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See a sample rate comparisonCPT 15040 Fee Schedule
Last Verified: October 2026
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.
Collection Of Skin For Graft, Procedure To Collect Skin That Will Be Used To Grow (Culture) More Skin And Then Be Attached (Grafted) To Another Area Of The Body.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15040 |
| Medicaid Fee Schedule | View Medicaid rates for 15040 |
National average reimbursement for CPT 15040 by major payers:
$275.07
$330.38
$330.27
$219.74
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CPT 15040
5 of 25 sample ratesHigher to lower in this preview
Southlake Ambulatory Surgery Center, Lllp, Spivey Station Surgery Center
Emory University
$3,188.00Published rateOrthopaedic Surgery Center Of San Antonio Lp, Ridgewood Orthopaedic Surgery Center Of San Antonio
Orthopaedic Surgery Center Of San Antonio Lp
$1,535.00Published rateLexington Surgery Center Ltd
$900.00Published rateInsight Surgery Center, LLC
Insight Surgery Center LLC
$555.00Published rateKeystone Kidney Associates, PC
Keystone Kidney Associates PC
$350.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 15040 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15040 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 15040 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 |
|---|---|---|
| 15040-CPT | Moderate | Collection Of Skin For Graft, Procedure To Collect Skin That Will Be Used To Grow (Culture) More Skin And Then Be Attached (Grafted) To Another Area Of The Body. |
| 15050-CPT | Moderate | Pinch Graft Up To 2 Cm Diam, Pinch Graft Single Or Multiple To Cover Small Ulcer Tip Of Digit Or Other Minimal Open Area Except On Face Up To Defect Size 2 Cm Diameter |
| 15110-CPT | Moderate | Single-Layer Skin Graft, Surgery To Collect Tissue From The Top Layer Of Skin (Epidermis) And Attach It To Another Site On The Upper Body Arms Or Legs Of An Infant Or Child. |
| 15120-CPT | Moderate | Skn Splt A Grft Fac Nck Hf G, Split Thickness Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits First 100 Sq Cm Or Less Or 1 Of Body Area Of Infants And Children Except 15050 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15040 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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