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See a sample rate comparisonCPT 15731 Fee Schedule
Medicare rates as of October 2026
CPT 15731 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
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 Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | GCService performed by resident under supervision 58Staged or related procedure during postoperative period |
| Hospital Outpatient Group (APC) | APC 5055 - Level 5 Skin Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600361Sign up to view all 4 |
| Medicare Fee Schedule | $1,148.32 national non-facility rate (2026)View Medicare rates for 15731 |
| Medicaid Fee Schedule | $916.415 median of the 8 states in the free previewView Medicaid rates for 15731 |
National average reimbursement for CPT 15731 by major payers:
$1,278.43
BCBS / Anthem
$1,430.69
UnitedHealthcare
$1,460.99
Aetna
$1,603.71
Cigna
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CPT 15731
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$9,270.00Published rateOro Valley Surgical Suites LLC
Oro Valley Surgical Suites, LLC
$4,339.00Published rateCaromont Health Services, Inc., Caromont Endoscopy Center
Caromont Health Services Inc
$2,781.00Published rateRiverlakes Surgery Center LLC
$1,645.00Published rateAdvanced Surgery Center Of Arizona, LLP, Advanced Surgery Center Of Arizona
$626.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 15731 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 15731. 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 15731. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15731 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 15731 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 15731 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 15731 in an ambulatory surgery center?
CMS lists CPT 15731 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 15731?
Hospital price transparency files list CPT 15731 under these revenue codes: 0360, 0361, 0761 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.