CPT code 15277: Skin substitute graft, large area, special sites2026 Medicare rate & RVUs in South Dakota

Reports skin substitute graft application to a large wound on the face, scalp, neck, hands, feet, or other designated sites.

CMS RVU26DEffective Oct 1, 2026One payment locality1.9K Medicare services in 2024

In South Dakota, Medicare pays $345.32 for 15277 in the office and $181.65 when it’s performed in a hospital or facility.

$345.32Office (non-facility)
$181.65Hospital or facility
−4.4%vs the national office rate ($361.06)

Check a contract rate as a % of Medicare · 15277 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 15277 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 15277 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 15277 covers

This code covers application of a skin substitute graft to a wound involving at least 100 square centimeters at designated sites, including the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, and feet. For infants and children, the area threshold is expressed as the first 1% of body surface area. Plastic surgeons, other surgeons, podiatrists, and wound-care clinicians may perform the service for appropriate burns, traumatic wounds, or chronic wound defects in office, outpatient, or facility settings.

Report this as the initial-area service; code 15278 represents each additional area increment when warranted. Document the wound location and treated surface area, or the infant’s or child’s body-surface-area calculation, along with the graft application. Same-day preoperative and postoperative care is included in its 0-day global period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is 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 South Dakota compares for 15277

Across 109 of 109 payment localities, the office rate for 15277 runs from $320.36 in Arkansas to $455.92 in San Benito County, CA. South Dakota pays $345.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

15277 in South Dakota vs other payment areas
  1. South Dakota · this page$345.32
  2. Los Angeles, CA · California$396.33+$51.01
  3. Washington, DC area · District of Columbia$407.64+$62.32
  4. Miami, FL · Florida$405.81+$60.49
  5. Chicago, IL · Illinois$393.72+$48.40
  6. Manhattan, NY · New York$416.85+$71.53
  7. Alaska · Alaska$429.01+$83.69

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

Every other payment area

15277 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$324.89$181.68
ArkansasArkansas$320.36$179.78
ArizonaArizona$351.23$192.64
Bakersfield, CACalifornia$374.15$194.77
Chico, CACalifornia$372.15$192.78
El Centro, CACalifornia$372.27$192.90
Fresno, CACalifornia$372.15$192.78
Hanford, CACalifornia$372.15$192.78

15277 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.

$320.36

$429.01

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

View every state and territory as a table
15277 office rate range by state
State / territoryOffice rate rangeLocalities
AK$429.011
AL$324.891
AR$320.361
AZ$351.231
CA$372.15–$455.9229
CO$370.691
CT$384.591
DC$407.641
DE$356.831
FL$363.88–$405.813
GA$343.25–$369.532
GU$379.451
HI$379.451
IA$329.161
ID$332.001
IL$356.40–$393.724
IN$333.761
KS$329.421
KY$336.061
LA$336.25–$352.072
MA$369.31–$403.972
MD$362.91–$407.643
ME$335.53–$350.452
MI$346.11–$370.082
MN$350.371
MO$331.87–$351.173
MS$326.091
MT$361.021
NC$338.631
ND$346.981
NE$330.371
NH$366.591
NJ$387.63–$404.022
NM$348.641
NV$357.311
NY$343.67–$428.865
OH$343.241
OK$333.621
OR$353.19–$380.062
PA$342.78–$376.482
PR$362.991
RI$367.811
SC$341.771
SD$345.321
TN$331.241
TX$340.74–$370.638
UT$346.221
VA$350.57–$407.642
VI$362.991
VT$347.281
WA$368.06–$410.252
WI$335.961
WV$344.161
WY$354.901

See 15277 in every payment locality

How the 15277 rate is calculated

Each of 15277’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 · 15277

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.90

3.90 RVUs× 1.000 GPCI

Practice expense6.20

6.20 RVUs× 1.000 GPCI

Malpractice0.71

0.71 RVUs× 1.000 GPCI

Adjusted RVUs

10.8100

Conversion factor

$33.4009

Medicare rate

$361.06

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,518

Code
15277
Physician work
3.90
Practice expense
6.20
Malpractice
0.71

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 15277 in South Dakota
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0003.9000
Practice expense6.20× 1.0006.2000
Malpractice0.71× 0.3360.2386
Total RVUs10.3386
Conversion factor× 33.4009

Office rate, South Dakota$345.32

Office: (3.9 × 1 + 6.2 × 1 + 0.71 × 0.336) × $33.4009 = $345.32

Facility: (3.9 × 1 + 1.3 × 1 + 0.71 × 0.336) × $33.4009 = $181.65

Open 15277 in the RVU calculator

Payment rules and modifiers for 15277

The CMS indicators that decide how 15277 is paid alongside other services.

CMS payment indicators · 15277

Skin substitute graft, large area, special 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)1Permitted with supporting documentation.
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

15277 without 51 · national office

$361.06

Skin substitute graft, large area, special sites

15277-51 · Second procedure: 50%

$180.53

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

How 15277 has changed in South Dakota

15277 · Office / nonfacility

$345.32

Effective 2026-10-01

The base rate is $29.58 higher than on 2025-10-01, moving from $315.74 to $345.32 (9.4%).

