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 |
| Medicare Fee Schedule | View Medicare rates for 14301 |
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 | $2274.00 | 1356616064 - CORONA SURGICAL LLC, CORONA SUMMIT SURGICAL CENTER | 900722404 - (CA) CORONA SURGICAL LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 14301 | $4612.18 | 1356846372 - MICHAEL MATTIUCCI | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | WY | Pediatrics Physician (208000000X) |
United | 14301 | $2938.12 | 1265069306 - CALEB KNIGHT | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | MO | Emergency Medicine Physician (207P00000X) |
United | 14301 | $4521.74 | 1578647202 - RONALD SOKOL | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Gastroenterology Physician (2080P0206X) |
United | 14301 | $3619.62 | 1013274430 - KELLY FAULK | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | 14301 | $4521.74 | 1821623463 - BRIANNE CARRUTHERS | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Nurse Practitioner (363LP0200X) |
United | 14301 | $2895.69 | 1255718920 - CARA CLURE | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Obstetrics & Gynecology Physician (207V00000X) |
United | 14301 | $1316.00 | 1598227431 - SURGERY CENTER OF CONWAY INC | 821792579 - (SC) SURGERY CENTER OF CONWAY, INC. | SC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 14301 | $2895.69 | 1346330024 - SUZANNE BRANDENBURG | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Internal Medicine Physician (207R00000X) |
United | 14301 | $3623.85 | 1427375427 - DAVID OU-YANG | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 14301 | $2840.01 | 1154441533 - KENNETH LYN-KEW | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 14301 | $6342.00 | 1104883784 - FORT WORTH ENDOSCOPY CENTERS, LLC, FORT WORTH ENDOSCOPY CENTER | 770368346 - (TX) FORT WORTH ENDOSCOPY CENTERS LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 14301 | $2074.00 | 1093595696 - NEW LEXINGTON CLINIC PSC, DERMATOLOGY ASSOCIATES OF KENTUCKY PSC | 611262927 - (KY) NEW LEXINGTON CLINIC, P.S.C. | KY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 14301 | $4498.00 | 1497749667 - CALIFORNIA SPECIALTY SURGERY CENTER, LLC, CALIFORNIA SPECIALTY SURGERY CENTER, LLC | 330939003 - (CA) CALIFORNIA SPECIALTY SURGERY CENTER, LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 14301 | $1693.00 | 1902802036 - CATARACT & SURGICAL CENTER OF LUBBOCK LLC | 522344594 - (TX) CATARACT SURGICAL CENTER OF LUBBOCK LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
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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