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See a sample rate comparisonCPT 15572 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Create Skin Tube, Surgery To Create A Stem Stalk Or Tube (Pedicle) Out Of Skin To Be Transplanted From Another Site On The Body. This Procedure Is A Step In Reconstructive Surgery That Supports A Structure While It Heals.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service SG - Scene to Hospital ESRD facility |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15572 |
| Medicaid Fee Schedule | View Medicaid rates for 15572 |
National average reimbursement for CPT 15572 by major payers:
$1,077.25
$1,110.23
$1,098.80
$1,415.36
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CPT 15572
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$9,098.00Published rateBsc Reid Park LLC
$2,799.00Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$1,549.00Published rateDermatology Associates Of Kentucky, Psc
Dermatology Associates Of Kentucky, P.S.C.
$1,181.47Published rateGastroenterology Specialists Inc, Endoscopy Center
Gastroenterology Specialists, Inc.
$627.00Published rate
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See a sample payer proposalCPT 15572 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15572 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 15572 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 |
|---|---|---|
| 15570-CPT | High | Create Skin Tube, Surgery To Create A Stem Stalk Or Tube (Pedicle) Out Of Skin To Be Transplanted From Another Site On The Body. This Procedure Is A Step In Reconstructive Surgery That Supports A Structure While It Heals. |
| 15572-CPT | High | Create Skin Tube, Surgery To Create A Stem Stalk Or Tube (Pedicle) Out Of Skin To Be Transplanted From Another Site On The Body. This Procedure Is A Step In Reconstructive Surgery That Supports A Structure While It Heals. |
| 15574-CPT | High | Create Skin Tube, Surgery To Create A Stem Stalk Or Tube (Pedicle) Out Of Skin To Be Transplanted From Another Site On The Body. This Procedure Is A Step In Reconstructive Surgery That Supports A Structure While It Heals. |
| 15576-CPT | Moderate | Create Skin Tube, Surgery To Create A Stem Stalk Or Tube (Pedicle) Out Of Skin To Be Transplanted From Another Site On The Body. This Procedure Is A Step In Reconstructive Surgery That Supports A Structure While It Heals. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15572. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15572 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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