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See a sample rate comparisonCPT 11471 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 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11471 |
| Medicaid Fee Schedule | View Medicaid rates for 11471 |
National average reimbursement for CPT 11471 by major payers:
$592.03
$650.18
$663.15
$569.92
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CPT 11471
5 of 25 sample ratesHigher to lower in this preview
Physicians Surgical Center Of Ft. Worth LLP, Baylor Scott & White Surgicare Fort Worth
Physicians Surgical Center Of Ft Worth LLP
$3,500.00Published rateDelaware River Surgical Suites, LLC
Bucks County Surgical Suites
$2,388.00Published rateRockwood Clinic Ps, Rockwood Eye Surgery Center
Multicare Health System
$1,377.00Published rateCastle Hills Outpatient Center, Inc., Surgical Arts Center
Castle Hills Outpatient Center Inc
$998.00Published rateLaurel Ambulatory Surgical Center
$494.00Published rate
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See a sample payer proposalCPT 11471 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11471 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 11471 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 11471. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11471 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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