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See a sample rate comparisonCPT 15826 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Cosmetic Surgery Of The Face, Cosmetic Surgery To Reduce The Appearance Of Aging Or Excessive Wrinkling From The Entire Face Or A Single Area Such As The Forehead. The Surgery May Include The Neck. Skin Is Pulled Or Lifted And The Excess Is Tucked Or Cut Away.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 50 - Bilateral Procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15826 |
| Medicaid Fee Schedule | View Medicaid rates for 15826 |
National average reimbursement for CPT 15826 by major payers:
$1,724.18
$1,159.48
$961.91
$1,436.57
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CPT 15826
5 of 25 sample ratesHigher to lower in this preview
Ball Outpatient Surgery Center, LLC, Ball Outpatient Surgery Center
Ball Outpatient Surgery Center LLC
$6,063.00Published rateTlc Asc, LLC, Kzmss Again, Lllp
Tlc Asc LLC
$3,500.00Published rateStuart Surgery Center, LLC
Stuart Surgery Center LLC
$2,221.00Published rateSarasota Ambulatory Surgery Center Ltd, Sarasota Ambulatory Surgery Center
Sarasota Ambulatory Surgery Center Ltd
$1,300.00Published rateNational Surgical Centers Stockton, LLC
National Surgical Centers Stockt
$922.00Published rate
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See a sample payer proposalCPT 15826 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15826 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 15826 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 |
|---|---|---|
| 15824-CPT | High | Cosmetic Surgery Of The Face, Cosmetic Surgery To Reduce The Appearance Of Aging Or Excessive Wrinkling From The Entire Face Or A Single Area Such As The Forehead. The Surgery May Include The Neck. Skin Is Pulled Or Lifted And The Excess Is Tucked Or Cut Away. |
| 15825-CPT | High | Cosmetic Surgery Of The Face, Cosmetic Surgery To Reduce The Appearance Of Aging Or Excessive Wrinkling From The Entire Face Or A Single Area Such As The Forehead. The Surgery May Include The Neck. Skin Is Pulled Or Lifted And The Excess Is Tucked Or Cut Away. |
| 15826-CPT | High | Cosmetic Surgery Of The Face, Cosmetic Surgery To Reduce The Appearance Of Aging Or Excessive Wrinkling From The Entire Face Or A Single Area Such As The Forehead. The Surgery May Include The Neck. Skin Is Pulled Or Lifted And The Excess Is Tucked Or Cut Away. |
| 15828-CPT | High | Cosmetic Surgery Of The Face, Cosmetic Surgery To Reduce The Appearance Of Aging Or Excessive Wrinkling From The Entire Face Or A Single Area Such As The Forehead. The Surgery May Include The Neck. Skin Is Pulled Or Lifted And The Excess Is Tucked Or Cut Away. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15826. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15826 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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