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See a sample rate comparisonCPT 15005 Fee Schedule
CPT 15005 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Wnd Prep F N Hf G Addl Cm, 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 Each Additional 100 Sq Cm Or Part Thereof Or Each Additional 1 Of Body Area Of Infants And Children List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 58 - Staged or related procedure during postoperative period AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 15005 |
| Medicaid Fee Schedule | $94.665 median of the 8 states in the free preview · View Medicaid rates for 15005 |
National average reimbursement for CPT 15005 by major payers:
$142.06
BCBS / Anthem
$156.25
UnitedHealthcare
$157.61
Aetna
$153.02
Cigna
Compare published rates across providers.
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CPT 15005
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$1,310.00Published rateProliance Surgeons, Inc., P.S., Proliance Surgery Center At Rainier
Proliance Surgeons, Inc., P.S.
$546.00Published rateClifton Park Asc LLC, Orthony Surgical Suites
Clifton Park Asc LLC
$480.00Published rateCharlotte Surgery Center, LLC
Charlotte Surgery Center LLC
$153.00Published rateIntegris Ddsi Endoscopy Centers LLC
$67.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 15005 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 15005. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 15005-CPT | Low | Wnd Prep F N Hf G Addl Cm, 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 Each Additional 100 Sq Cm Or Part Thereof Or Each Additional 1 Of Body Area Of Infants And Children List Separately In Addition To Code For Primary Procedure |
| 15136-CPT | Low | Dermal Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And/ Or Multiple Digits; First 100 Sq Cm Or Less Or One Percent Of Body Area Of Infants And Children; Each Additional 100 Sq Cm Or Each Additional One Percent Of Body Area Of Infants And Children Or Part Thereof (List Separately In Addition To Code For Primary Procedure) |
| 15156-CPT | Moderate | Tissue Cultured Epiderman Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And/Or Multiple Digits; First 25 Sq Cm Or Less; Additional 1 Sq Cm To 75 Sq Cm (List Separately In Addition To Code For Primary Procedure) Do Not Report 15156 More Than Once Persession. Use 15156 In Conjunction With 15155. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15005 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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