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CPT 15772 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 Fat Lipo Ea Addl, Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk Breasts Scalp Arms And Or Legs Each Additional 50 Cc Injectate Or Part Thereof List Separately In Addition To Code For Primary Procedure
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

59 - Distinct Procedural Service

SG - Scene to Hospital ESRD facility

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 15772
Medicaid Fee ScheduleView Medicaid rates for 15772

National average reimbursement for CPT 15772 by major payers:

bcbs

$241.30

uhc

$241.76

aetna

$248.73

cigna

$242.64

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 15772.

CPT 15772
5 of 25 sample ratesHigher to lower in this preview
  1. Eagle Highlands Surgery Center, LLC, Meridian South Surgery Center

    INAmbulatory Surgical Clinic/CenterNPI 1275881179Tax ID 35-2072586

    $4,613.00Published rate
  2. Amarillo Endoscopy Center, Lp

    Amarillo Endoscopy Center Lp

    TXAmbulatory Surgical Clinic/CenterNPI 1316947609Tax ID 75-2893120

    $555.00Published rate
  3. Rivers Edge Aesthetic Surgery, LLC

    Rivers Edge Aesthetic Surgery LLC

    SDAmbulatory Surgical Clinic/CenterNPI 1285936641Tax ID 27-1645468

    $225.00Published rate
  4. Pennsylvania Eye Surgery Center, Inc., Memorial Eye Institute

    Pennsylvania Eye Surgery Center, Inc.

    PAAmbulatory Surgical Clinic/CenterNPI 1730130246Tax ID 23-2262909

    $170.00Published rate
  5. Friendship Surgery Center

    GAAmbulatory Surgical Clinic/CenterNPI 1679737043Tax ID 26-1779956

    $82.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 15772 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15772 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 15772 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
15770-CPTModerateFull 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-CPTModerateGrfg 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
15772-CPTModerateGrfg Autol Fat Lipo Ea Addl, Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk Breasts Scalp Arms And Or Legs Each Additional 50 Cc Injectate Or Part Thereof List Separately In Addition To Code For Primary Procedure
15774-CPTModerateGfrg Autol Fat Lipo Ea Addl, Grafting Of Autologous Fat Harvested By Liposuction Technique To Face Eyelids Mouth Neck Ears Orbits Genitalia Hands And Or Feet Each Additional 25 Cc Injectate Or Part Thereof List Separately In Addition To Code For Primary Procedure

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15772. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15772 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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