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See a sample rate comparisonCPT 15013 Fee Schedule
Last Verified: October 2026
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.
Prepj Skn Cll Ssp Agrft 1st, Preparation Of Skin Cell Suspension Autograft Requiring Enzymatic Processing Manual Mechanical Disaggregation Of Skin Cells And Filtration; First 25 Sq Cm Or Less Of Harvested Skin
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15013 |
| Medicaid Fee Schedule | View Medicaid rates for 15013 |
National average reimbursement for CPT 15013 by major payers:
$2,155.12
$168.67
$2,133.00
$99,999.77
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CPT 15013
5 of 25 sample ratesHigher to lower in this preview
Chca Mainland, L.P., Mainland Medical Center
$8,503.00Published rateWest Asc, LLC, Camillus Surgery Center
West Asc, LLC Dba Camillus Surgery Center
$1,621.00Published rateThe Regents Of The University Of California, Ucla Dept Of Medicine
$995.00Published rateLee Healthcare Investments, LLC, Lee Health Urology Surgery Center
$550.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 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 | High | Prepj Skn Cll Ssp Agrft 1st, Preparation Of Skin Cell Suspension Autograft Requiring Enzymatic Processing Manual Mechanical Disaggregation Of Skin Cells And 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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