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

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 Queens, NY, Medicare pays $184.22 for 15275 in the office and $94.21 when it’s performed in a hospital or facility.

$184.22Office (non-facility)
$94.21Hospital or facility
+14.9%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $184.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

15275 in Queens, NY vs other payment areas
  1. Queens, NY · this page$184.22
  2. Manhattan, NY · New York$183.30−$0.92
  3. NYC suburbs and Long Island, NY · New York$187.66+$3.44
  4. Poughkeepsie and northern NYC suburbs, NY · New York$173.35−$10.87
  5. Rest of New York · New York$153.63−$30.59
  6. Los Angeles, CA · California$177.75−$6.47
  7. Washington, DC area · District of Columbia$181.06−$3.16

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

Every other payment area

15275 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$174.40$95.12
Chicago, ILIllinois$169.86$93.33
AlaskaAlaska$193.17$112.07
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

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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 15275 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work1.78× 1.0641.8939
Practice expense2.82× 1.1823.3332
Malpractice0.20× 1.4420.2884
Total RVUs5.5156
Conversion factor× 33.4009

Office rate, Queens, NY$184.22

Office: (1.78 × 1.064 + 2.82 × 1.182 + 0.2 × 1.442) × $33.4009 = $184.22

Facility: (1.78 × 1.064 + 0.54 × 1.182 + 0.2 × 1.442) × $33.4009 = $94.21

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, Queens, NY
Add-on codes
15276Skin substitute graft, additional area, selected sitesAdd-on for each additional 25 square centimeters or part in the 15275 area tier.$38.55
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.$417.57
15278Skin substitute graft, each additional 100 cm²Additional-area code in the higher-area tier for the same specified sites.$117.50
Used instead
15271Skin substitute graft, first 25 cm², trunk/limbsSkin substitute application code for wounds on the trunk, arms, or legs.$182.81
15240Skin graft, specified sites, 20 sq cm or lessFull-thickness skin graft code for specified sites; it describes a different graft method.$1,079.75

How 15275 has changed in Queens, NY

15275 · Office / nonfacility

$184.22

Effective 2026-10-01

The base rate is $6.37 higher than on 2025-10-01, moving from $177.85 to $184.22 (3.6%).

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

    $177.85changed to$184.22

    • 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 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $183.51changed to$177.85

    • 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

    $180.52changed to$183.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $190.78changed to$180.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.72 changed to 2.75
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $200.88changed to$190.78

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $199.91changed to$200.88

    • 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

    $193.78changed to$199.91

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.46 changed to 2.68
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $185.20changed to$193.78

    • 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 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $180.25changed to$185.20

    • 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

    $178.59changed to$180.25

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.22 changed to 2.25
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $178.29changed to$178.59

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $179.72changed to$178.29

    • 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

    $178.82changed to$179.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $182.93changed to$178.82

    • 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
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $179.83changed to$182.93

    • 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
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $179.83

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$184.22$94.21RVU26D
2026-07-01$184.22$94.21RVU26C
2026-04-01$184.22$94.21RVU26B
2026-01-01$184.22$94.21RVU26A
2025-10-01$177.85$102.09RVU25D
2025-07-01$177.85$102.09RVU25C
2025-04-01$177.85$102.09RVU25B
2025-01-01$177.85$102.09RVU25A
2024-10-01$183.51$103.96RVU24D
2024-07-01$183.51$103.96RVU24C
2024-04-01$183.51$103.96RVU24B
2024-03-09$183.51$103.96RVU24AR
2024-01-01$180.52$102.26RVU24A
2023-10-01$190.78$109.05RVU23D
2023-07-01$190.78$109.05RVU23C
2023-04-01$190.78$109.05RVU23B
2023-01-01$190.78$109.05RVU23A
2022-10-01$200.88$115.47RVU22D
2022-07-01$200.88$115.47RVU22C
2022-04-01$200.88$115.47RVU22B
2022-01-01$200.88$115.47RVU22A
2021-10-01$199.91$115.92RVU21D
2021-07-01$199.91$115.92RVU21C
2021-04-01$199.91$115.92RVU21B
2021-01-01$199.91$115.92RVU21A
2020-10-01$193.78$117.99RVU20D
2020-07-01$193.78$117.99RVU20C
2020-04-01$193.78$117.99RVU20B
2020-01-01$193.78$117.99RVU20A
2019-10-01$185.20$114.71RVU19D
2019-07-01$185.20$114.71RVU19C
2019-04-01$185.20$114.71RVU19B
2019-01-01$185.20$114.71RVU19A
2018-10-01$180.25$115.02RVU18D
2018-07-01$180.25$115.02RVU18C
2018-04-01$180.25$115.02RVU18B
2018-01-01$180.25$115.02RVU18AR1
2017-10-01$178.59$115.29RVU17D
2017-07-01$178.59$115.29RVU17C
2017-04-01$178.59$115.29RVU17B
2017-01-01$178.59$115.29RVU17A
2016-10-01$178.29$114.75RVU16D
2016-07-01$178.29$114.75RVU16C
2016-04-01$178.29$114.75RVU16B
2016-01-01$178.29$114.75RVU16A
2015-10-01$179.72$116.38RVU15D
2015-07-01$179.72$116.38RVU15C
2015-04-01$178.82$115.80RVU15B
2015-01-01$178.82$115.80RVU15A
2014-10-01$182.93$120.75RVU14D
2014-07-01$182.93$120.75RVU14C
2014-04-01$182.93$120.75RVU14B
2014-01-01$182.93$120.75RVU14A
2013-10-01$179.83$120.07RVU13D
2013-07-01$179.83$120.07RVU13C
2013-04-01$179.83$120.07RVU13B
2013-01-01$179.83$120.07RVU13AR

Price 15275 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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