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CPT 15770 Fee Schedule

Last Verified: December 2025

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.

Graft Derma-Fat-Fascia
Key FactDetail
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 LevelModerate

National average reimbursement for CPT 15770 by major payers:

bcbs

$880.32

uhc

$850.73

aetna

$875.28

cigna

$1,096.55

Preview provider-level rates for...
For billing codeCPT 15770
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 15770

United
15770$1700.001356890172 - DIALYSIS ACCESS SERVICES, LLC472322456 - (MD) DIALYSIS ACCESS SERVICES LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$3623.001366444929 - EAST WEST SURGERY CENTER LP621797897 - (GA) EAST WEST SURGERY CENTER LPGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$3347.001407275282 - SURGCENTER CAMELBACK LLC464169482 - (AZ) SURGCENTER CAMELBACK LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$4339.001356621239 - MIDLAND TEXAS SURGICAL CENTER, LLC, TEXAS SURGICAL CENTER, AN AFFILIATE OF MIDLAND MEMORIAL HOSPITAL453047741TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$1616.001972208379 - HIGH RESORT EYE SURGERY CENTER LLC923159505 - (NM) HIGH RESORT EYE SURGERY CENTER LLCNMAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$1300.001558328518 - BUTLER AMBULATORY SURGERY CENTER L L C61728190 - (PA) BUTLER AMBULATORY SURGERY CENTER, LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$1142.001326047937 - WEST SHORE ENDOSCOPY CENTER LLC251885828 - (PA) WEST SHORE ENDOSCOPY CENTER LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$544.001104006006 - PACIFIC ENDOSCOPY AND SURGERY CENTER, LLC205755383 - (CA) PACIFIC ENDOSCOPY AND SURGERY CENTER, LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$850.001841226552 - NAPLES EYE SURGERY CENTER LLC20657002 - (FL) NAPLES EYE SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$1155.001306435086 - PHOENIX SPINE AND JOINT GILBERT ASC, LLC853605981AZAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$2882.001881015584 - ACE ENDOSCOPY AND SURGERY CENTER464212208 - (CA) ACE ENDOSCOPY & SURGERY CENTER, INC.CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$7825.001376780916 - HAMILTON SURGERY CENTER LLC352061413 - (IN) HAMILTON SURGERY CENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$1850.001174938344 - SPECIALTY SURGERY CENTER, LLC455554765 - (MS) SPECIALTY SURGERY CENTER LLCMSAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$1143.001073601332 - LISA RENFRO SURGERY CENTER LLC43612312 - (MD) LISA RENFRO SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
15770$2771.001144283649 - SKY RIDGE SURGERY CENTER LP223877040 - (CO) SKY RIDGE SURGERY CENTER LPCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 15770 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15770 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 15770 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.

CodeComplexityDescription
15731-CPTHighForeheard Flap W/Preservation Of Vascular Pedicle
15734-CPTHighMuscle Myo/Fasciocutaneous Flap Trunk
15769-CPTModerateGrafting Of Autologous Soft Tissue, Other, Harvested By Direct Excision - Comm: Rn Review >=1/1/20
15770-CPTModerateGraft Derma-Fat-Fascia

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15770. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15770 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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