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See a sample rate comparisonCPT 15261 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 N E E L Each Addl, Full Thickness Graft Free Including Direct Closure Of Donor Site Nose Ears Eyelids And Or Lips Each Additional 20 Sq Cm Or Part Thereof List Separately In Addition To Code For Primary Procedure
| 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 GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15261 |
| Medicaid Fee Schedule | View Medicaid rates for 15261 |
National average reimbursement for CPT 15261 by major payers:
$248.35
$269.30
$274.78
$228.45
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CPT 15261
5 of 25 sample ratesHigher to lower in this preview
Silicon Valley Surgery Center, Lp
Silicon Valley Surgery Center, L.P.
$2,830.00Published rateCreekwood Surgery Center, Lp
Creekwood Surgery Center Lp
$633.00Published rateSkyway Surgery Center, LLC
Skyway Surgery Center LLC
$566.00Published rateApple Valley Surgery Center
Persepolis Group LLC
$180.00Published ratePediatric And Adult Surgery Center Of Atlanta LLC
$84.00Published rate
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See a sample payer proposalCPT 15261 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15261 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 15261 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 |
|---|---|---|
| 14350-CPT | Moderate | Reattach Finger Or Toe, Surgery Including Cosmetic Reconstruction To Reattach A Finger Or Toe. The Procedure Involves Collecting Skin For Grafting And Preparing The Attachment Site. |
| 15135-CPT | High | Derm Autograft Face Nck Hf G, Dermal 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 |
| 15260-CPT | High | Three-Layer Skin Graft, Surgery To Collect Tissue Consisting Of All Three Layers Of Skin From One Area Of The Body And Attach (Graft) It To Another Site On The Nose Ears Eyelids Or Lips. |
| 15261-CPT | Moderate | Fth Grf Fr N E E L Each Addl, Full Thickness Graft Free Including Direct Closure Of Donor Site Nose Ears Eyelids And Or Lips 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 15261. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15261 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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