FeeBase
Log inGet started
Menu

CPT code 15275: Skin substitute, face and other specified sites2026 Medicare rate & RVUs in Delaware

Reports skin substitute application to wounds on the face, scalp, hands, feet, genitalia, or other specified sites within the smaller-area tier.

CMS RVU26DEffective Oct 1, 2026One payment locality198.1K Medicare services in 2024

In Delaware, Medicare pays $158.82 for 15275 in the office and $83.58 when it’s performed in a hospital or facility.

$158.82Office (non-facility)
$83.58Hospital or facility
−0.9%vs the national office rate ($160.32)

Check a contract rate as a % of Medicare · 15275 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 15275 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 15275 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 15275 covers

This code covers applying a skin substitute graft to wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, or feet. Dermatologists, plastic surgeons, and wound care clinicians may use it for wounds such as chronic ulcers or defects after trauma or excision. The code represents the application service, not the skin substitute product itself.

Select this base code when the combined wound surface area at the specified sites is up to 100 square centimeters and the initial area is 25 square centimeters or less. For a larger qualifying area, use the applicable higher-area code; document wound locations, measurements, total area, and the material applied. The 0-day global includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, 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.

How Delaware compares for 15275

Across 109 of 109 payment localities, the office rate for 15275 runs from $143.80 in Arkansas to $205.40 in San Benito County, CA. Delaware pays $158.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

15275 in Delaware vs other payment areas
  1. Delaware · this page$158.82
  2. Los Angeles, CA · California$177.75+$18.93
  3. Washington, DC area · District of Columbia$181.06+$22.24
  4. Miami, FL · Florida$174.40+$15.58
  5. Chicago, IL · Illinois$169.86+$11.04
  6. Manhattan, NY · New York$183.30+$24.48
  7. Alaska · Alaska$193.17+$34.35

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

Every other payment area

15275 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$145.65$79.02
ArkansasArkansas$143.80$78.39
ArizonaArizona$156.44$82.65
Bakersfield, CACalifornia$167.88$84.42
Chico, CACalifornia$167.28$83.81
El Centro, CACalifornia$167.31$83.85
Fresno, CACalifornia$167.28$83.81
Hanford, CACalifornia$167.28$83.81

15275 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.

$143.80

$193.17

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

View every state and territory as a table
15275 office rate range by state
State / territoryOffice rate rangeLocalities
AK$193.171
AL$145.651
AR$143.801
AZ$156.441
CA$167.28–$205.4029
CO$165.601
CT$170.171
DC$181.061
DE$158.821
FL$159.54–$174.403
GA$151.43–$163.352
GU$170.421
HI$170.421
IA$148.291
ID$149.271
IL$155.89–$169.864
IN$150.011
KS$147.971
KY$149.301
LA$149.21–$155.682
MA$164.91–$180.302
MD$161.50–$181.063
ME$150.26–$157.012
MI$152.99–$161.612
MN$158.351
MO$147.15–$155.823
MS$145.491
MT$160.311
NC$151.601
ND$156.361
NE$148.921
NH$163.351
NJ$172.02–$179.592
NM$153.851
NV$159.301
NY$153.63–$187.665
OH$152.181
OK$148.761
OR$157.96–$170.022
PA$152.23–$166.552
PR$161.261
RI$163.841
SC$152.161
SD$155.891
TN$148.661
TX$151.37–$165.148
UT$153.991
VA$156.76–$181.062
VI$161.261
VT$156.081
WA$164.49–$183.462
WI$151.751
WV$150.861
WY$158.591

See 15275 in every payment locality

How the 15275 rate is calculated

Each of 15275’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 · 15275

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.78

1.78 RVUs× 1.000 GPCI

Practice expense2.82

2.82 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

4.8000

Conversion factor

$33.4009

Medicare rate

$160.32

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,516

Code
15275
Physician work
1.78
Practice expense
2.82
Malpractice
0.20

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 15275 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.78× 1.0051.7889
Practice expense2.82× 0.9882.7862
Malpractice0.20× 0.8990.1798
Total RVUs4.7549
Conversion factor× 33.4009

Office rate, Delaware$158.82

Office: (1.78 × 1.005 + 2.82 × 0.988 + 0.2 × 0.899) × $33.4009 = $158.82

Facility: (1.78 × 1.005 + 0.54 × 0.988 + 0.2 × 0.899) × $33.4009 = $83.58

Open 15275 in the RVU calculator

Payment rules and modifiers for 15275

The CMS indicators that decide how 15275 is paid alongside other services.

CMS payment indicators · 15275

Skin substitute, face and other specified sites

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

15275 without 51 · national office

$160.32

Skin substitute, face and other specified sites

15275-51 · Second procedure: 50%

$80.16

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

Codes related to 15275

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

Codes related to 15275
CodeHow it relatesOffice range, Delaware
Add-on codes
15276Skin substitute graft, additional area, selected sitesAdd-on for each additional 25 square centimeters or part in the 15275 area tier.$33.40
Same family
15277Skin substitute graft, large area, special sitesInitial application code for the same sites when total wound area is 100 square centimeters or more.$356.83
15278Skin substitute graft, each additional 100 cm²Additional-area code in the higher-area tier for the same specified sites.$99.95
Used instead
15271Skin substitute graft, first 25 cm², trunk/limbsSkin substitute application code for wounds on the trunk, arms, or legs.$156.30
15240Skin graft, specified sites, 20 sq cm or lessFull-thickness skin graft code for specified sites; it describes a different graft method.$928.12

How 15275 has changed in Delaware

15275 · Office / nonfacility

$158.82

Effective 2026-10-01

The base rate is $5.33 higher than on 2025-10-01, moving from $153.49 to $158.82 (3.5%).

