FeeBase
Log inGet started
Menu

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

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 Puerto Rico, Medicare pays $33.87 for 15276 in the office and $22.05 when it’s performed in a hospital or facility.

$33.87Office (non-facility)
$22.05Hospital or facility
+0.4%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $33.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

15276 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$33.87
  2. Los Angeles, CA · California$36.37+$2.50
  3. Washington, DC area · District of Columbia$37.56+$3.69
  4. Miami, FL · Florida$37.93+$4.06
  5. Chicago, IL · Illinois$36.95+$3.08
  6. Manhattan, NY · New York$38.59+$4.72
  7. Alaska · Alaska$41.85+$7.98

Other areas in Puerto Rico 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 15276 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0000.4900
Practice expense0.45× 1.0110.4549
Malpractice0.07× 0.9850.0690
Total RVUs1.0139
Conversion factor× 33.4009

Office rate, Puerto Rico$33.87

Office: (0.49 × 1 + 0.45 × 1.011 + 0.07 × 0.985) × $33.4009 = $33.87

Facility: (0.49 × 1 + 0.1 × 1.011 + 0.07 × 0.985) × $33.4009 = $22.05

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, Puerto Rico
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.$161.26
Same family
15277Skin substitute graft, large area, special sitesPrimary code for these sites when total wound surface area is 100 square centimeters or more.$362.99
15278Skin substitute graft, each additional 100 cm²Additional-area code for the larger-area family beginning with 15277.$101.78
Used instead
15272Skin substitute graft, additional trunk, arm, or leg areaAnalogous additional-area code for skin substitute grafts on the trunk, arms, or legs.$25.84

How 15276 has changed in Puerto Rico

15276 · Office / nonfacility

$33.87

Effective 2026-10-01

The base rate is $2.11 higher than on 2025-10-01, moving from $31.76 to $33.87 (6.6%).

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

    $31.76changed to$33.87

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $32.34changed to$31.76

    • 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

    $31.81changed to$32.34

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $32.94changed to$31.81

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $32.87changed to$32.94

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $33.64changed to$32.87

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $33.58changed to$33.64

    • 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.

  8. January 1, 2021

    RVU21A

    $35.45changed to$33.58

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.08 changed to 0.06
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $35.40changed to$35.45

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $35.73changed to$35.40

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $32.54changed to$35.73

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $29.13changed to$32.54

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.42 changed to 0.43
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $29.13changed to$29.13

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

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $28.99changed to$29.13

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $28.66changed to$28.99

    • 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 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $27.90changed to$28.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.45 changed to 0.41
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $27.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$33.87$22.05RVU26D
2026-07-01$33.87$22.05RVU26C
2026-04-01$33.87$22.05RVU26B
2026-01-01$33.87$22.05RVU26A
2025-10-01$31.76$23.94RVU25D
2025-07-01$31.76$23.94RVU25C
2025-04-01$31.76$23.94RVU25B
2025-01-01$31.76$23.94RVU25A
2024-10-01$32.34$24.63RVU24D
2024-07-01$32.34$24.63RVU24C
2024-04-01$32.34$24.63RVU24B
2024-03-09$32.34$24.63RVU24AR
2024-01-01$31.81$24.23RVU24A
2023-10-01$32.94$25.08RVU23D
2023-07-01$32.87$25.08RVU23C
2023-04-01$32.87$25.08RVU23B
2023-01-01$32.87$25.08RVU23A
2022-10-01$33.64$25.96RVU22D
2022-07-01$33.64$25.96RVU22C
2022-04-01$33.64$25.96RVU22B
2022-01-01$33.64$25.96RVU22A
2021-10-01$33.58$25.49RVU21D
2021-07-01$33.58$25.49RVU21C
2021-04-01$33.58$25.49RVU21B
2021-01-01$33.58$25.49RVU21A
2020-10-01$35.45$27.08RVU20D
2020-07-01$35.45$27.08RVU20C
2020-04-01$35.45$27.08RVU20B
2020-01-01$35.45$27.08RVU20A
2019-10-01$35.40$26.33RVU19D
2019-07-01$35.40$26.33RVU19C
2019-04-01$35.40$26.33RVU19B
2019-01-01$35.40$26.33RVU19A
2018-10-01$35.73$26.30RVU18D
2018-07-01$35.73$26.30RVU18C
2018-04-01$35.73$26.30RVU18B
2018-01-01$35.73$26.30RVU18AR1
2017-10-01$32.54$24.55RVU17D
2017-07-01$32.54$24.55RVU17C
2017-04-01$32.54$24.55RVU17B
2017-01-01$32.54$24.55RVU17A
2016-10-01$29.13$22.57RVU16D
2016-07-01$29.13$22.57RVU16C
2016-04-01$29.13$22.57RVU16B
2016-01-01$29.13$22.57RVU16A
2015-10-01$29.13$22.55RVU15D
2015-07-01$29.13$22.55RVU15C
2015-04-01$28.99$22.43RVU15B
2015-01-01$28.99$22.43RVU15A
2014-10-01$28.66$22.46RVU14D
2014-07-01$28.66$22.46RVU14C
2014-04-01$28.66$22.46RVU14B
2014-01-01$28.66$22.46RVU14A
2013-10-01$27.90$22.13RVU13D
2013-07-01$27.90$22.13RVU13C
2013-04-01$27.90$22.13RVU13B
2013-01-01$27.90$22.13RVU13AR

Price 15276 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 15276 pays in Puerto Rico?

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 15276 and the rest of your codes on one sheet

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

Join the waitlist