CPT 14301 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
National average reimbursement for CPT 14301 by major payers:
$1,263.55
$1,403.79
$1,453.03
$1,786.14
| 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 14301 | ||||||
United | 14301 | $3619.62 | 1821517988 - CAITLIN HEGARTY | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Acute Care Nurse Practitioner (363LA2100X) |
United | 14301 | $3623.85 | 1235300666 - JENNIFER KWAK | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Nuclear Radiology Physician (2085N0904X) |
United | 14301 | $2895.69 | 1093158487 - LYNN HASSMAN | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Retina Specialist (Ophthalmology) Physician (207WX0107X) |
United | 14301 | $2840.01 | 1649778358 - CORTNEY COULSON | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Certified Registered Nurse Anesthetist (367500000X) |
United | 14301 | $3619.62 | 1710469796 - KELLY FRENG | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Nurse Practitioner (363LP0200X) |
United | 14301 | $3623.85 | 1164512844 - STEVEN JOHNSON | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Infectious Disease Physician (207RI0200X) |
United | 14301 | $3552.80 | 1174885347 - ANNA DULOY | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | IL | Gastroenterology Physician (207RG0100X) |
United | 14301 | $1781.96 | 1306374236 - ALISON LIEWEN | 800348943 - POUDRE VALLEY MEDICAL GROUP LLC | CO | Family Medicine Physician (207Q00000X) |
United | 14301 | $2895.69 | 1285682799 - UNIVERSITY PHYSICIANS INCORPORATED, <UNAVAIL> | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Clinical Medical Laboratory (291U00000X) |
United | 14301 | $3619.62 | 1558822627 - JENNIFER SEDLER | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Hospitalist Physician (208M00000X) |
United | 14301 | $4612.18 | 1356846372 - MICHAEL MATTIUCCI | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | WY | Pediatrics Physician (208000000X) |
United | 14301 | $3552.80 | 1881826618 - JENNIFER STALILONIS | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Surgical Physician Assistant (363AS0400X) |
United | 14301 | $3552.80 | 1376957381 - JACOB BASAK | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | MO | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 14301 | $3552.80 | 1265828784 - BRITTANY CATANACH | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Emergency Medicine Physician (207P00000X) |
United | 14301 | $2840.01 | 1396130316 - GEORGE MINA | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | NY | Podiatrist (213E00000X) |
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 |
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CPT 14301 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 14301 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 14301 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 |
|---|---|---|
| 13133-CPT | Low | Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands And/Or Feet; Each Additional 5 Cm Or Less (List Separately In Addition To Code For Primary Procedure) |
| 14061-CPT | High | Adj Tiss Trans Eye Nose Etc 10.1-30 |
| 14301-CPT | High | Att R Any Area Defect 30.1 60sqcm |
| 14302-CPT | Moderate | Adjacent Tissue Transfer Or Rearrangement, Any Area; Each Additional 30.0 Sq Cm, Or Part Thereof (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 14301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 14301 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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