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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 | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15200 |
| Medicaid Fee Schedule | View Medicaid rates for 15200 |
National average reimbursement for CPT 15200 by major payers:

$958.09

$1,046.93

$1,073.70

$1,068.70
Choose a payer to see a sample of rates for CPT 15200.
Aurora Surgery Centers LLC
Aesthetic Associates Inc Ps
Cityview Surgery Center LLC
Carolina Healthcare Associates Inc
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 15200 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15200 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 15200 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 |
| 15200-CPT | Moderate | Three-Layer Skin Graft, Surgery To Collect Tissue Consisting Of All Three Layers Of Skin From One Site On The Body And Attach (Graft) It To Another Site On The Upper Body. |
| 15201-CPT | Low | Fth Grf Fr Trnk Each Addl, Full Thickness Graft Free Including Direct Closure Of Donor Site Trunk Each Additional 20 Sq Cm 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 15200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15200 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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