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CPT 15775 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.

Punch Grft Hair Trans 1-15 Grfts
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

59 - Distinct Procedural Service

RT - Right side of body

AG - Primary physician

LT - Left side of body

58 - Staged or related procedure during postoperative period

Complexity LevelModerate

National average reimbursement for CPT 15775 by major payers:

bcbs

$414.75

uhc

$433.77

aetna

$448.29

cigna

$563.14

Preview provider-level rates for...
For billing codeCPT 15775
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 15775

United
15775$96.001053385328 - MIDWEST ENDOSCOPY SERVICES LLC470808172 - (NE) MIDWEST ENDOSCOPY SERVICES, LLCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$159.001972911030 - SOUTHEASTERN AMBULATORY SURGERY CENTER, LLC, THE SURGERY CENTER AT SOUTHEASTERN HEALTH PARK452413077 - (NC) SOUTHEASTERN AMBULATORY SURGERY CENTER, LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$1155.001255314662 - MAZZOCCO AMBULATORY SURGICAL CENTER954505995 - (CA) MAZZOCCO AMBULATORY SURGICAL CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$325.001427144336 - PORTLAND CLINIC, THE PORTLAND CLINIC SURGICAL CENTER930400952 - (OR) THE PORTLAND CLINIC LLPORAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$555.001275292229 - SCOTTSDALE ENDOSCOPY ASC LLC873952617AZAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$324.001437116274 - SILVER SPRINGS SURGERY CENTER LLC431804124 - (MO) SILVER SPRINGS SURGERY CENTER LLCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$1344.001881667368 - FLORHAM PARK ENDOSCOPY ASC LLC, FLORHAM PARK ENDOSCOPY CENTER621774936 - (NJ) FLORHAM PARK ENDOSCOPY CENTER, LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$1155.001316462377 - UCSD SURGICAL CENTER OF SAN DIEGO, LLC822218664CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$1155.001952794109 - SAN JOSE AMBULATORY SURGERY CENTER,LP, SILICON VALLEY INTERVENTIONAL SURGERY CENTER464577217CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$1155.001942239751 - POSADA AMBULATORY SURGERY CENTER, LP571140323 - (CA) POSADA AMBULATORY SURGERY CENTER, L.P.CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$1155.001962671487 - HYDE PARK SURGERY CENTER, LLC, HYDE PARK SURGERY CENTER, LP421731685TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$923.001659793891 - INOVA AMBULATORY SURGERY CENTER AT LORTON, LLC461955980 - (VA) INOVA AMBULATORY SURGERY CENTER AT LORTON LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$1155.001477803724 - VALENCIA SPECIALTY SURGERY PC460979296 - (CA) VALENCIA SPECIALTY SURGERY PCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$1879.001023070026 - TOMS RIVER SURGERY CENTER, LLC, TOMS RIVER SURGERY CENTER752854783 - (NJ) TOMS RIVER SURGERY CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
15775$443.001841213923 - NORTH SHORE SURGI-CENTER INC112966356 - (NY) NORTH SHORE SURGI CENTER INC.NYAmbulatory 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 15775 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15775 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 15775 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
15775-CPTModeratePunch Grft Hair Trans 1-15 Grfts
15776-CPTModerateTransplant Hair 15+ Punch Grafts

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15775. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15775 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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