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

    $153.49changed to$158.82

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.83 changed to 1.78
    • Practice expense RVU 2.75 changed to 2.82
    • Malpractice RVU 0.18 changed to 0.20
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $158.27changed to$153.49

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $155.69changed to$158.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $161.31changed to$155.69

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.72 changed to 2.75
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $166.26changed to$161.31

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $165.89changed to$166.26

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.68 changed to 2.72
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $164.10changed to$165.89

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.46 changed to 2.68
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $160.34changed to$164.10

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.36 changed to 2.46
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $156.13changed to$160.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.25 changed to 2.36

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $155.11changed to$156.13

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.22 changed to 2.25
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $155.24changed to$155.11

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $156.19changed to$155.24

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $155.41changed to$156.19

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $157.21changed to$155.41

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.19 changed to 2.22
    • Malpractice RVU 0.30 changed to 0.19
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $155.70changed to$157.21

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.41 changed to 2.19
    • Malpractice RVU 0.31 changed to 0.30
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $155.70

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$158.82$83.58RVU26D
2026-07-01$158.82$83.58RVU26C
2026-04-01$158.82$83.58RVU26B
2026-01-01$158.82$83.58RVU26A
2025-10-01$153.49$90.60RVU25D
2025-07-01$153.49$90.60RVU25C
2025-04-01$153.49$90.60RVU25B
2025-01-01$153.49$90.60RVU25A
2024-10-01$158.27$92.23RVU24D
2024-07-01$158.27$92.23RVU24C
2024-04-01$158.27$92.23RVU24B
2024-03-09$158.27$92.23RVU24AR
2024-01-01$155.69$90.73RVU24A
2023-10-01$161.31$93.40RVU23D
2023-07-01$161.31$93.40RVU23C
2023-04-01$161.31$93.40RVU23B
2023-01-01$161.31$93.40RVU23A
2022-10-01$166.26$95.17RVU22D
2022-07-01$166.26$95.17RVU22C
2022-04-01$166.26$95.17RVU22B
2022-01-01$166.26$95.17RVU22A
2021-10-01$165.89$96.00RVU21D
2021-07-01$165.89$96.00RVU21C
2021-04-01$165.89$96.00RVU21B
2021-01-01$165.89$96.00RVU21A
2020-10-01$164.10$100.35RVU20D
2020-07-01$164.10$100.35RVU20C
2020-04-01$164.10$100.35RVU20B
2020-01-01$164.10$100.35RVU20A
2019-10-01$160.34$100.48RVU19D
2019-07-01$160.34$100.48RVU19C
2019-04-01$160.34$100.48RVU19B
2019-01-01$160.34$100.48RVU19A
2018-10-01$156.13$100.74RVU18D
2018-07-01$156.13$100.74RVU18C
2018-04-01$156.13$100.74RVU18B
2018-01-01$156.13$100.74RVU18AR1
2017-10-01$155.11$101.03RVU17D
2017-07-01$155.11$101.03RVU17C
2017-04-01$155.11$101.03RVU17B
2017-01-01$155.11$101.03RVU17A
2016-10-01$155.24$100.60RVU16D
2016-07-01$155.24$100.60RVU16C
2016-04-01$155.24$100.60RVU16B
2016-01-01$155.24$100.60RVU16A
2015-10-01$156.19$101.73RVU15D
2015-07-01$156.19$101.73RVU15C
2015-04-01$155.41$101.22RVU15B
2015-01-01$155.41$101.22RVU15A
2014-10-01$157.21$103.29RVU14D
2014-07-01$157.21$103.29RVU14C
2014-04-01$157.21$103.29RVU14B
2014-01-01$157.21$103.29RVU14A
2013-10-01$155.70$103.49RVU13D
2013-07-01$155.70$103.49RVU13C
2013-04-01$155.70$103.49RVU13B
2013-01-01$155.70$103.49RVU13AR

Price 15275 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

15275 billing questions

When should 15275 be selected instead of 15277?

Use 15275 for the initial area when total wound surface area at the specified sites is up to 100 square centimeters. When the total reaches 100 square centimeters or more, use 15277 for the initial area.

How is additional wound area reported with 15275?

Code 15276 reports each additional 25 square centimeters or part thereof when the total wound area is in the 15275 size tier. For the higher-area tier, 15277 and 15278 provide the initial and additional-area reporting.

Does 15275 include the skin substitute product?

15275 reports the application service, not the product itself. The product may have separate HCPCS coding.

Can modifier 50 be used when wounds are on both hands or feet?

No. Modifier 50 is inappropriate for this code; report the applicable service based on the qualifying sites and wound area.

Can an assistant surgeon or co-surgeon be reported for 15275?

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

What documentation supports reporting 15275?

Document the specific wound sites, measured wound areas and their total, and the skin substitute application performed. These details support selection of the correct area tier and any additional-area code.

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 15275PPRRVU2026_Oct_nonQPP.csv, line 1,516 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 15275 pays in Delaware?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 15275 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist