$151.14
15271 reports the primary graft application to the trunk, arms, or legs; 15272 reports additional area and is not used alone.
On this page
CMS RVU26D · Effective 2026-10-01
15272 Skin substitute graft Medicare reimbursement rates in Utah
Reports each additional 100 sq cm or part of skin substitute graft application to wounds on the trunk, arms, or legs. Compare 15272 office and facility rates across CMS payment localities in Utah.
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 15272 in Utah?
Utah has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$24.75
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$14.39
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
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 15272: Additional skin substitute graft area
Reports each additional 100 sq cm or part of skin substitute graft application to wounds on the trunk, arms, or legs.
This add-on reports application of a skin substitute graft to additional wound area on the trunk, arms, or legs. It may be used when a clinician treats wounds such as chronic ulcers, after measuring the total surface area treated. Physicians and other qualified practitioners commonly perform the service in an office or hospital outpatient setting. The code represents additional treated area, not a separate graft application method or a different wound site.
Report 15272 with the applicable primary application code, 15271, for additional area beyond the initial area. The record should identify the treated body site, document the wound surface area and support the amount of additional area grafted. As an add-on code, 15272 is billed only with a primary procedure and is paid within that procedure's global period.
CMS billing rules for 15272
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.32 · 42%
- Practice expense (office) RVU0.40 · 52%
- Malpractice RVU0.05 · 6%
56.9K
Medicare services in 2024 · #734 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.
15272 compared with similar codes
Office rates for Utah, from the same CMS release.
$308.63
15273 is a related primary application code for a different wound-area circumstance on the trunk, arms, or legs; 15272 is the additional-area code paired with 15271.
$32.59
15276 reports additional grafted area at specified face, neck, hand, foot, or genital sites; 15272 is for the trunk, arms, or legs.
Compare 15272 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.
1 of 1 payment localities
Utah →
Office / nonfacility
$24.75
Facility
$14.39
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 15272 in Utah.
PPRRVU2026_Oct_nonQPP.csv
1,513
- Code
- 15272
- Physician work
- 0.32
- Practice expense
- 0.40
- Malpractice
- 0.05
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.32 | × 1.000 | 0.3200 |
| Practice expense | 0.40 | × 0.940 | 0.3760 |
| Malpractice | 0.05 | × 0.898 | 0.0449 |
| Total RVUs | 0.7409 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$24.75
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.32 | 1 |
| Practice expense | 0.4 | 0.94 |
| Malpractice | 0.05 | 0.898 |
(0.32 × 1 + 0.4 × 0.94 + 0.05 × 0.898) × $33.4009 = $24.75
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.32 | 1 |
| Practice expense | 0.07 | 0.94 |
| Malpractice | 0.05 | 0.898 |
(0.32 × 1 + 0.07 × 0.94 + 0.05 × 0.898) × $33.4009 = $14.39
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
15272 billing questions
When is 15272 reported instead of 15271?
15271 reports the primary application for the trunk, arms, or legs. Report 15272 for each additional 100 sq cm or part thereof, with 15271.
Can 15272 be reported by itself?
No. It is an add-on code and must be billed with the applicable primary procedure, 15271.
What documentation supports an additional unit?
Document the treated site and total wound surface area, with enough detail to support each additional 100 sq cm or part thereof.
Does 15272 cover wounds on the face or neck?
No. This code applies to additional treated area on the trunk, arms, or legs. The skin substitute graft family has separate codes for the face, neck, hands, feet, and genitalia.
How does the global-period rule affect 15272?
CMS pays this add-on within the primary procedure's global period; it is not a separately paid standalone service.
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.
1,51015260,,Fth/gft fr n/e/e/l 20 sqcm/<,A,,11.35,17.31,,9.12,,1.31,29.97,21.78,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985