CPT 15275
Global 000 ActiveSkin sub graft face/nk/hf/g
CPT 15275 Billing & Documentation Guide
CPT code 15275 (Skin sub graft face/nk/hf/g) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.78, a non-facility practice expense RVU of 2.82, and a malpractice RVU of 0.2, a total non-facility RVU of 4.8 and facility RVU of 2.52. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $164.69, though rates vary from $143.8 to $205.4 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 15275, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 15275 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 15275 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 15275
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.78 | 1.78 |
| Practice Expense RVU | 2.82 | 0.54 |
| Malpractice RVU | 0.2 | 0.2 |
| Total RVU | 4.8 | 2.52 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 15275
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $176.66 | $86.55 | $167.28 - $205.4 | 29 |
| Florida | $166.96 | $90.55 | $159.54 - $174.4 | 3 |
| Georgia | $157.39 | $84.74 | $151.43 - $163.35 | 2 |
| Illinois | $163.44 | $89.86 | $155.89 - $169.86 | 4 |
| Michigan | $157.3 | $85.79 | $152.99 - $161.61 | 2 |
| North Carolina | $151.6 | $80.55 | $151.6 - $151.6 | 1 |
| New York | $176.43 | $91.47 | $153.63 - $187.66 | 5 |
| Ohio | $152.18 | $82.65 | $152.18 - $152.18 | 1 |
| Pennsylvania | $159.39 | $84.79 | $152.23 - $166.55 | 2 |
| Texas | $158.71 | $83.74 | $151.37 - $165.14 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 15275
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 15275 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01951 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01952 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 15275
What does CPT code 15275 mean? +
CPT code 15275 represents: Skin sub graft face/nk/hf/g. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 15275? +
The 2026 Medicare national average non-facility payment for CPT 15275 is $164.69. Rates range from $143.8 to $205.4 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 15275? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 15275? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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