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CPT 11762 Fee Schedule

Last Verified: November 2025

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$1276.001992250922 - MIAMI SURGICAL SUITES LLC474339341 - (FL) MIAMI SURGICAL SUITES LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$565.001689195786 - SOUTHEAST ATLANTA VASCULAR CARE, LLC820825656 - (GA) SOUTHEAST ATLANTA VASCULAR CARE LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$610.001972556942 - CHERRY HILL WOMEN'S CENTER, INC.232068660 - (NJ) CHERRY HILL WOMENS CENTER INCNJAmbulatory 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$1206.001437202249 - PACMED CLINICS562290878 - (WA) PACMED CLINICSWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$813.001578980421 - SUNSET RIDGE SURGERY CENTER, LLC463505336 - (NV) SUNSET RIDGE SURGERY CENTER, LLCNVAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$1666.001942267893 - GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW JERSEY, PA223345724 - (NJ) GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW JERSEY, P.A.NJAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$1530.001801987805 - ENDO SURGI CENTER OF OLD BRIDGE LLC223679920 - (NJ) ENDO-SURGI CENTER OF OLD BRIDGE, LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$3557.001285236083 - LEXINGTON HEALTH INC, LMC NORTHEAST ASC852276567 - LEXINGTON HEALTH INCSCAmbulatory 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$840.001437112455 - SPACE COAST SURGICAL CENTER LTD, MERRITT ISLAND SURGERY CENTER752516426 - (FL) SPACE COAST SURGICAL CENTER LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$552.001982268322 - SURGERY CENTER ON 27 LLC812733475 - (FL) SURGERY CENTER ON 27 LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$283.001528134293 - MARYLAND AESTHETIC AND RECONSTRUCTIVE AMBULATORY SURGICAL CENTER LLC522277480 - (MD) MARYLAND AESTHETIC AND RECONSTRUCTIVE AMBULATORY SURGICAL CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$401.001821093204 - LAUREL LASER & SURGERY CENTER, L.P.251852464 - (PA) LAUREL LASER SURGERY CENTER LPPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
11762$646.001821167479 - EVERGREEN EYE CENTER, PLLC, EVERGREEN EYE SURGERY CENTER911628032 - (WA) EVERGREEN EYE CENTER, INC. P.S.WAAmbulatory 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
11719LowTrimming Of Nondysrophic Nails, Any Number
11720LowDebridement Of Nail(S) By Any Method(S); One To Five
11750LowExc Nail & Matrix Perm Remove
11762ModerateReconstruct 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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