$143.70–$153.09
Both codes address trunk, arm, or leg wounds. Choose 15271 for the smaller wound-area category and 15273 when the total area meets the large-area threshold.
On this page
CMS RVU26D · Effective 2026-10-01
15273 Skin substitute graft Medicare reimbursement rates in Missouri
Report this code for applying a skin substitute graft to a large wound on the trunk, arm, or leg, using the applicable area threshold. Compare 15273 office and facility rates across CMS payment localities in Missouri.
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 15273 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$295.59–$313.03
3 of 3 localities have a supported rate.
Facility setting
$166.03–$169.94
3 of 3 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.
Where 15273 pays more and less in Missouri
3 payment localities
$295.59 to $313.03
Wound care
About 15273: Large-area trunk or limb skin substitute application
Report this code for applying a skin substitute graft to a large wound on the trunk, arm, or leg, using the applicable area threshold.
A clinician applies a skin substitute graft to a wound on the trunk, an arm, or a leg. This service is commonly performed by surgeons and wound-care clinicians for wounds such as chronic diabetic or venous ulcers and other wounds requiring graft coverage. The graft is applied to the wound; this code is not for harvesting a patient's own skin. The corresponding codes distinguish wound location and total treated surface area.
Choose this base code when the total wound area meets the large-area threshold for the trunk, arms, or legs. For infants and children, the area basis uses body surface area rather than the adult square-centimeter measure. Document wound location, measurements, the total area treated, and graft application. Code 15274 reports each additional area increment with this service. Medicare includes same-day preoperative and postoperative care in the 0-day global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 15273
- 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 RVU3.41 · 35%
- Practice expense (office) RVU5.61 · 58%
- Malpractice RVU0.62 · 6%
13.4K
Medicare services in 2024 · #1318 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.
15273 compared with similar codes
Office rates for Missouri, from the same CMS release.
$79.09–$84.21
15273 covers the base area for a large wound; 15274 reports each additional area increment and is used with the base service.
$147.15–$155.82
Use 15273 for wounds on the trunk, arms, or legs. Use 15275 when the treated site is the face, neck, hands, feet, or genitalia.
Compare 15273 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$310.08
Facility
$168.94
Metropolitan St. Louis →
Office / nonfacility
$313.03
Facility
$169.94
Rest Of Missouri →
Office / nonfacility
$295.59
Facility
$166.03
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15273 billing questions
How does 15273 differ from 15271?
Both cover skin substitute graft application to the trunk, arms, or legs. Select between them based on the total wound surface area and the applicable adult or pediatric area measure.
When is 15274 reported with 15273?
Report 15274 for each additional area increment beyond the area covered by 15273. Document the total treated wound area to support the base and additional units.
Can modifier 50 be used for wounds on both legs?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the service based on the treated wound area and applicable coding instructions.
Is routine same-day postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care. The code does not establish a multi-day global period.
Can an assistant-at-surgery or co-surgeon be billed?
Medicare does not pay an assistant-at-surgery service for this code. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
1,51115261,,Fth/gft fr n/e/e/l each addl,A,,2.17,3.75,,0.90,,0.30,6.22,3.37,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51215271,,Skin sub graft trnk/arm/leg,A,,1.46,3.06,,0.58,,0.21,4.73,2.25,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51315272,,Skin sub graft t/a/l add-on,A,,0.32,0.40,,0.07,,0.05,0.77,0.44,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51415273,,Skin sub grft t/arm/lg child,A,,3.41,5.61,,1.11,,0.62,9.64,5.14,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51515274,,Skn sub grft t/a/l child add,A,,0.78,1.65,,0.22,,0.17,2.60,1.17,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51615275,,Skin sub graft face/nk/hf/g,A,,1.78,2.82,,0.54,,0.20,4.80,2.52,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,51715276,,Skin sub graft f/n/hf/g addl,A,,0.49,0.45,,0.10,,0.07,1.01,0.66,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00