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See a sample rate comparisonCPT 15111 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.
Epidermal Autograft Trunk Arms Legs; 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 Code)
| 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 59 - Distinct Procedural Service 58 - Staged or related procedure during postoperative period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 15111 |
| Medicaid Fee Schedule | View Medicaid rates for 15111 |
National average reimbursement for CPT 15111 by major payers:
$145.01
$152.32
$148.40
$172.47
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CPT 15111
5 of 25 sample ratesHigher to lower in this preview
Chca Mainland, L.P., Mainland Medical Center
$1,475.00Published rateVp Surgery Center Of Auburn LLC
$545.00Published rateNorth Georgia Endoscopy Center Inc
$275.00Published rateSonterra Procedure Center, LLC
Sonterra Procedure Center LLC
$106.00Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$37.00Published rate
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See a sample payer proposalCPT 15111 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15111 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 15111 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 |
|---|---|---|
| 15003-CPT | Low | Wound Prep Addl 100 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 Trunk Arms Legs 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 |
| 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. |
| 15111-CPT | Low | Epidermal Autograft Trunk Arms Legs; 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 Code) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15111. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15111 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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