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CPT 11762 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.

Reconstruct Nail Bed Complic
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

11 - Office

24 - Ambulatory Surgical Center

Common Modifiers

None

T5 - Right foot, great toe

TA - Left foot, great toe

Complexity LevelModerate

National average reimbursement for CPT 11762 by major payers:

bcbs

$351.72

uhc

$358.71

aetna

$348.79

cigna

$471.64

Preview provider-level rates for...
For billing codeCPT 11762
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 11762

United
11762$965.001295738375 - OREGON SURGICENTER LLC431980819 - (OR) OREGON SURGICENTER, LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$861.001588711162 - SEATTLE HAND SURGERY GROUP PC, SEATTLE HAND SURGERY UNIT, INC911652268 - (WA) SEATTLE HAND SURGERY GROUP, P.C.WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$2392.001285976183 - TEXAS HEALTH FLOWER MOUND ORTHOPEDIC SURGERY CENTER LLC800866449 - (TX) TEXAS HEALTH FLOWER MOUND ORTHOPEDIC SURGERY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$467.001922055235 - SEIDENBERG PROTZKO SURGERY CENTER LLC, MID ATLANTIC SURGERY PAVILION203363768 - (MD) SEIDENBERG PROTZKO SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$341.001417118407 - MSC AMBULATORY SURGICAL CENTER, LLC202155076MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$398.481033190129 - MAE PHYSICIANS SURGERY CENTER, LLC640914895 - (MS) MAE PHYSICIAN'S SURGERY CENTER, LLCMSAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$764.001013403161 - AKDHC SURGERY CENTER, LLC753052504AZAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$1666.001205929080 - OAK TREE SURGERY CENTER, LLC223524889 - (NJ) OAK TREE SURGERY CENTER, LL, LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$1231.001063453561 - TEMPLETON SURGERY CENTER, LLC, TEMPLETON SURGERY CENTER202246616 - (CA) TEMPLETON SURGERY CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$1233.001366982845 - JACKSONVILLE ENDOSCOPY CENTERS LLC, JACKSONVILLE CENTER FOR ENDOSCOPY384016302FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$232.101861413650 - ABISAI NEGRON350593390 - DEACONESS HOSPITAL INCTXAnesthesiology Physician (207L00000X)
United
11762$529.001174679054 - CROSSROADS SURGERY CENTER, LLC562622609 - (TN) CROSSROADS SURGERY CENTER LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$2392.001154566578 - WOMEN'S SPECIALTY SURGERY CENTER OF DALLAS, LLC262310072 - (TX) TEXAS HEALTH WOMEN'S SPECIALTY SURGERY CENTER OF DALLAS, LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$1955.001639146541 - CENTENNIAL ASC, LLC, BAYLOR SURGICARE AT CENTENNIAL352199232 - (TX) CENTENNIAL ASC LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$5532.001396700159 - DOCTORS SAME DAY SURGERY CENTER, LTD621614361 - (FL) DOCTORS SAME DAY SURGERY CENTER LTDFLAmbulatory 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 11762 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 11762 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 11762 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
11719-CPTLowTrimming Of Nondysrophic Nails, Any Number
11720-CPTLowDebridement Of Nail(S) By Any Method(S); One To Five
11750-CPTLowExc Nail & Matrix Perm Remove
11762-CPTModerateReconstruct Nail Bed Complic

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11762. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 11762 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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