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See a sample rate comparisonCPT 15100 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.
Skin Splt Grft Trnk Arm Leg, Split Thickness Autograft Trunk Arms Legs First 100 Sq Cm Or Less Or 1 Of Body Area Of Infants And Children Except 15050
| 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 | None 58 - Staged or related procedure during postoperative period GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15100 |
| Medicaid Fee Schedule | View Medicaid rates for 15100 |
National average reimbursement for CPT 15100 by major payers:
$1,005.87
$1,108.87
$1,155.60
$1,142.46
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CPT 15100
5 of 25 sample ratesHigher to lower in this preview
Cadence Ambulatory Surgery Center, LLC
$4,015.00Published rateSurgcenter Pinellas, LLC
$1,233.00Published rateAmbulatory Surgical Ctr Of Aiken LLC, The Surgery Center Of Aiken
$700.00Published rateDallas Nephrology Associates, Dallas Nephrology Associates Vascular Center Of Plano
Dallas Nephrology Associates, P.A.
$645.00Published rateCenter For Spine & Pain Medicine PC, Cspm Gainesville Asc
Center For Spine And Pain Medici
$390.00Published rate
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See a sample payer proposalCPT 15100 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15100 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 15100 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 |
|---|---|---|
| 15002-CPT | Moderate | Wound Prep Trk Arm Leg, 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 Trunk Arms Legs First 100 Sq Cm Or 1 Of Body Area Of Infants And Children |
| 15100-CPT | High | Skin Splt Grft Trnk Arm Leg, Split Thickness Autograft Trunk Arms Legs First 100 Sq Cm Or Less Or 1 Of Body Area Of Infants And Children Except 15050 |
| 15101-CPT | Moderate | Skin Splt Grft T A L Add On, Split Thickness Autograft Trunk Arms Legs Each Additional 100 Sq Cm Or Each Additional 1 Of Body Area Of Infants And Children Or Part Thereof List Separately In Addition To Code For Primary Procedure |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15100 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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