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See a sample rate comparisonCPT 11470 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.
Remove Pocket Of Infection, Surgery To Treat Hidradenitis Suppurativa By Removing Inflamed Or Infected Regions Of Skin From The Navel Genital Area Or Around The Anus.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11470 |
| Medicaid Fee Schedule | View Medicaid rates for 11470 |
National average reimbursement for CPT 11470 by major payers:
$478.04
$525.92
$562.55
$463.08
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CPT 11470
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$7,169.00Published rateChildrens Surgery Center LLC, Adventhealth Surgery Center Maitland
Childrens Surgery Center LLC
$1,847.00Published rateSurgery Center Of Athens LLC
$1,339.00Published rateGastroenterology Associates PA, Gastroenterology Associates Endoscopy Unit
Gastroenterology Associates, PA
$1,000.00Published rateOptumcare Colorado Asc, LLC
$614.00Published rate
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See a sample payer proposalCPT 11470 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11470 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 11470 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 |
|---|---|---|
| 11470-CPT | Moderate | Remove Pocket Of Infection, Surgery To Treat Hidradenitis Suppurativa By Removing Inflamed Or Infected Regions Of Skin From The Navel Genital Area Or Around The Anus. |
| 11471-CPT | Moderate | Remove Pocket Of Infection, Surgery To Treat Hidradenitis Suppurativa By Removing Inflamed Or Infected Regions Of Skin From The Navel Genital Area Or Around The Anus. |
| 11600-CPT | Moderate | Exc Tr Ext Mal Marg 0 5 Cm, Excision Malignant Lesion Including Margins Trunk Arms Or Legs Excised Diameter 0 5 Cm Or Less |
| 11601-CPT | Moderate | Exc Tr Ext Mal Marg 0 6 1 Cm, Excision Malignant Lesion Including Margins Trunk Arms Or Legs Excised Diameter 0 6 To 1 0 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11470. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11470 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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