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CPT 15130 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.

Two-Layer Skin Graft, Surgery To Collect Tissue From The Middle Layer Of Skin (Dermis) And Attach It To Another Site On The Upper Body Arms Or Legs Of An Infant Or Child.
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

Common Modifiers

None

RT - Right side of body

58 - Staged or related procedure during postoperative period

51 - Multiple procedures

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 15130
Medicaid Fee ScheduleView Medicaid rates for 15130

National average reimbursement for CPT 15130 by major payers:

bcbs

$815.60

uhc

$896.98

aetna

$881.01

cigna

$950.76

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 15130.

CPT 15130
5 of 25 sample ratesHigher to lower in this preview
  1. Reston Surgery Center, Lp

    Reston Surgery Center Lp

    VAAmbulatory Surgical Clinic/CenterNPI 1659335438Tax ID 11-3654617

    $5,162.00Published rate
  2. Uas Management, Inc., University Surgery Center

    CAAmbulatory Surgical Clinic/CenterNPI 1306905815Tax ID 61-1845381

    $2,740.00Published rate
  3. Minnesota Eye Laser & Surgery Centers, LLC, Minnesota Eye Laser & Surgery Centers

    Minnesota Eye Laser Surgery Centers LLC

    MNAmbulatory Surgical Clinic/CenterNPI 1720059421Tax ID 46-0505033

    $2,003.00Published rate
  4. Baptist Germantown Surgery Center, LLC, Baptist Germantown Surgery Center

    Baptist Germantown Surgery Center LLC

    TNAmbulatory Surgical Clinic/CenterNPI 1396719563Tax ID 62-1829424

    $1,125.00Published rate
  5. Jeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc

    Jeffrey L Bober Dpm PA

    MDAmbulatory Surgical Clinic/CenterNPI 1194999359Tax ID 52-1706931

    $475.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 15130 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15130 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 15130 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.

CodeComplexityDescription
15002-CPTModerateWound 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
15101-CPTModerateSkin 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
15130-CPTModerateTwo-Layer Skin Graft, Surgery To Collect Tissue From The Middle Layer Of Skin (Dermis) And Attach It To Another Site On The Upper Body Arms Or Legs Of An Infant Or Child.
15131-CPTLowDermal 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 Procedure)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15130 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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