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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 | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15760 |
| Medicaid Fee Schedule | View Medicaid rates for 15760 |
National average reimbursement for CPT 15760 by major payers:

$1,055.31

$1,073.12

$1,102.04

$1,124.23
Choose a payer to see a sample of rates for CPT 15760.
Mercy Catholic Medical Center Of Southeastern PA
Saint Barnabas Outpatient Centers
Concourse Diagnostic & Surgery Center
Del Val Asc LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 15760 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15760 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 15760 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 |
|---|---|---|
| 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. |
| 15760-CPT | High | Full Thickness Skin Graft, Surgery To Reconstruct A Body Area Or Close A Wound Using A Multiple-Thickness Graft. The Layers May Include Structural Tissue As Well As Skin Or Muscle. The Graft May Be Taken From One Or More Sites. |
| 15769-CPT | Moderate | Grfg Autol Soft Tiss Dir Exc, Grafting Of Autologous Soft Tissue Other Harvested By Direct Excision Eg Fat Dermis Fascia |
| 15770-CPT | Moderate | Full Thickness Skin Graft, Surgery To Reconstruct A Body Area Or Close A Wound Using A Multiple-Thickness Graft. The Layers May Include Structural Tissue As Well As Skin Or Muscle. The Graft May Be Taken From One Or More Sites. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15760 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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