15271 reports the initial 25 cm² or less. Use 15272 only for each additional 25 cm² or part thereof in the same qualifying area range.
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CMS RVU26D · Effective 2026-10-01
15271 Skin substitute graft Medicare reimbursement rates in Georgia
Reports skin substitute graft application to trunk, arms, or legs for a treated wound area up to 100 cm², beginning with the first 25 cm². Compare 15271 office and facility rates across CMS payment localities in Georgia.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 15271 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$148.29–$161.18
2 of 2 localities have a supported rate.
Facility setting
$74.41–$77.02
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Wound care
About 15271: Skin substitute graft application, trunk or limb
Reports skin substitute graft application to trunk, arms, or legs for a treated wound area up to 100 cm², beginning with the first 25 cm².
This service covers preparing the wound bed when performed and applying a skin substitute graft to wounds on the trunk, arms, or legs. It is commonly performed by surgeons and wound care clinicians in office, clinic, or facility settings for wounds such as diabetic foot ulcers on the leg or chronic ulcers on the trunk. The code represents the application service, not the skin substitute product itself; the product may be reported separately under an applicable product code when billing rules allow.
Choose 15271 when the combined treated wound area is up to 100 cm², for the first 25 cm² or less. Report 15272 for each additional 25 cm² or part of that amount within the 100 cm² range; use the larger-area code family when the total exceeds 100 cm². Document wound locations, measured treated area, wound-bed preparation, and graft application. The code has a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not append modifier 50. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 15271
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.46 · 31%
- Practice expense (office) RVU3.06 · 65%
- Malpractice RVU0.21 · 4%
292K
Medicare services in 2024 · #317 by national volume
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.
15271 compared with similar codes
Office rates for Georgia, from the same CMS release.
Both cover skin substitute application to the trunk, arms, or legs, but 15273 begins the larger-area family when total treated wound area exceeds 100 cm².
Use 15275 for the skin substitute application family covering specified head, neck, hand, foot, or genital sites; 15271 is for trunk, arms, or legs.
15200 describes a full-thickness skin graft to the trunk. 15271 is for application of a skin substitute graft to the trunk, arms, or legs.
Compare 15271 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$161.18
Facility
$77.02
Rest Of Georgia →
Office / nonfacility
$148.29
Facility
$74.41
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15271 billing questions
When should 15271 be selected instead of 15273?
Use 15271 when the combined treated wound area on the trunk, arms, or legs is up to 100 cm². For a total area greater than 100 cm², use the larger-area code family beginning with 15273.
How are additional wound-area units reported?
15271 covers the first 25 cm² or less. Report add-on code 15272 for each additional 25 cm² or part thereof, within the up-to-100 cm² range.
Can the skin substitute product be billed separately?
The application service is distinct from the product. The product may be reported with its applicable product code when billing rules allow.
Should modifier 50 be used when both sides are treated?
No. Modifier 50 is inappropriate for this code, even when treatment involves both sides of the body.
What documentation supports 15271?
Record the treated wound locations, total treated surface area, wound-bed preparation when performed, and the graft application. The measurements support selection of the initial and any add-on area codes.
Can an assistant or co-surgeon be reported?
Medicare payment for an assistant at surgery is statutorily restricted for this code. Co-surgeon and team-surgery billing are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
