CPT 15013 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 |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15013 |
National average reimbursement for CPT 15013 by major payers:
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| 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 15013 | ||||||
United | 15013 | $2732.00 | 1427012202 - OUTPATIENT SURGICAL SERVICES LTD | 752433596 - (FL) OUTPATIENT SURGICAL SERVICES LTD | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $1064.00 | 1659625101 - ENDOSCOPY CENTER OF GRAND JUNCTION LLC | 461251610 | CO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $1621.00 | 1720388465 - WEST ASC, LLC, CAMILLUS SURGERY CENTER | 273166743 - (NY) WEST ASC, LLC DBA CAMILLUS SURGERY CENTER | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $170.00 | 1265966444 - CHILDREN'S SURGERY CENTER OF LEHIGH VALLEY, LLC | 611830897 - (PA) CHILDRENS SURGERY CENTER OF LEHIGH VALLEY LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $840.00 | 1639650161 - TRAILS EDGE SURGERY CENTER, LLC | 831528858 - (FL) TRAILS EDGE SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $8503.00 | 1932146990 - CHCA MAINLAND, L.P., MAINLAND MEDICAL CENTER | 621801360 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $63.00 | 1942458062 - ASC DEVELOPMENT COMPANY, LLC | 203405773 - (MD) ASC DEVELOPMENT COMPANY LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $600.00 | 1538722699 - R & R SURGICAL CENTERS | 820815470 - (CA) RR SURGICAL INSTITUTE | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $825.00 | 1679134795 - GREELEY ENDOSCOPY CENTER, LLC, NORTHERN COLORADO ENDOSCOPY CENTER | 842114924 - (CO) GREELEY ENDOSCOPY CENTER LLC | CO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $128.00 | 1598797714 - SURGERY CENTER OF LYNCHBURG LLC | 541935354 - (VA) SURGERY CENTER OF LYNCHBURG LLC | VA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $648.00 | 1659113207 - WILMINGTON ASC LLC | 870883587 | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $995.00 | 1215381843 - THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, UCLA DEPT OF MEDICINE | 954373071 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $400.00 | 1730252487 - J C PITTS ENTERPRISES INC, ONTARIO SURGERY CENTER | 930983555 - (OR) J C PITTS ENTERPRISES INC | OR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $4115.00 | 1205892197 - ALASKA SURGERY CENTER, LIMITED PARTNERSHIP | 930982396 - (AK) ALASKA SURGERY CENTER LIMITED PARTNERSHIP | AK | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 15013 | $550.00 | 1386300119 - LEE HEALTHCARE INVESTMENTS, LLC, LEE HEALTH UROLOGY SURGERY CENTER | 843798404 | FL | 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 15013 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15013 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 15013 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 |
|---|---|---|
| 15013-CPT | Moderate | Preparation Of Skin Cell Suspension Autograft, Req Enzymatic Processing, Manual Mechanical Disaggregation Of Skin Cells & Filtration; First 25 Sq Cm Or Less Of Harvested Skin |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15013. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15013 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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