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See a sample rate comparisonCPT 15821 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.
Surgery Of The Eyelid, Surgery To Remove Excess Skin And Fatty Tissue From The Upper Or Lower Eyelid. The Procedure Is Sometimes Done For Cosmetic Reasons.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None E2 - Lower left, eyelid E4 - Lower right, eyelid |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15821 |
| Medicaid Fee Schedule | View Medicaid rates for 15821 |
National average reimbursement for CPT 15821 by major payers:
$794.55
$765.87
$764.19
$874.68
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CPT 15821
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Orthopaedic Surgery Center
Emory University
$3,188.00Published rateFoothill Surgery Center Lp
$1,320.00Published rateSaratoga Schenectady Endoscopy Center, LLC
Saratoga Schenectady Endoscopy Center LLC
$875.00Published rateJ. Graff Surgery Center Inc, Willow Bend Surgery Center Of Plano
J Graff Surgery Center Inc
$600.00Published rateLakeforest Ambulatory Surgery Center, District Heights Ambulatory Surgery Center
Lakeforest Ambulatory Surgery Center
$323.00Published rate
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See a sample payer proposalCPT 15821 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15821 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 15821 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 |
|---|---|---|
| 15820-CPT | Moderate | Surgery Of The Eyelid, Surgery To Remove Excess Skin And Fatty Tissue From The Upper Or Lower Eyelid. The Procedure Is Sometimes Done For Cosmetic Reasons. |
| 15821-CPT | Moderate | Surgery Of The Eyelid, Surgery To Remove Excess Skin And Fatty Tissue From The Upper Or Lower Eyelid. The Procedure Is Sometimes Done For Cosmetic Reasons. |
| 15822-CPT | Moderate | Surgery Of The Eyelid, Surgery To Remove Excess Skin And Fatty Tissue From The Upper Or Lower Eyelid. The Procedure Is Sometimes Done For Cosmetic Reasons. |
| 15823-CPT | Moderate | Surgery Of The Eyelid, Surgery To Remove Excess Skin And Fatty Tissue From The Upper Or Lower Eyelid. The Procedure Is Sometimes Done For Cosmetic Reasons. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15821. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15821 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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