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

    $315.74changed to$345.32

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.00 changed to 3.90
    • Practice expense RVU 5.49 changed to 6.20
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $325.39changed to$315.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.50 changed to 5.49
    • Malpractice RVU 0.72 changed to 0.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $320.08changed to$325.39

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $334.88changed to$320.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.62 changed to 5.50
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $343.06changed to$334.88

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.66 changed to 5.62
    • Malpractice RVU 0.73 changed to 0.72
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $341.01changed to$343.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.53 changed to 5.66
    • Malpractice RVU 0.70 changed to 0.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $337.35changed to$341.01

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.09 changed to 5.53
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $328.98changed to$337.35

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.86 changed to 5.09
    • Malpractice RVU 0.69 changed to 0.70
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $323.00changed to$328.98

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.70 changed to 4.86
    • Malpractice RVU 0.70 changed to 0.69

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $319.36changed to$323.00

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.63 changed to 4.70
    • Malpractice RVU 0.68 changed to 0.70
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $314.36changed to$319.36

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.52 changed to 4.63
    • Malpractice RVU 0.65 changed to 0.68
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $316.14changed to$314.36

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.53 changed to 4.52
    • Malpractice RVU 0.67 changed to 0.65

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $314.57changed to$316.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $308.18changed to$314.57

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.37 changed to 4.53
    • Malpractice RVU 0.56 changed to 0.67
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $288.34changed to$308.18

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.22 changed to 4.37
    • Malpractice RVU 0.59 changed to 0.56
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $288.34

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$345.32$181.65RVU26D
2026-07-01$345.32$181.65RVU26C
2026-04-01$345.32$181.65RVU26B
2026-01-01$345.32$181.65RVU26A
2025-10-01$315.74$201.56RVU25D
2025-07-01$315.74$201.56RVU25C
2025-04-01$315.74$201.56RVU25B
2025-01-01$315.74$201.56RVU25A
2024-10-01$325.39$205.22RVU24D
2024-07-01$325.39$205.22RVU24C
2024-04-01$325.39$205.22RVU24B
2024-03-09$325.39$205.22RVU24AR
2024-01-01$320.08$201.87RVU24A
2023-10-01$334.88$209.83RVU23D
2023-07-01$334.88$209.83RVU23C
2023-04-01$334.88$209.83RVU23B
2023-01-01$334.88$209.83RVU23A
2022-10-01$343.06$212.94RVU22D
2022-07-01$343.06$212.94RVU22C
2022-04-01$343.06$212.94RVU22B
2022-01-01$343.06$212.94RVU22A
2021-10-01$341.01$214.00RVU21D
2021-07-01$341.01$214.00RVU21C
2021-04-01$341.01$214.00RVU21B
2021-01-01$341.01$214.00RVU21A
2020-10-01$337.35$222.23RVU20D
2020-07-01$337.35$222.23RVU20C
2020-04-01$337.35$222.23RVU20B
2020-01-01$337.35$222.23RVU20A
2019-10-01$328.98$222.66RVU19D
2019-07-01$328.98$222.66RVU19C
2019-04-01$328.98$222.66RVU19B
2019-01-01$328.98$222.66RVU19A
2018-10-01$323.00$223.28RVU18D
2018-07-01$323.00$223.28RVU18C
2018-04-01$323.00$223.28RVU18B
2018-01-01$323.00$223.28RVU18AR1
2017-10-01$319.36$221.38RVU17D
2017-07-01$319.36$221.38RVU17C
2017-04-01$319.36$221.38RVU17B
2017-01-01$319.36$221.38RVU17A
2016-10-01$314.36$218.41RVU16D
2016-07-01$314.36$218.41RVU16C
2016-04-01$314.36$218.41RVU16B
2016-01-01$314.36$218.41RVU16A
2015-10-01$316.14$219.48RVU15D
2015-07-01$316.14$219.48RVU15C
2015-04-01$314.57$218.39RVU15B
2015-01-01$314.57$218.39RVU15A
2014-10-01$308.18$214.68RVU14D
2014-07-01$308.18$214.68RVU14C
2014-04-01$308.18$214.68RVU14B
2014-01-01$308.18$214.68RVU14A
2013-10-01$288.34$206.35RVU13D
2013-07-01$288.34$206.35RVU13C
2013-04-01$288.34$206.35RVU13B
2013-01-01$288.34$206.35RVU13AR

Price 15277 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

15277 billing questions

How is 15277 distinguished from 15275?

Both apply to the designated special sites. Use 15277 for the initial area when the wound area reaches the large-area threshold, including the first 1% of body surface area for an infant or child; 15275 is for the smaller-area tier.

When is 15278 reported with 15277?

15278 reports each additional area increment after the initial area represented by 15277. The wound-area documentation should support the additional increment.

Should modifier 50 be used for wounds on both hands or feet?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code. Report based on the applicable treated-area rules.

Is same-day wound care included in the global period?

The code has a 0-day global period, which includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How does the multiple-procedure reduction affect 15277?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.

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 15277PPRRVU2026_Oct_nonQPP.csv, line 1,518 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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