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

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 Iowa, Medicare pays $31.05 for 15276 in the office and $20.35 when it’s performed in a hospital or facility.

$31.05Office (non-facility)
$20.35Hospital or facility
−7.9%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 Iowa
  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 Iowa 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. Iowa pays $31.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

15276 in Iowa vs other payment areas
  1. Iowa · this page$31.05
  2. Los Angeles, CA · California$36.37+$5.32
  3. Washington, DC area · District of Columbia$37.56+$6.51
  4. Miami, FL · Florida$37.93+$6.88
  5. Chicago, IL · Illinois$36.95+$5.90
  6. Manhattan, NY · New York$38.59+$7.54
  7. Alaska · Alaska$41.85+$10.80

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

Every other payment area

15276 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$30.84$20.61
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

15276 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.

$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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 15276 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0000.4900
Practice expense0.45× 0.9150.4118
Malpractice0.07× 0.3970.0278
Total RVUs0.9295
Conversion factor× 33.4009

Office rate, Iowa$31.05

Office: (0.49 × 1 + 0.45 × 0.915 + 0.07 × 0.397) × $33.4009 = $31.05

Facility: (0.49 × 1 + 0.1 × 0.915 + 0.07 × 0.397) × $33.4009 = $20.35

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.

Codes related to 15276

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

Codes related to 15276
CodeHow it relatesOffice range, Iowa
Primary code
15275Skin substitute, face and other specified sitesPrimary skin substitute graft application code for these sites and total wound area up to 100 square centimeters.$148.29
Same family
15277Skin substitute graft, large area, special sitesPrimary code for these sites when total wound surface area is 100 square centimeters or more.$329.16
15278Skin substitute graft, each additional 100 cm²Additional-area code for the larger-area family beginning with 15277.$91.92
Used instead
15272Skin substitute graft, additional trunk, arm, or leg areaAnalogous additional-area code for skin substitute grafts on the trunk, arms, or legs.$23.58

How 15276 has changed in Iowa

15276 · Office / nonfacility

$31.05

Effective 2026-10-01

The base rate is $1.59 higher than on 2025-10-01, moving from $29.46 to $31.05 (5.4%).

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

    $29.46changed to$31.05

    • 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
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $29.87changed to$29.46

    • 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

    $29.38changed to$29.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $30.32changed to$29.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $30.72changed to$30.32

    • 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
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $31.00changed to$30.72

    • 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

    $32.36changed to$31.00

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.08 changed to 0.06
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $32.66changed to$32.36

    • 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
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $32.95changed to$32.66

    • 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

    $32.85changed to$32.95

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $32.44changed to$32.85

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.42 changed to 0.43
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $32.38changed to$32.44

    • 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

    $32.21changed to$32.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $32.03changed to$32.21

    • 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
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $31.52changed to$32.03

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.45 changed to 0.41
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $31.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$31.05$20.35RVU26D
2026-07-01$31.05$20.35RVU26C
2026-04-01$31.05$20.35RVU26B
2026-01-01$31.05$20.35RVU26A
2025-10-01$29.46$22.38RVU25D
2025-07-01$29.46$22.38RVU25C
2025-04-01$29.46$22.38RVU25B
2025-01-01$29.46$22.38RVU25A
2024-10-01$29.87$22.88RVU24D
2024-07-01$29.87$22.88RVU24C
2024-04-01$29.87$22.88RVU24B
2024-03-09$29.87$22.88RVU24AR
2024-01-01$29.38$22.50RVU24A
2023-10-01$30.32$23.23RVU23D
2023-07-01$30.32$23.23RVU23C
2023-04-01$30.32$23.23RVU23B
2023-01-01$30.32$23.23RVU23A
2022-10-01$30.72$23.82RVU22D
2022-07-01$30.72$23.82RVU22C
2022-04-01$30.72$23.82RVU22B
2022-01-01$30.72$23.82RVU22A
2021-10-01$31.00$23.72RVU21D
2021-07-01$31.00$23.72RVU21C
2021-04-01$31.00$23.72RVU21B
2021-01-01$31.00$23.72RVU21A
2020-10-01$32.36$24.83RVU20D
2020-07-01$32.36$24.83RVU20C
2020-04-01$32.36$24.83RVU20B
2020-01-01$32.36$24.83RVU20A
2019-10-01$32.66$24.49RVU19D
2019-07-01$32.66$24.49RVU19C
2019-04-01$32.66$24.49RVU19B
2019-01-01$32.66$24.49RVU19A
2018-10-01$32.95$24.46RVU18D
2018-07-01$32.95$24.46RVU18C
2018-04-01$32.95$24.46RVU18B
2018-01-01$32.95$24.46RVU18AR1
2017-10-01$32.85$24.43RVU17D
2017-07-01$32.85$24.43RVU17C
2017-04-01$32.85$24.43RVU17B
2017-01-01$32.85$24.43RVU17A
2016-10-01$32.44$24.09RVU16D
2016-07-01$32.44$24.09RVU16C
2016-04-01$32.44$24.09RVU16B
2016-01-01$32.44$24.09RVU16A
2015-10-01$32.38$24.00RVU15D
2015-07-01$32.38$24.00RVU15C
2015-04-01$32.21$23.88RVU15B
2015-01-01$32.21$23.88RVU15A
2014-10-01$32.03$24.04RVU14D
2014-07-01$32.03$24.04RVU14C
2014-04-01$32.03$24.04RVU14B
2014-01-01$32.03$24.04RVU14A
2013-10-01$31.52$23.98RVU13D
2013-07-01$31.52$23.98RVU13C
2013-04-01$31.52$23.98RVU13B
2013-01-01$31.52$23.98RVU13AR

Price 15276 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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