CPT code 15276: Skin substitute graft, additional area, selected sites2026 Medicare rate & RVUs in Washington, DC area

Reports each additional 25 square centimeters, or part, of skin substitute graft applied to selected sites when total wound area is up to 100 square centimeters.

CMS RVU26DEffective Oct 1, 2026One payment locality11.8K Medicare services in 2024

In Washington, DC area, Medicare pays $37.56 for 15276 in the office and $23.79 when it’s performed in a hospital or facility.

$37.56Office (non-facility)
$23.79Hospital or facility
+11.4%vs the national office rate ($33.73)

Check a contract rate as a % of Medicare · 15276 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 15276 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 15276 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 15276 covers

This add-on reports additional graft application area on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, or multiple digits. Surgeons, dermatologists, podiatrists, and other clinicians who treat wounds may apply skin substitute grafts in office or outpatient facility settings. Examples include graft placement on a hand or foot wound; the affected body site determines which code family applies.

Use 15276 with 15275 when the total wound surface area is up to 100 square centimeters and exceeds the area represented by the primary service. Report an additional unit for each further 25 square centimeters or part thereof. For total wound surface area of 100 square centimeters or more, use the larger-area code family instead. Document the wound sites, measured surface area, and graft application. As an add-on, 15276 is billed only with its primary procedure and is 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 Washington, DC area compares for 15276

Across 109 of 109 payment localities, the office rate for 15276 runs from $30.48 in Arkansas to $41.85 in Alaska. Washington, DC area pays $37.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

15276 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$37.56
  2. Los Angeles, CA · California$36.37−$1.19
  3. Miami, FL · Florida$37.93+$0.37
  4. Chicago, IL · Illinois$36.95−$0.61
  5. Manhattan, NY · New York$38.59+$1.03
  6. Alaska · Alaska$41.85+$4.29
  7. Alabama · Alabama$30.84−$6.72

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

15276 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$30.48$20.44
ArizonaArizona$32.93$21.60
Bakersfield, CACalifornia$34.57$21.76
Chico, CACalifornia$34.37$21.56
El Centro, CACalifornia$34.38$21.57
Fresno, CACalifornia$34.37$21.56
Hanford, CACalifornia$34.37$21.56
Madera, CACalifornia$34.37$21.56

15276 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.

$30.48

$41.85

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

View every state and territory as a table
15276 office rate range by state
State / territoryOffice rate rangeLocalities
AK$41.851
AL$30.841
AR$30.481
AZ$32.931
CA$34.37–$41.0929
CO$34.381
CT$35.711
DC$37.561
DE$33.401
FL$34.25–$37.933
GA$32.56–$34.492
GU$34.811
HI$34.811
IA$31.051
ID$31.301
IL$33.74–$36.954
IN$31.441
KS$31.131
KY$31.871
LA$31.91–$33.172
MA$34.32–$37.062
MD$33.89–$37.563
ME$31.65–$32.742
MI$32.73–$34.812
MN$32.521
MO$31.60–$33.023
MS$31.041
MT$33.731
NC$31.881
ND$32.351
NE$31.121
NH$34.061
NJ$36.00–$37.332
NM$32.961
NV$33.361
NY$32.29–$39.635
OH$32.451
OK$31.611
OR$32.98–$35.072
PA$32.37–$35.102
PR$33.871
RI$34.291
SC$32.241
SD$32.181
TN$31.281
TX$32.22–$34.648
UT$32.591
VA$32.79–$37.562
VI$33.871
VT$32.431
WA$34.19–$37.542
WI$31.491
WV$32.771
WY$33.131

See 15276 in every payment locality

How the 15276 rate is calculated

Each of 15276’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 · 15276

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.49

0.49 RVUs× 1.000 GPCI

Practice expense0.45

0.45 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.0100

Conversion factor

$33.4009

Medicare rate

$33.73

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,517

Code
15276
Physician work
0.49
Practice expense
0.45
Malpractice
0.07

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 15276 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0540.5165
Practice expense0.45× 1.1780.5301
Malpractice0.07× 1.1130.0779
Total RVUs1.1245
Conversion factor× 33.4009

Office rate, Washington, DC area$37.56

Office: (0.49 × 1.054 + 0.45 × 1.178 + 0.07 × 1.113) × $33.4009 = $37.56

Facility: (0.49 × 1.054 + 0.1 × 1.178 + 0.07 × 1.113) × $33.4009 = $23.79

Open 15276 in the RVU calculator

Payment rules and modifiers for 15276

The CMS indicators that decide how 15276 is paid alongside other services.

CMS payment indicators · 15276

Skin substitute graft, additional area, selected sites

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.

