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See a sample rate comparisonCPT 1015T Fee Schedule
Last Verified: October 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.
Rev/Rmv Lw Esoph Sphnc Npg/R, Revision Or Removal Lower Esophageal Sphincter Neurostimulator Pulse Generator Or Receiver (Do Not Report 1015t In Conjunction With 64595) (For Laparoscopic Revision Or Removal Of Gastric Neurostimulator Electrodes Antrum Use 43648)
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Lower Esophageal Sphincter (LES) Neurostimulator Pulse Generator Procedures with Electronic Analysis |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 1015T |
National average reimbursement for CPT 1015T by major payers:
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CPT 1015T
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See a sample payer proposalCPT 1015T vs. Other Lower Esophageal Sphincter (LES) Neurostimulator Pulse Generator Procedures with Electronic Analysis Codes
The CPT 1015T code is part of the Category III Codes services used for Lower Esophageal Sphincter (LES) Neurostimulator Pulse Generator Procedures with Electronic Analysis. 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 1015T 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.
| Code | Complexity | Description |
|---|---|---|
| 1015T-CPT | Moderate | Rev/Rmv Lw Esoph Sphnc Npg/R, Revision Or Removal Lower Esophageal Sphincter Neurostimulator Pulse Generator Or Receiver (Do Not Report 1015t In Conjunction With 64595) (For Laparoscopic Revision Or Removal Of Gastric Neurostimulator Electrodes Antrum Use 43648) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 1015T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 1015T 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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