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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21 - Inpatient Hospital |
| 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 15157 |
| Medicaid Fee Schedule | View Medicaid rates for 15157 |
National average reimbursement for CPT 15157 by major payers:

$222.63

$235.52

$227.85

$296.15
Choose a payer to see a sample of rates for CPT 15157.
St Josephs Outpatient Surgery Center LLC
Fvosa Surgical Partners, LLC
Pma Surgery Center LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 15157 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15157 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 15157 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 |
|---|---|---|
| 15115-CPT | Moderate | Epidrm A Grft Face Nck Hf G, Epidermal 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 |
| 15155-CPT | Moderate | Single-Layer Skin Graft, Surgery To Attach (Graft) Tissue To The Head Face Genitals Hands Feet Fingers Or Toes. The Grafted Tissue Is Grown (Cultured) Using A Sample From The Top Layer Of Skin (Epidermis). |
| 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. |
| 15157-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; Each Additional 100 Sq Cm Or Each Additional One Percent Of Body Area Of Infants Andchildren Or Part Thereof (List Separately In Addition To Code For Primary Procedure); Use 15157in Conjunction With 15156 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15157. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15157 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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