Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 15610 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.
Create Skin Flap With Sections, Surgery To Create A Flap Of Skin For Use In Reconstructing A Body Structure Or Feature. The Flap Is Sectioned To Support Healing.
| 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 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15610 |
| Medicaid Fee Schedule | View Medicaid rates for 15610 |
National average reimbursement for CPT 15610 by major payers:
$428.84
$442.81
$468.91
$397.96
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 15610.
CPT 15610
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$9,514.00Published rateGwinnett Surgery Center, LLC
Gwinnett Surgery Center,LLC
$2,580.00Published rateGeorgia Interventional Pain
$1,600.00Published rateBel Air Endoscopy Asc LLC, Harford Endoscopy Center
Bel Air Endoscopy Asc LLC
$1,048.00Published rateThe Surgical Institute Of Monroe Ambulatory Surgery Center LLC, Surgical Institute Of Monroe
Surgical Institute Of Monroe
$575.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 15610 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15610 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 15610 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 |
|---|---|---|
| 15600-CPT | Moderate | Create Skin Flap With Sections, Surgery To Create A Flap Of Skin For Use In Reconstructing A Body Structure Or Feature. The Flap Is Sectioned To Support Healing. |
| 15610-CPT | Moderate | Create Skin Flap With Sections, Surgery To Create A Flap Of Skin For Use In Reconstructing A Body Structure Or Feature. The Flap Is Sectioned To Support Healing. |
| 15620-CPT | Moderate | Delay Of Flap Or Sectioning Of, Delay Of Flap Or Sectioning Of Flap (Division And Inset) Atforehead Cheeks Chin Neck Axillae Genitalia Hands (Except 15625) Or Feet |
| 15630-CPT | Moderate | Create Skin Flap With Sections, Surgery To Create A Flap Of Skin For Use In Reconstructing A Body Structure Or Feature. The Flap Is Sectioned To Support Healing. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15610 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 15610) and we'll show you how you compare in 15 minutes or less.