CPT 12032 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Integumentary System |
| Common Place of Service | • 11 - Office • 23 - Emergency Room |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 79 - Unrelated procedure - postop period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 12032 |
National average reimbursement for CPT 12032 by major payers:
$333.95
$376.42
$402.30
$500.09
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 12032 | ||||||
United | 12032 | $178.30 | 1649550591 - CHERISE MIZRAHI-LEVI | 562402242 - PHILIP BRUDER, M.D., P.C. | FL | Dermatology Physician (207N00000X) |
United | 12032 | $324.75 | 1194165738 - VIKAS PATEL | 463143787 - WALNUT CREEK SKIN AND LASER, INC. | IL | Dermatology Physician (207N00000X) |
United | 12032 | $316.88 | 1811950074 - ROBERT ECKER | 371736386 - (CT) INTEGRATED DERMATOLOGY OF GROTON | CT | Dermatology Physician (207N00000X) |
United | 12032 | $288.30 | 1992757751 - PRIYA YOUNG | 352072221 - (IN) DAWES/FRETZIN DERMATOLOGY GROUP, LLC | IN | Dermatology Physician (207N00000X) |
United | 12032 | $801.00 | 1992752620 - JANE DANAHY | 571146349 - (MA) ROBERT J. O'BRIEN, JR., M.D. & ASSOCIATES, P.C. | MA | Dermatology Physician (207N00000X) |
United | 12032 | $263.51 | 1780942474 - HATTIE FEETHAM | 752791337 - (TX) ANGELA G. BOWERS, M.D., P.A. | TX | Dermatology Physician (207N00000X) |
United | 12032 | $619.50 | 1245259142 - LESLIE BEAIRD | 812383818 - (IL) BEAIRD DERMATOLOGY, S.C. | IL | Dermatology Physician (207N00000X) |
United | 12032 | $502.91 | 1780881797 - SOHEIL SIMZAR | 954526112 | CA | Dermatology Physician (207N00000X) |
United | 12032 | $257.70 | 1164570180 - JUSTINE PARK | 205512066 - (CA) SKIN & BEAUTY CENTER, INC. | CA | Dermatology Physician (207N00000X) |
United | 12032 | $748.15 | 1366001042 - NATALIA VECEREK | 954540991 - USC CARE MEDICAL GROUP INC | CA | Dermatology Physician (207N00000X) |
United | 12032 | $248.35 | 1871794032 - ARIN ISENSTEIN | 452150951 - (NC) ALAMANCE DERMATOLOGY, P.A. | NC | Dermatology Physician (207N00000X) |
United | 12032 | $403.73 | 1679561427 - NOBUYOSHI KAGEYAMA | 204269950 - (WA) NORTH PACIFIC DERMATOLOGY PS | WA | MOHS-Micrographic Surgery Physician (207ND0101X) |
United | 12032 | $429.17 | 1013994839 - DAVID COHEN | 272373546 - SCHWEIGER DERMATOLOGY GROUP, LLC | NY | Dermatology Physician (207N00000X) |
United | 12032 | $84.79 | 1639105331 - CARMEN GARCIA | 271115246 - (NJ) CENTER FOR DERMATOLOGY AND SKIN SURGERY LLC | NJ | Dermatology Physician (207N00000X) |
United | 12032 | $201.50 | 1972591055 - PAUL KOSTUCHENKO | 263467563 - (NC) WESTGATE DERMATOLOGY AND LASER CENTER, P.A. | NC | Dermatopathology Physician (207ND0900X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 12032 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 12032 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 12032 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 |
|---|---|---|
| 12031-CPT | Moderate | Rep Intermed Scalp Etc Und 2.5cm |
| 12032-CPT | Moderate | Int Rpr Sclp Trnk Extrm 2.6-7.5 Cm |
| 12034-CPT | Moderate | Rep Intermed Scalp Etc 7.5-12.5cm |
| 12035-CPT | Moderate | Repair Intermediate Wounds Of Scalp Axillae K Atrunk And/Or Extremities (Excluding Hands And Feet) 12.6 Cm To 20.0 Cm) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 12032. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 12032 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 12032) and we'll show you how you compare in 15 minutes or less.