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See a sample rate comparisonCPT 15733 Fee Schedule
CPT 15733 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 51Multiple procedures 59Distinct Procedural Service |
| 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 3 |
| Medicare Fee Schedule | View Medicare rates for 15733 |
| Medicaid Fee Schedule | $724.86 median of the 8 states in the free previewView Medicaid rates for 15733 |
National average reimbursement for CPT 15733 by major payers:
$1,294.81
BCBS / Anthem
$1,393.21
UnitedHealthcare
$1,378.58
Aetna
$1,679.57
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 15733.
CPT 15733
5 of 25 sample ratesHigher to lower in this preview
Texan Ambulatory Surgery Center, Lp
$4,339.00Published rateRiva Road Surgical Center, LLC
Riva Road Surgical Center LLC
$3,570.00Published rateSt. Luke'S Surgery Center Of Chesterfield, LLC
St Lukes Surgery Center Of Chesterfield LLC
$2,220.00Published rateJoint Replacement Center Of Louisiana
Joint Replacement Center Of Lous
$1,746.00Published rateEndoscopy Center Of Dayton Ltd
$758.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 15733 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 15733. 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 15733. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15733 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 15733 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 15733 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 15733 in an ambulatory surgery center?
CMS lists CPT 15733 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 15733?
Hospital price transparency files list CPT 15733 under these revenue codes: 0360, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.