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See a sample rate comparisonCPT 15730 Fee Schedule
CPT 15730 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Midface 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)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5055 - Level 5 Skin Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | View Medicare rates for 15730 |
| Medicaid Fee Schedule | $1,130.03 median of the 8 states in the free previewView Medicaid rates for 15730 |
National average reimbursement for CPT 15730 by major payers:
$1,734.27
BCBS / Anthem
$2,000.53
UnitedHealthcare
$1,844.07
Aetna
$1,532.52
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 15730.
CPT 15730
5 of 25 sample ratesHigher to lower in this preview
Novant Health Kernersville Outpatient Surgery LLC
$5,651.00Published rateReuben Cohen
Deaconess Hospital Inc
$2,682.14Published rateSnks Enterprises LLC, Sol Valley Surgery Center
Snks Enterprises LLC
$1,800.00Published rateOxon Hill Urology Surgery Center PC
$1,119.00Published rateZeo Surgical Center LLC, Lenza Surgical Center
Zeo Surgical Center LLC
$544.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 15730 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 15730. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 15730-CPT | Midface 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-CPT | 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. |
| 15733-CPT | Muscle 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 |
| 15734-CPT | Reconstructive Skin Flap, Surgery To Create A Reconstructive Flap Out Of Muscle Tissue. The Tissue Contains Its Own Blood Supply (Artery And Vein) And Is Used To Reconstruct A Body Structure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15730. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15730 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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Frequently Asked Questions
What APC is CPT 15730 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 15730 to APC 5055 (Level 5 Skin Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 15730 in an ambulatory surgery center?
CMS lists CPT 15730 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 15730?
Hospital price transparency files list CPT 15730 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.