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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15576 |
| Medicaid Fee Schedule | View Medicaid rates for 15576 |
National average reimbursement for CPT 15576 by major payers:

$935.43

$1,013.51

$1,028.75

$1,233.95
Choose a payer to see a sample of rates for CPT 15576.
Rock Hill Surgery Center LLC
Covenant High Plains Surgery Center LLC
Caromont Health Services Inc
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Rate Benchmarking
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See a sample payer proposalCPT 15576 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15576 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 15576 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 15576. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15576 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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