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See a sample rate comparisonHealthcare 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.
| 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 |
| Common Modifiers | None 50 - Bilateral Procedure 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15835 |
| Medicaid Fee Schedule | View Medicaid rates for 15835 |
National average reimbursement for CPT 15835 by major payers:

$1,194.66

$1,182.21

$1,192.23

$1,474.14
Choose a payer to see a sample of rates for CPT 15835.
South Kansas City Surgical Center, LLC
Union Pines Surgery Center, LLC
Royal Oak Surgical Center LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 15835 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15835 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 15835 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 |
|---|---|---|
| 15834-CPT | High | Cosmetic Surgery On A Hip, Plastic Surgery To Remove Excess Skin And Fat And To Tighten The Muscles In The Hips. This Surgery Typically Is Done As A Part Of Either A Thigh Or Buttock Lift After A Massive Weight Loss. |
| 15835-CPT | High | Cosmetic Surgery On A Buttock, Plastic Surgery To Remove Excess Skin And Fat And To Tighten The Muscles In The Buttocks. The Surgery Usually Is Done Along With Abdominoplasty And Thigh Lift As A Part Of Body Contouring (Body Lift) After A Massive Weight Loss. |
| 15836-CPT | Moderate | Cosmetic Surgery On The Arm, Plastic Surgery To Remove Excess Skin And Fat And To Tighten The Muscles In The Arms. This Surgery Typically Is Done After A Massive Weight Loss As A Follow-Up To A Body Lift. |
| 15877-CPT | Moderate | Suction Assist Lipectomy Trunk |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15835. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15835 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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