How 15276 has changed in Washington, DC area

15276 · Office / nonfacility

$37.56

Effective 2026-10-01

The base rate is $2.00 higher than on 2025-10-01, moving from $35.56 to $37.56 (5.6%).

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

    $35.56changed to$37.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 0.42 changed to 0.45
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $36.19changed to$35.56

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.40 changed to 0.42
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $35.59changed to$36.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $37.27changed to$35.59

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $38.50changed to$37.27

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.39 changed to 0.40
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $38.35changed to$38.50

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.40 changed to 0.39
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $40.24changed to$38.35

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.08 changed to 0.06
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $39.80changed to$40.24

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.42 changed to 0.40
    • Malpractice RVU 0.06 changed to 0.08
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $40.19changed to$39.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.43 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $40.14changed to$40.19

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $39.69changed to$40.14

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.42 changed to 0.43
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $39.37changed to$39.69

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $39.17changed to$39.37

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $39.05changed to$39.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.41 changed to 0.42
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $38.49changed to$39.05

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.45 changed to 0.41
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $38.49

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$37.56$23.79RVU26D
2026-07-01$37.56$23.79RVU26C
2026-04-01$37.56$23.79RVU26B
2026-01-01$37.56$23.79RVU26A
2025-10-01$35.56$26.30RVU25D
2025-07-01$35.56$26.30RVU25C
2025-04-01$35.56$26.30RVU25B
2025-01-01$35.56$26.30RVU25A
2024-10-01$36.19$27.06RVU24D
2024-07-01$36.19$27.06RVU24C
2024-04-01$36.19$27.06RVU24B
2024-03-09$36.19$27.06RVU24AR
2024-01-01$35.59$26.62RVU24A
2023-10-01$37.27$27.81RVU23D
2023-07-01$37.27$27.81RVU23C
2023-04-01$37.27$27.81RVU23B
2023-01-01$37.27$27.81RVU23A
2022-10-01$38.50$29.09RVU22D
2022-07-01$38.50$29.09RVU22C
2022-04-01$38.50$29.09RVU22B
2022-01-01$38.50$29.09RVU22A
2021-10-01$38.35$28.43RVU21D
2021-07-01$38.35$28.43RVU21C
2021-04-01$38.35$28.43RVU21B
2021-01-01$38.35$28.43RVU21A
2020-10-01$40.24$30.11RVU20D
2020-07-01$40.24$30.11RVU20C
2020-04-01$40.24$30.11RVU20B
2020-01-01$40.24$30.11RVU20A
2019-10-01$39.80$28.94RVU19D
2019-07-01$39.80$28.94RVU19C
2019-04-01$39.80$28.94RVU19B
2019-01-01$39.80$28.94RVU19A
2018-10-01$40.19$28.91RVU18D
2018-07-01$40.19$28.91RVU18C
2018-04-01$40.19$28.91RVU18B
2018-01-01$40.19$28.91RVU18AR1
2017-10-01$40.14$28.89RVU17D
2017-07-01$40.14$28.89RVU17C
2017-04-01$40.14$28.89RVU17B
2017-01-01$40.14$28.89RVU17A
2016-10-01$39.69$28.47RVU16D
2016-07-01$39.69$28.47RVU16C
2016-04-01$39.69$28.47RVU16B
2016-01-01$39.69$28.47RVU16A
2015-10-01$39.37$28.11RVU15D
2015-07-01$39.37$28.11RVU15C
2015-04-01$39.17$27.97RVU15B
2015-01-01$39.17$27.97RVU15A
2014-10-01$39.05$28.29RVU14D
2014-07-01$39.05$28.29RVU14C
2014-04-01$39.05$28.29RVU14B
2014-01-01$39.05$28.29RVU14A
2013-10-01$38.49$28.30RVU13D
2013-07-01$38.49$28.30RVU13C
2013-04-01$38.49$28.30RVU13B
2013-01-01$38.49$28.30RVU13AR

Price 15276 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

15276 billing questions

When is 15276 reported with 15275?

Report 15276 for additional grafted area beyond the initial area represented by 15275, when total wound surface area is up to 100 square centimeters. It is an add-on and must accompany the primary code.

How is the number of units determined?

Count each additional 25 square centimeters, or part thereof, beyond the area reported with 15275. The documentation should support the measured wound surface area treated.

What if the total wound area is 100 square centimeters or more?

Use the larger-area family, beginning with 15277 and adding 15278 for further area, rather than reporting 15275 and 15276.

Can 15276 be billed by itself?

No. It is an add-on code reported with 15275 when the selected-site wound area falls within the up-to-100-square-centimeter family.

Which sites belong to this code family?

The family covers the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and multiple digits. Trunk, arm, and leg wounds use a different code family.

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 15276PPRRVU2026_Oct_nonQPP.csv, line 1,517 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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