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CPT 15650 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 Tube, Surgery To Create A Stem Stalk Or Tube (Pedicle) Out Of Skin Transplanted From Another Site On The Body To Support A Structure Being Reconstructed. The Pedicle Contains Blood Vessels That Are Attached At The Reconstruction Site.
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

59 - Distinct Procedural Service

AS - PA/NP/CNS assistant at surgery

58 - Staged or related procedure during postoperative period

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 15650
Medicaid Fee ScheduleView Medicaid rates for 15650

National average reimbursement for CPT 15650 by major payers:

bcbs

$646.90

uhc

$642.36

aetna

$650.61

cigna

$631.30

Compare published rates across providers.

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CPT 15650
5 of 25 sample ratesHigher to lower in this preview
  1. Rock Hill Surgery Center, LLC, Carolina Surgical Center

    Rock Hill Surgery Center LLC

    SCAmbulatory Surgical Clinic/CenterNPI 1225064876Tax ID 75-2562111

    $4,298.00Published rate
  2. Bloomington Normal Healthcare, LLC

    Bloomington-Normal Healthcare, L.L.C.

    ILAmbulatory Surgical Clinic/CenterNPI 1083613327Tax ID 37-1383015

    $1,498.00Published rate
  3. Joshua Kindrat

    Deaconess Hospital Inc

    INEmergency Medicine PhysicianNPI 1306009253Tax ID 35-0593390

    $887.34Published rate
  4. Georgia Surgical Centers Inc

    GAAmbulatory Surgical Clinic/CenterNPI 1265465025Tax ID 43-650858

    $645.00Published rate
  5. Sherri Walling

    Deaconess Hospital Inc

    INNurse PractitionerNPI 1497799100Tax ID 35-0593390

    $407.70Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 15650 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15650 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 15650 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.

CodeComplexityDescription
15650-CPTModerateCreate Skin Tube, Surgery To Create A Stem Stalk Or Tube (Pedicle) Out Of Skin Transplanted From Another Site On The Body To Support A Structure Being Reconstructed. The Pedicle Contains Blood Vessels That Are Attached At The Reconstruction Site.
15730-CPTHighMidface Flap (Ie Zygomaticofacial Flap) With Preservation Of Vascular Pedicle(S) (Reinstated Code) Old Desc: Preparation For Skin Graft; Eyelids Nose Ears Lips (Deleted 3/31/2003)
15731-CPTHighCreate Skin Tube, Surgery To Create A Stem Stalk Or Tube (Pedicle) Out Of Skin Transplanted From Another Site On The Body To Support A Structure Being Reconstructed. The Pedicle Contains Blood Vessels That Are Attached At The Reconstruction Site.
15733-CPTHighMuscle Myocutaneous Or Fasci, Muscle Myocutaneous Or Fasciocutaneous Flap Head And Neck With Named Vascular Pedicle (Ie Buccinators Genioglossus Temporalis Masseter Sternocleidomastoid Levator Scapulae) Nterpretation And Report Tery Disease Data Preparation And Transmission A

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15650 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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