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See a sample rate comparisonCPT 15278 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 F N Hf G Ch Add, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits 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 GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 15278 |
| Medicaid Fee Schedule | View Medicaid rates for 15278 |
National average reimbursement for CPT 15278 by major payers:
$111.19
$117.45
$116.96
$101.25
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CPT 15278
5 of 25 sample ratesHigher to lower in this preview
Livingston Asc LLC
$1,453.00Published rateSurgery Center Of Scottsdale, LLC, Mountain View Surgery Center Of Phoenix
Surgery Center Of Scottsdale LLC
$574.00Published rateAtlantic Gastro Surgicenter, LLC, T/A Access
Atlantic Gastro Surgicenter LLC
$250.00Published rateKuresmart Pain Management Surgery Center-Catonsville LLC, Clearway Surgery Center Of Catonsville
Kuresmart Pain Management Surgery Centercatonsville LLC
$120.00Published rateElkins Asc LLC, Gila Valley Procedure Center
Elkins Asc LLC
$55.00Published rate
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See a sample payer proposalCPT 15278 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15278 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 15278 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 |
|---|---|---|
| 15275-CPT | Low | Skin Sub Graft Face Nk Hf G, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits Total Wound Surface Area Up To 100 Sq Cm First 25 Sq Cm Or Less Wound Surface Area |
| 15276-CPT | Low | Skin Sub Graft F N Hf G Addl, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits 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 |
| 15277-CPT | Moderate | Skn Sub Grft F N Hf G Child, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits 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 |
| 15278-CPT | Low | Skn Sub Grft F N Hf G Ch Add, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits 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 15278. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15278 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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