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See a sample rate comparisonCPT 15822 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 E3 - Upper right, eyelid E1 - Upper left, eyelid |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15822 |
| Medicaid Fee Schedule | View Medicaid rates for 15822 |
National average reimbursement for CPT 15822 by major payers:
$580.85
$567.98
$586.51
$638.52
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CPT 15822
5 of 25 sample ratesHigher to lower in this preview
Christus Santa Rosa Outpatient Surgery, Christus Physicians Surgery Center - New Braunfels
$3,493.00Published rateSt. Joseph'S Outpatient Surgery Center, LLC
St Josephs Outpatient Surgery Center LLC
$1,276.00Published rateAmbulatory Surgery Center Of Centralia
$812.00Published rateAdvanced Surgical Center Of Beverly Hills LLC, Surgery Center Of Beverly Hills LLC
Advanced Surgical Center Of Beverly Hills LLC
$591.00Published rateSurgery By Vold Vision
$479.00Published rate
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See a sample payer proposalCPT 15822 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15822 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 15822 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 15822. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15822 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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