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See a sample rate comparisonCPT 15828 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 | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15828 |
| Medicaid Fee Schedule | View Medicaid rates for 15828 |
National average reimbursement for CPT 15828 by major payers:
$2,822.23
$3,036.75
$2,643.18
$3,757.01
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CPT 15828
5 of 25 sample ratesHigher to lower in this preview
Rads Of America, LLC, Premier Radiology Pain Management Center
Rads Of America LLC
$5,772.00Published rateBismarck Sinus Center
$3,014.00Published rateSurgicare Of Jackson Ltd
$1,826.00Published rateEncino Surgical Center LLC
$922.00Published rateNovamed Surgery Center Of Columbus, LLC
Novamed Surgery Center Of Columbus LLC
$661.00Published rate
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See a sample payer proposalCPT 15828 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15828 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 15828 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 15828. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15828 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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