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CPT 10081 Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

I&D Pilonidal Cyst Complicated
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

23 - Emergency Room

11 - Office

Common Modifiers

None

AG - Primary physician

UA

Complexity LevelModerate

National average reimbursement for CPT 10081 by major payers:

bcbs

$339.32

uhc

$363.56

aetna

$419.92

cigna

$519.88

Preview provider-level rates for...
For billing codeCPT 10081
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 10081

United
10081$931.001740681733 - SURGCENTER OF GREATER PHOENIX, LLC465683789 - (AZ) SURGCENTER OF GREATER PHOENIX LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$400.001952602609 - GASTROENTEROLOGY & HEPATOLOGY CONSULTANTS, PA, WAKE FOREST ENDOSCOPY CENTER562189630 - (NC) GASTROENTEROLOGY AND HEPATOLOGY CONSULTANTS, P.A.NCAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$1358.001891717195 - CENTER FOR PAIN MANAGEMENT LLC, TUCSON UROLOGIC SURGERY CENTER830962530 - (AZ) CENTER FOR PAIN MANAGEMENT LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$344.001932212511 - PALESTINE LASER & SURGERY CENTER PLLC470900270 - (TX) PALESTINE LASER SURGERY CENTER PLLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$450.001285825075 - SUNNYSIDE SURGERY CENTER, LLC201164055 - (ID) SUNNYSIDE SURGERY CENTER LLCIDAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$405.001407828494 - INDEPENDENCE ASC LLC, THE ENDOSCOPY CENTER - EAST621707564MOAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$1353.001952874182 - SAME DAY SC OF CENTRAL NJ LLC831832261 - (NJ) SAME DAY SC OF CENTRAL NJ LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$953.001174802045 - LEONARDTOWN SURGERY CENTER LLC452019132 - (MD) LEONARDTOWN SURGERY CENTER, LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$446.001588994685 - SOUTHEASTERN INTERVENTIONAL PAIN ASC LLC271651377GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$600.001780871319 - SURGICAL SPECIALISTS ASC, LLC208066886 - (FL) SURGICAL SPECIALISTS ASC LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$450.001245241694 - GAINESVILLE UROLOGY ASC LLC30412558 - (GA) GAINESVILLE UROLOGY ASC LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$774.001114952686 - NORTH RICHLAND HILLS ENDOSCOPY CENTER LLC, DIGESTIVE HEALTH CENTER OF NORTH RICHLAND HILLS203711547 - (TX) NORTH RICHLAND HILLS ENDOSCOPY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$221.281104208164 - JOSEPH ANTHONY350593390 - DEACONESS HOSPITAL INCILCertified Registered Nurse Anesthetist (367500000X)
United
10081$550.001316604440 - GEORGIA INTERVENTIONAL PAIN862695318 - (GA) GEORGIA INTERVENTIONAL PAINGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
10081$967.001144954165 - ADVANCED SURGICAL CARE OF LUTZ, LLC, ADVANCED SURGICAL CARE OF NEW TAMPA871390521 - (FL) ADVANCED SURGICAL CARE OF LUTZ LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 10081 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 10081 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 10081 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
10080-CPTModerateInc & Drain Pilonidal Cyst Simple
10081-CPTModerateI&D Pilonidal Cyst Complicated
10120-CPTLowIncision & Removal Fb Skin Simple
10121-CPTModerateIncs Remove Fb Subq Tissue Comp

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 10081 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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