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See a sample rate comparisonCPT 15786 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.
Remove Defect By Skin Abrasion, Surgical Sanding To Smooth Out And Remove A Skin Defect Such As A Scar Or Skin Thickened By An Injury.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15786 |
| Medicaid Fee Schedule | View Medicaid rates for 15786 |
National average reimbursement for CPT 15786 by major payers:
$276.90
$300.43
$288.79
$232.06
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CPT 15786
5 of 25 sample ratesHigher to lower in this preview
West Bend Surgery Center LLC
$1,160.00Published rateDay-Op Center Of Long Island LLC, Day-Op Center Of Long Island
Day Op Center Of Long Island Inc
$555.00Published rateLinden Surgical Center, LLC
Linden Surgical Center LLC
$340.00Published rateThe Aesthetic Surgery Centre, PLLC, Cedar Laser And Surgery Center
Aesthetic Surgery Centre, PLLC
$156.00Published rateSt Dominic Ambulatory Surgery Center L L C
$77.00Published rate
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See a sample payer proposalCPT 15786 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15786 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 15786 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 |
|---|---|---|
| 15780-CPT | Moderate | Cosmetic Removal Of Skin Marks, Cosmetic Surgery To Smooth Out Or Remove Markings On The Surface Of The Skin Such As Wrinkles Tattoos Scars Or Uneven Coloring. The Procedure Encourages Growth Of Unblemished Skin. |
| 15781-CPT | Moderate | Cosmetic Removal Of Skin Marks, Cosmetic Surgery To Smooth Out Or Remove Markings On The Surface Of The Skin Such As Wrinkles Tattoos Scars Or Uneven Coloring. The Procedure Encourages Growth Of Unblemished Skin. |
| 15786-CPT | Moderate | Remove Defect By Skin Abrasion, Surgical Sanding To Smooth Out And Remove A Skin Defect Such As A Scar Or Skin Thickened By An Injury. |
| 15787-CPT | Low | Abrasion Each Additional Four, Abrasion Each Additional Four Lesions Or Less (Listseparately 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 15786. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15786 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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