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See a sample rate comparisonCPT 11762 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.
Nail Bed Repair, Reconstruction Or Repair Of The Nail Bed (Soft Tissue Under A Nail). The Procedure May Involve Use Of A Skin Graft.
| Key Fact | Detail |
|---|---|
| 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 Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11762 |
| Medicaid Fee Schedule | View Medicaid rates for 11762 |
National average reimbursement for CPT 11762 by major payers:
$351.72
$358.71
$348.79
$454.75
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CPT 11762
5 of 25 sample ratesHigher to lower in this preview
Doctors Same Day Surgery Center, Ltd
Doctors Same Day Surgery Center Ltd
$5,532.00Published rateBaylor Surgicare At Granbury LLC, Baylor Scott & White Surgicare-Granbury
$1,955.00Published rateSeattle Hand Surgery Group PC, Seattle Hand Surgery Unit, Inc
Seattle Hand Surgery Group, P.C.
$861.00Published rateBethesda Outpatient Surgery Center LLC, Palm Beach Outpatient Surgery Center
Bethesda Outpatient Surgery Center LLC
$512.00Published rateAbisai Negron
Deaconess Hospital Inc
$232.10Published rate
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 11750-CPT | Low | Excision Of Nail And Nail Matr, Excision Of Nail And Nail Matrix Partial Or Complete (Eg Ingrown Or Deformed Nail) For Permanent Removal Excision Of Nail And Nail Matrix Partial Or Complete (Eg |
| 11755-CPT | Low | Biopsy Of Nail Unit Any Metho, Biopsy Of Nail Unit Any Method (Eg Plate Bed Matrixhyponychium Proximal And Lateral Nail Folds) (Separate Procedure) |
| 11760-CPT | Moderate | Nail Bed Repair, Reconstruction Or Repair Of The Nail Bed (Soft Tissue Under A Nail). The Procedure May Involve Use Of A Skin Graft. |
| 11762-CPT | Moderate | Nail Bed Repair, Reconstruction Or Repair Of The Nail Bed (Soft Tissue Under A Nail). The Procedure May Involve Use Of A Skin Graft. |
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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