Billing code 15276: Skin substitute graftMedicare rate & RVUs
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.
Medicare pays $33.73 for 15276 nationally in the office and $22.04 in a hospital or facility. Local office rates run $30.48–$41.85.
Medicare rate · 15276
Skin substitute graft
Swap in your local Medicare rate.
- Work RVUs
- 0.49
- Total RVUs
- 1.01
- Global days
- ZZZ
National rate · 2026
$33.73
Office setting, before claim adjustments.
See every locality for 15276 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
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.
Where 15276 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$30.48 to $41.85
109 of 109 payment localities
15276 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
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$30.48
$41.85
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $41.85 | 1 |
| AL | $30.84 | 1 |
| AR | $30.48 | 1 |
| AZ | $32.93 | 1 |
| CA | $34.37–$41.09 | 29 |
| CO | $34.38 | 1 |
| CT | $35.71 | 1 |
| DC | $37.56 | 1 |
| DE | $33.40 | 1 |
| FL | $34.25–$37.93 | 3 |
| GA | $32.56–$34.49 | 2 |
| GU | $34.81 | 1 |
| HI | $34.81 | 1 |
| IA | $31.05 | 1 |
| ID | $31.30 | 1 |
| IL | $33.74–$36.95 | 4 |
| IN | $31.44 | 1 |
| KS | $31.13 | 1 |
| KY | $31.87 | 1 |
| LA | $31.91–$33.17 | 2 |
| MA | $34.32–$37.06 | 2 |
| MD | $33.89–$37.56 | 3 |
| ME | $31.65–$32.74 | 2 |
| MI | $32.73–$34.81 | 2 |
| MN | $32.52 | 1 |
| MO | $31.60–$33.02 | 3 |
| MS | $31.04 | 1 |
| MT | $33.73 | 1 |
| NC | $31.88 | 1 |
| ND | $32.35 | 1 |
| NE | $31.12 | 1 |
| NH | $34.06 | 1 |
| NJ | $36.00–$37.33 | 2 |
| NM | $32.96 | 1 |
| NV | $33.36 | 1 |
| NY | $32.29–$39.63 | 5 |
| OH | $32.45 | 1 |
| OK | $31.61 | 1 |
| OR | $32.98–$35.07 | 2 |
| PA | $32.37–$35.10 | 2 |
| PR | $33.87 | 1 |
| RI | $34.29 | 1 |
| SC | $32.24 | 1 |
| SD | $32.18 | 1 |
| TN | $31.28 | 1 |
| TX | $32.22–$34.64 | 8 |
| UT | $32.59 | 1 |
| VA | $32.79–$37.56 | 2 |
| VI | $33.87 | 1 |
| VT | $32.43 | 1 |
| WA | $34.19–$37.54 | 2 |
| WI | $31.49 | 1 |
| WV | $32.77 | 1 |
| WY | $33.13 | 1 |
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
Swap in your local Medicare rate.
Work 0.49Practice expense 0.45Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
15276 compared with similar codes
Compare codes
15276 vs 15275 vs 15277 vs 15278 vs 15272: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 15275Skin substitute
- 15275 reports the primary application for the selected-site family when total wound area is up to 100 square centimeters; 15276 reports additional area beyond that primary service.
- 15277Skin substitute graft
- Use 15277 for the initial service when total wound surface area is 100 square centimeters or more. The 15275 and 15276 family is for total area up to 100 square centimeters.
- 15278Skin substitute graft
- 15278 reports additional area after 15277 in the larger-area family; 15276 reports additional area after 15275 in the up-to-100-square-centimeter family.
- 15272Skin substitute graft
- 15272 is the additional-area code for trunk, arm, or leg graft applications. Use 15276 for the selected sites covered by its family.
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
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