rest of TexasTexas | $83.48 | $38.15 |
| UtahUtah | $82.96 | $38.06 |
| VirginiaVirginia | $84.24 | $37.28 |
| Virgin Islands, VIUnited States Virgin Islands | $87.36 | $39.07 |
| VermontVermont | $83.49 | $36.20 |
| Rest of WashingtonWashington | $88.74 | $38.45 |
| King County, WAWashington | $99.62 | $41.01 |
| WisconsinWisconsin | $80.60 | $34.84 |
| West VirginiaWest Virginia | $82.07 | $40.56 |
15274 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.
$76.32
$100.90
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $100.90 | 1 |
| AL | $77.49 | 1 |
| AR | $76.32 | 1 |
| AZ | $84.32 | 1 |
| CA | $89.94–$111.43 | 29 |
| CO | $89.44 | 1 |
| CT | $92.80 | 1 |
| DC | $98.70 | 1 |
| DE | $85.74 | 1 |
| FL | $87.27–$97.78 | 3 |
| GA | $81.98–$88.94 | 2 |
| GU | $92.00 | 1 |
| HI | $92.00 | 1 |
| IA | $78.73 | 1 |
| ID | $79.44 | 1 |
| IL | $85.24–$94.65 | 4 |
| IN | $79.90 | 1 |
| KS | $78.74 | 1 |
| KY | $80.24 | 1 |
| LA | $80.27–$84.36 | 2 |
| MA | $89.03–$97.98 | 2 |
| MD | $87.30–$98.70 | 3 |
| ME | $80.29–$84.25 | 2 |
| MI | $82.78–$88.81 | 2 |
| MN | $84.44 | 1 |
| MO | $79.09–$84.21 | 3 |
| MS | $77.70 | 1 |
| MT | $86.83 | 1 |
| NC | $81.10 | 1 |
| ND | $83.47 | 1 |
| NE | $79.07 | 1 |
| NH | $88.39 | 1 |
| NJ | $93.51–$97.69 | 2 |
| NM | $83.41 | 1 |
| NV | $85.95 | 1 |
| NY | $82.40–$103.79 | 5 |
| OH | $82.09 | 1 |
| OK | $79.68 | 1 |
| OR | $84.94–$91.92 | 2 |
| PA | $82.01–$90.67 | 2 |
| PR | $87.36 | 1 |
| RI | $88.54 | 1 |
| SC | $81.80 | 1 |
| SD | $83.07 | 1 |
| TN | $79.20 | 1 |
| TX | $81.48–$89.44 | 8 |
| UT | $82.96 | 1 |
| VA | $84.24–$98.70 | 2 |
| VI | $87.36 | 1 |
| VT | $83.49 | 1 |
| WA | $88.74–$99.62 | 2 |
| WI | $80.60 | 1 |
| WV | $82.07 | 1 |
| WY | $85.37 | 1 |
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
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 Wyoming 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
112
- Locality
- Wyoming
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 1.65 | × 1.000 | 1.6500 |
| Malpractice | 0.17 | × 0.740 | 0.1258 |
| Total RVUs | 2.5558 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Wyoming$85.37
Office: (0.78 × 1 + 1.65 × 1 + 0.17 × 0.74) × $33.4009 = $85.37
Facility: (0.78 × 1 + 0.22 × 1 + 0.17 × 0.74) × $33.4009 = $37.60
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
| 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. |
How 15274 has changed in Wyoming
15274 · Office / nonfacility
$85.37
Effective 2026-10-01
The base rate is $9.74 higher than on 2025-10-01, moving from $75.63 to $85.37 (12.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$75.63changed to$85.37
- 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 0.739 changed to 0.740
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$79.41changed to$75.63
- 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.
March 9, 2024
RVU24AR
$78.12changed to$79.41
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$82.76changed to$78.12
- 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
- Malpractice GPCI 0.790 changed to 0.739
January 1, 2023
RVU23A
$85.87changed to$82.76
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.53 changed to 1.50
- Malpractice GPCI 0.841 changed to 0.790
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$84.25changed to$85.87
- 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.
January 1, 2021
RVU21A
$80.75changed to$84.25
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.30 changed to 1.48
- Malpractice GPCI 0.860 changed to 0.841
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$76.75changed to$80.75
- 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 0.880 changed to 0.860
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$72.34changed to$76.75
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.06 changed to 1.18
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$73.52changed to$72.34
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.07 changed to 1.06
- Malpractice GPCI 1.050 changed to 0.880
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$74.02changed to$73.52
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.06 changed to 1.07
- Malpractice GPCI 1.219 changed to 1.050
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$73.84changed to$74.02
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.16 changed to 0.17
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$73.48changed to$73.84
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$70.66changed to$73.48
- 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 1.226 changed to 1.219
Held through RVU15B.
