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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15740 |
| Medicaid Fee Schedule | View Medicaid rates for 15740 |
National average reimbursement for CPT 15740 by major payers:

$1,336.79

$1,268.58

$1,335.79

$1,358.40
Choose a payer to see a sample of rates for CPT 15740.
Deaconess Hospital Inc
Yuma Advanced Surgical Suites, LLC
Center For Orthopedic Surgery LLC
Sutter Valley Medical Foundation
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 15740 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15740 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 15740 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 |
|---|---|---|
| 15736-CPT | High | Arm Skin Flap, Surgery To Correct An Arm Defect Using A Muscle Flap From The Body. The Tissue Contains Its Own Blood Supply (Artery And Vein) And Is Used To Reconstruct A Part Of The Head Or Neck. |
| 15738-CPT | High | Leg Skin Flap, Surgery To Correct A Leg Defect Using A Muscle Flap From The Body. The Tissue Contains Its Own Blood Supply (Artery And Vein) And Is Used To Reconstruct A Part Of The Head Or Neck. |
| 15740-CPT | High | 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. |
| 15750-CPT | High | 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15740 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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