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CPT 15201 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.

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
Key FactDetail
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 LevelLow
Medicare Fee ScheduleView Medicare rates for 15201
Medicaid Fee ScheduleView Medicaid rates for 15201

National average reimbursement for CPT 15201 by major payers:

bcbs

$158.58

uhc

$187.16

aetna

$184.08

cigna

$128.44

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 15201.

CPT 15201
5 of 25 sample ratesHigher to lower in this preview
  1. Countryside Surgery Center, Ltd

    Countryside Surgery Center Ltd

    FLAmbulatory Surgical Clinic/CenterNPI 1518920040Tax ID 75-2400186

    $2,965.00Published rate
  2. Westgate Surgery Center, LLC, Westgate Surgery Center

    Westgate Surgery Center LLC

    AZAmbulatory Surgical Clinic/CenterNPI 1891257473Tax ID 35-2651945

    $531.00Published rate
  3. Howard S Barnebey Md, Specialy Eyecare Centre

    Specialty Eye Care Centre

    WAAmbulatory Surgical Clinic/CenterNPI 1538386743Tax ID 91-1357221

    $300.00Published rate
  4. Valley Surgery Center At Modesto, LLC, Valley Surgery Center, Lp

    Valley Surgery Center LLC

    CAAmbulatory Surgical Clinic/CenterNPI 1235106782Tax ID 20-0160879

    $142.00Published rate
  5. Andersen Eye Surgery Center, LLC

    Andersen Eye Surgery Center LLC

    MIAmbulatory Surgical Clinic/CenterNPI 1124071550Tax ID 20-5044851

    $90.00Published rate

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

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CPT 15201 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15201 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 15201 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
15100-CPTHighSkin 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-CPTModerateThree-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-CPTLowFth 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 15201. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15201 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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