January 1, 2014
RVU14A
$62.71changed to$70.66
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.92 changed to 1.05
- Malpractice GPCI 1.233 changed to 1.226
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $62.71
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $85.37 | $37.60 | RVU26D |
| 2026-07-01 | $85.37 | $37.60 | RVU26C |
| 2026-04-01 | $85.37 | $37.60 | RVU26B |
| 2026-01-01 | $85.37 | $37.60 | RVU26A |
| 2025-10-01 | $75.63 | $41.02 | RVU25D |
| 2025-07-01 | $75.63 | $41.02 | RVU25C |
| 2025-04-01 | $75.63 | $41.02 | RVU25B |
| 2025-01-01 | $75.63 | $41.02 | RVU25A |
| 2024-10-01 | $79.41 | $42.46 | RVU24D |
| 2024-07-01 | $79.41 | $42.46 | RVU24C |
| 2024-04-01 | $79.41 | $42.46 | RVU24B |
| 2024-03-09 | $79.41 | $42.46 | RVU24AR |
| 2024-01-01 | $78.12 | $41.77 | RVU24A |
| 2023-10-01 | $82.76 | $43.79 | RVU23D |
| 2023-07-01 | $82.76 | $43.79 | RVU23C |
| 2023-04-01 | $82.76 | $43.79 | RVU23B |
| 2023-01-01 | $82.76 | $43.79 | RVU23A |
| 2022-10-01 | $85.87 | $45.38 | RVU22D |
| 2022-07-01 | $85.87 | $45.38 | RVU22C |
| 2022-04-01 | $85.87 | $45.38 | RVU22B |
| 2022-01-01 | $85.87 | $45.38 | RVU22A |
| 2021-10-01 | $84.25 | $45.17 | RVU21D |
| 2021-07-01 | $84.25 | $45.17 | RVU21C |
| 2021-04-01 | $84.25 | $45.17 | RVU21B |
| 2021-01-01 | $84.25 | $45.17 | RVU21A |
| 2020-10-01 | $80.75 | $46.83 | RVU20D |
| 2020-07-01 | $80.75 | $46.83 | RVU20C |
| 2020-04-01 | $80.75 | $46.83 | RVU20B |
| 2020-01-01 | $80.75 | $46.83 | RVU20A |
| 2019-10-01 | $76.75 | $47.20 | RVU19D |
| 2019-07-01 | $76.75 | $47.20 | RVU19C |
| 2019-04-01 | $76.75 | $47.20 | RVU19B |
| 2019-01-01 | $76.75 | $47.20 | RVU19A |
| 2018-10-01 | $72.34 | $47.15 | RVU18D |
| 2018-07-01 | $72.34 | $47.15 | RVU18C |
| 2018-04-01 | $72.34 | $47.15 | RVU18B |
| 2018-01-01 | $72.34 | $47.15 | RVU18AR1 |
| 2017-10-01 | $73.52 | $48.04 | RVU17D |
| 2017-07-01 | $73.52 | $48.04 | RVU17C |
| 2017-04-01 | $73.52 | $48.04 | RVU17B |
| 2017-01-01 | $73.52 | $48.04 | RVU17A |
| 2016-10-01 | $74.02 | $48.95 | RVU16D |
| 2016-07-01 | $74.02 | $48.95 | RVU16C |
| 2016-04-01 | $74.02 | $48.95 | RVU16B |
| 2016-01-01 | $74.02 | $48.95 | RVU16A |
| 2015-10-01 | $73.84 | $48.69 | RVU15D |
| 2015-07-01 | $73.84 | $48.69 | RVU15C |
| 2015-04-01 | $73.48 | $48.45 | RVU15B |
| 2015-01-01 | $73.48 | $48.45 | RVU15A |
| 2014-10-01 | $70.66 | $45.95 | RVU14D |
| 2014-07-01 | $70.66 | $45.95 | RVU14C |
| 2014-04-01 | $70.66 | $45.95 | RVU14B |
| 2014-01-01 | $70.66 | $45.95 | RVU14A |
| 2013-10-01 | $62.71 | $42.30 | RVU13D |
| 2013-07-01 | $62.71 | $42.30 | RVU13C |
| 2013-04-01 | $62.71 | $42.30 | RVU13B |
| 2013-01-01 | $62.71 | $42.30 | RVU13AR |
Where the Wyoming rate applies
Wyoming is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.
- Afton
- Albany
- Albin
- Alcova
- Alpine
- Alpine Northeast
- Alpine Northwest
- Alta
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
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