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See a sample rate comparisonCPT 13151 Fee Schedule
Medicare rates as of October 2026
CPT 13151 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Clean And Stitch Wound, Cleaning And Removal Of Damaged Or Infected Tissue For A Wound On The Eyes Nose Or Ears. The Wound Is Stitched Closed.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $419.18 national non-facility rate (2026) · View Medicare rates for 13151 |
| Medicaid Fee Schedule | $328.035 median of the 8 states in the free preview · View Medicaid rates for 13151 |
National average reimbursement for CPT 13151 by major payers:
$484.15
BCBS / Anthem
$529.75
UnitedHealthcare
$551.66
Aetna
$671.38
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 13151.
CPT 13151
5 of 25 sample ratesHigher to lower in this preview
Greater New Haven Asc, LLC
Greater New Haven Asc LLC
$1,543.00Published rateSt Davids Austin Area Asc LLC, St . David'S Austin Surgery Center
St Davids Austin Area Asc LLC
$646.00Published rateSemmes-Murphey Clinic PC, Semmes Murphey Surgery Center
Semmes-Murphey Clinic PC
$350.00Published rateEndoscopy Center Of St Thomas LLC, Ngs Endoscopy Center
Endoscopy Center Of St Thomas LLC
$107.00Published rateDoctors Surgery Center, Inc
Doctors Surgery Center Inc
$56.00Published rate
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See a sample payer proposalCPT 13151 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 13151. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 13151-CPT | Moderate | Clean And Stitch Wound, Cleaning And Removal Of Damaged Or Infected Tissue For A Wound On The Eyes Nose Or Ears. The Wound Is Stitched Closed. |
| 13152-CPT | Moderate | Clean And Stitch Wound, Cleaning And Removal Of Damaged Or Infected Tissue For A Wound On The Eyes Nose Or Ears. The Wound Is Stitched Closed. |
| 14060-CPT | Moderate | Adjacent Tissue Transfer Or Re, Adjacent Tissue Transfer Or Rearrangement Eyelids Noseears Andor Lips Defect 10 Sq Cm Or Less Adjacent Tissue Transfer Or Rearrangement Eyelids Nose |
| 15004-CPT | Moderate | Wound Prep F N Hf G, Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Wounds Burn Eschar Or Scar Including Subcutaneous Tissues Or Incisional Release Of Scar Contracture Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits First 100 Sq Cm Or 1 Of Body Area Of Infants And Children |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 13151. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 13151 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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