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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15240 |
| Medicaid Fee Schedule | View Medicaid rates for 15240 |
National average reimbursement for CPT 15240 by major payers:

$1,070.54

$1,168.64

$1,226.00

$1,268.02
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Mcallen Surgical Specialty Center
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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 15240 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15240 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 15240 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 |
|---|---|---|
| 14040-CPT | Moderate | Tis Trnfr F C C M N A G H F, Adjacent Tissue Transfer Or Rearrangement Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands And Or Feet Defect 10 Sq Cm Or Less |
| 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 |
| 15240-CPT | High | 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 Face Neck Genitals Hands Or Feet. |
| 15241-CPT | Moderate | Fth Gr F C C M N Ax G H F Ea, Full Thickness Graft Free Including Direct Closure Of Donor Site Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands And Or Feet 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 15240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15240 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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