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See a sample rate comparisonCPT 15274 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.
Skn Sub Grft T A L Child Add, Application Of Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Greater Than Or Equal To 100 Sq Cm Each Additional 100 Sq Cm Wound Surface Area Or Part Thereof Or Each Additional 1 Of Body Area Of Infants And Children 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 15274 |
| Medicaid Fee Schedule | View Medicaid rates for 15274 |
National average reimbursement for CPT 15274 by major payers:
$94.96
$99.46
$101.79
$83.10
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CPT 15274
5 of 25 sample ratesHigher to lower in this preview
Surgcenter Of Plano LLC
Surgcenter Of Plano, LLC
$1,301.00Published rateBoston Out-Patient Surgical Suites, LLC
$528.00Published rateGolden Springs Surgical Center
$200.00Published rateNorthern Ohio Surgery Center, LLC
Northern Ohio Surgery Center LLC
$97.00Published rateDelaware Eye Surgery Center, LLC
$67.00Published rate
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See a sample payer proposalCPT 15274 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15274 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 15274 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 |
|---|---|---|
| 15271-CPT | Low | Skin Sub Graft Trnk Arm Leg, Application Of Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Up To 100 Sq Cm First 25 Sq Cm Or Less Wound Surface Area |
| 15272-CPT | Low | Skin Sub Graft T A L Add On, Application Of Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Up To 100 Sq Cm Each Additional 25 Sq Cm Wound Surface Area Or Part Thereof List Separately In Addition To Code For Primary Procedure |
| 15273-CPT | Moderate | Skin Sub Grft T Arm Lg Child, Application Of Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Greater Than Or Equal To 100 Sq Cm First 100 Sq Cm Wound Surface Area Or 1 Of Body Area Of Infants And Children |
| 15274-CPT | Low | Skn Sub Grft T A L Child Add, Application Of Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Greater Than Or Equal To 100 Sq Cm Each Additional 100 Sq Cm Wound Surface Area Or Part Thereof Or Each Additional 1 Of Body Area Of Infants And Children 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 15274. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15274 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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