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See a sample rate comparisonCPT 15620 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15620 |
| Medicaid Fee Schedule | View Medicaid rates for 15620 |
National average reimbursement for CPT 15620 by major payers:
$535.72
$560.35
$579.03
$526.72
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CPT 15620
5 of 25 sample ratesHigher to lower in this preview
West Penn Allegheny Health System Inc., Allegheny General Hospital
Highmark Health
$5,229.58Published rateSurgery Center Of Columbia Lp
$1,400.00Published rateEye Health Eastside Surgery Center
$805.00Published rateSurgicenter Of Baltimore LLC, Surgicenter Of Baltimore
Surgicenter Of Baltimore LLC
$644.00Published rateMaryland Aesthetic And Reconstructive Ambulatory Surgical Center LLC
$283.00Published rate
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See a sample payer proposalCPT 15620 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15620 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 15620 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 15620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15620 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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