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See a sample rate comparisonCPT 15135 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.
Derm Autograft Face Nck Hf G, Dermal 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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15135 |
| Medicaid Fee Schedule | View Medicaid rates for 15135 |
National average reimbursement for CPT 15135 by major payers:
$1,059.70
$1,109.78
$1,084.85
$1,223.30
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CPT 15135
5 of 25 sample ratesHigher to lower in this preview
Spalding Triangle Surgery Center, LLC, Spalding Triangle Surgery Center
Spalding Triangle Surgery Center LLC
$6,263.00Published rateThe Outpatient Center, LLC, The Outpatient Center Of Boynton Beach, Ltd.
The Outpatient Center Of Boynton Beach, Ltd.
$3,347.00Published rateDearborn Surgery Center, LLC, Dearborn Surgery Center
Dearborn Surgery Center, LLC
$2,000.00Published rateEye Surgery Center Of Middle Tennessee, LLC
$1,483.00Published rateAmbulatory Surgery Center At Indiana Eye Clinic LLC
$619.00Published rate
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See a sample payer proposalCPT 15135 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15135 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 15135 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 |
|---|---|---|
| 15005-CPT | Low | Wnd Prep F N Hf G Addl 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 Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits 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 |
| 15135-CPT | High | Derm Autograft Face Nck Hf G, Dermal 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 |
| 15136-CPT | Low | Dermal Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And/ Or Multiple Digits; 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) |
| 15156-CPT | Moderate | Tissue Cultured Epiderman Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And/Or Multiple Digits; First 25 Sq Cm Or Less; Additional 1 Sq Cm To 75 Sq Cm (List Separately In Addition To Code For Primary Procedure) Do Not Report 15156 More Than Once Persession. Use 15156 In Conjunction With 15155. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15135. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15135 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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