Wound care supply, billing support and documentation audits for physician practices
Products · Skin substitutes & grafts
PCSS sources skin substitutes (cellular and tissue-based products) for practices that apply them in the office. Medicare changed how it pays for them on January 1, 2026 — we'll walk your team through what applies to your setting and your MAC.
Illustration, not the exact productAt a glance
What changed in 2026
The short version of the 2026 changes. Each point links to the CMS source; our full guide walks through them.
Since January 1, 2026, Medicare pays for skin substitutes used in a covered application procedure in the office (non-facility) setting as incident-to supplies under the Physician Fee Schedule.
CY 2026 Physician Fee Schedule final rule (CMS-1832-F)(opens in a new tab)CMS set one national rate for 2026, corrected on November 28, 2025 to $127.14 per square centimeter before geographic adjustment. Materials quoting $127.28 are out of date.
Correction notice CMS-1832-CN2 (rate corrected to $127.14 per cm²)(opens in a new tab)The uniform skin substitute LCDs for diabetic foot ulcers and venous leg ulcers, scheduled for January 1, 2026, were withdrawn on December 24, 2025. Older skin substitute LCDs remain in effect at Novitas, First Coast and CGS.
Update on the skin substitute LCDs for diabetic foot ulcers and venous leg ulcers(opens in a new tab)The CY 2027 proposed rule would nationally price non-sheet products at sheet-form rates and proposes no separate rates by FDA product category. As of October 5, 2026, no final rule has been published.
CY 2027 Physician Fee Schedule proposed rule (CMS-1848-P)(opens in a new tab)Application procedures are reported with CPT 15271–15278, chosen by anatomic site and total wound surface area — not by the number of ulcers.
Billing and Coding article A56696(opens in a new tab)Medicare details checked against CMS sources on October 6, 2026. Not billing, coding or legal advice.
Read the 2026 skin substitute guideQuestions
Our graft line-up changes as products and coverage change. Sign in to view current wholesale catalog pricing. Contact PCSS for help with product availability for your setting and MAC jurisdiction.
In the office setting, Medicare pays skin substitutes as incident-to supplies at a national rate of $127.14 per square centimeter before geographic adjustment. Actual payment varies by locality, and payment is not a coverage decision.
No. The DFU/VLU skin substitute LCDs scheduled for January 1, 2026 were withdrawn on December 24, 2025. Some MACs still have older LCDs in effect.
Your practice. Because Medicare pays the practice for the product as an incident-to supply, skin substitutes go through our wholesale model on net-30 terms.
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Explore wound care kitsWholesale portal
Sign in to view wholesale pricing and order supplies for your practice. New customers create an account and sign the Net-30 agreement online; Aubrey countersigns to open ordering.
Help: (803) 422-2710View your catalog pricing, save business and ship-to details, and order once Aubrey has countersigned your agreement. Patient-direct orders follow the separate Equipia route described in How to order.
How to order
