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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11200 |
| Medicaid Fee Schedule | View Medicaid rates for 11200 |
National average reimbursement for CPT 11200 by major payers:

$105.01

$109.67

$116.04

$121.40
Choose a payer to see a sample of rates for CPT 11200.
Summit Medical Group, P.A.
Vermont Eye Surgery & Laser Center, LLC 401(K) Plan
Magnolia Surgery Center LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 11200 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11200 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 11200 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 |
|---|---|---|
| 11042-CPT | Low | Debridement Subcutaneous Tiss, Debridement Subcutaneous Tissue (Includes Epidermis And Dermis If Performed) First 20 Sq Cm Or Less |
| 11043-CPT | Moderate | Dbrdmt Musc Fsca 1st 20, Debridement Muscle And Or Fascia Includes Epidermis Dermis And Subcutaneous Tissue If Performed First 20 Sq Cm Or Less |
| 11200-CPT | Low | Removal Of Skin Tags Multipl, Removal Of Skin Tags Multiple Fibrocutaneous Tags Anyarea Up To And Including 15 Lesions Removal Of Skin Tags Multiple Fibrocutaneous Tags Any |
| 11201-CPT | Low | Removal Of Skin Tags Multiple, Removal Of Skin Tags Multiple Fibrocutaneous Tags Any Area Each Additional 10 Lesions Or Part Thereof (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11200 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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