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See a sample rate comparisonCPT 15775 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.
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| Key Fact | Detail |
|---|---|
| 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 Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15775 |
| Medicaid Fee Schedule | View Medicaid rates for 15775 |
National average reimbursement for CPT 15775 by major payers:
$414.75
$433.77
$448.29
$393.74
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CPT 15775
5 of 25 sample ratesHigher to lower in this preview
Toms River Surgery Center, LLC, Toms River Surgery Center
Toms River Surgery Center LLC
$1,879.00Published rateMemorial Surgery Center, LLC
Memorial Surgery Center LLC
$574.00Published rateIronbound Endo Surgical Center, Inc.
$261.00Published ratePcet Surgery Center LLC
$111.00Published rateAllegany Ambulatory Surgery Center LLC
$52.00Published rate
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 15775-CPT | Moderate | Punch Graft For Hair Transplan, Punch Graft For Hair Transplant 1 To 15 Punch Graftspunch Graft For Hair Transplant 1 To 15 Punch Grafts |
| 15776-CPT | Moderate | Punch Graft For Hair Transplan, Punch Graft For Hair Transplant More Than 15 Punch Graftspunch Graft For Hair Transplant More Than15 Punch Grafts |
| 15777-CPT | Moderate | Implantation Of Biologic Implant (Eg Acellular Dermal Matrix) For Soft Tissue Reinforcement (Ie Breast Trunk) (List Separately In Addition To Code For Primary Procedure) (Revised 01/01/2014) |
| 15778-CPT | Moderate | Impl Absrb Msh Prsth Dly Cls, Implantation Of Absorbable Mesh Or Other Prosthesis For Delayed Closure Of Defect S Ie External Genitalia Perineum Abdominal Wall Due To Soft Tissue Infection Or Trauma |
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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