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See a sample rate comparisonCPT 15220 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.
Full Thickness Graft Free In, Full Thickness Graft Free Including Direct Closure Ofdonor Site Scalp Arms Andor Legs 20 Sq Cm Or Less Full Thickness Graft Free Including Direct Closure Of
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 79 - Unrelated procedure - postop period 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15220 |
| Medicaid Fee Schedule | View Medicaid rates for 15220 |
National average reimbursement for CPT 15220 by major payers:
$895.38
$973.69
$1,008.02
$984.65
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CPT 15220
5 of 25 sample ratesHigher to lower in this preview
Surgical Center Of Connecticut LLC
Surgical Center Of Connecticut
$2,573.00Published rateSurgcenter Of Silver Spring, LLC
Surgcenter Of Silver Spring LLC
$1,276.00Published rateDearborn Surgery Center, LLC, Dearborn Surgery Center
Dearborn Surgery Center, LLC
$1,050.00Published rateCrossroads Surgery Center Inc
$750.00Published rateMichigan Outpatient Surgery Center Inc, Michigan Outpatient Surgery Center
Michigan Outpatient Surgery Center Inc
$370.00Published rate
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See a sample payer proposalCPT 15220 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15220 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 15220 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 |
|---|---|---|
| 14020-CPT | Moderate | Adjacent Tissue Transfer Or Re, Adjacent Tissue Transfer Or Rearrangement Scalp Armsandor Legs Defect 10 Sq Cm Or Less Adjacenttissue Transfer Or Rearrangement Scalp Arms |
| 15050-CPT | Moderate | Pinch Graft Up To 2 Cm Diam, Pinch Graft Single Or Multiple To Cover Small Ulcer Tip Of Digit Or Other Minimal Open Area Except On Face Up To Defect Size 2 Cm Diameter |
| 15220-CPT | Moderate | Full Thickness Graft Free In, Full Thickness Graft Free Including Direct Closure Ofdonor Site Scalp Arms Andor Legs 20 Sq Cm Or Less Full Thickness Graft Free Including Direct Closure Of |
| 15221-CPT | Low | Fth Grf Fr S A L Each Addl, Full Thickness Graft Free Including Direct Closure Of Donor Site Scalp Arms And Or Legs 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 15220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15220 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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