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See a sample rate comparisonCPT 15769 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Grfg Autol Soft Tiss Dir Exc, Grafting Of Autologous Soft Tissue Other Harvested By Direct Excision Eg Fat Dermis Fascia
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15769 |
| Medicaid Fee Schedule | View Medicaid rates for 15769 |
National average reimbursement for CPT 15769 by major payers:
$634.81
$642.11
$636.42
$782.47
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CPT 15769
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$11,615.00Published rateThe Regents Of The University Of California, Ucla Dept Of Medicine
$2,703.00Published rateParamount Surgery Center, LLC, The Center For Specialized Surgery
Paramount Surgery Center LLC
$1,882.00Published rateFairlawn Surgery Center, LLC
$1,223.00Published rateDierdre Payne
Deaconess Hospital Inc
$387.91Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 15769 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15769 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 15769 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 |
|---|---|---|
| 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. |
| 15771-CPT | Moderate | Grfg Autol Fat Lipo 50 Cc, Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk Breasts Scalp Arms And Or Legs 50 Cc Or Less Injectate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15769. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15769 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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