{
    "code": "15271",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/15271/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/15271/2021/D",
    "description": "Application of a manufactured or biologic skin substitute, a sheet of engineered or processed tissue, to an open wound on the trunk, an arm, or a leg. The dressing is trimmed to fit, secured over the prepared wound bed, and left to encourage the wound to close. This code covers the first block of wound surface treated on a relatively small total wound, with separate codes for additional area and for much larger wounds, and a different set of codes for the face, scalp, hands, and feet.",
    "answer": {
        "question": "How much did Medicare pay for CPT 15271 in Q4 2021?",
        "text": "Medicare paid $158.76 for CPT 15271 in the office (non-facility) setting and $85.49 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it increased 2.5%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "D",
        "label": "Q4 2021",
        "effective": "October 1 – December 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 158.76,
        "facility": 85.49,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.5,
        "practice_expense_non_facility": 2.83,
        "practice_expense_facility": 0.73,
        "malpractice": 0.22
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q4 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/D",
        "file": "PPRRVU21_OCT.csv",
        "row": 6062,
        "sha256": "f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297"
    },
    "modified_at": "2026-08-04T03:10:59+00:00"
}