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See a sample rate comparisonCPT 15838 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.
Xcision Excess Skin & Subcutane Tissue (Inclu Lipectomy);, Excision Excessive Skin And Subcutaneous Tissue (Includes Lipectomy);
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15838 |
| Medicaid Fee Schedule | View Medicaid rates for 15838 |
National average reimbursement for CPT 15838 by major payers:
$765.89
$788.37
$781.56
$1,006.34
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CPT 15838
5 of 25 sample ratesHigher to lower in this preview
Seashore Surgical Institute, LLC
Seashore Surgical Institute
$2,629.00Published rateBluegrass Orthopaedics Surgical Division LLC
Bluegrass Specialty Surgery Center, LLC
$1,200.00Published rateBone And Joint Institute Of Tennessee Surgery Center LLC
$795.00Published rateCoal Creek Ambulatory Surgery Center PC, Coal Creek Ambulatory Surgery Center
Coal Creek Ambulatory Surgery Center PC
$675.00Published rateRenaissance Surgery Center Of Chattanooga, LLC
Renaissance Surgery Center Of Chattanooga LLC
$305.00Published rate
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See a sample payer proposalCPT 15838 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15838 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 15838 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. |
| 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. |
| 15837-CPT | High | 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. |
| 15838-CPT | Moderate | Xcision Excess Skin & Subcutane Tissue (Inclu Lipectomy);, Excision Excessive Skin And Subcutaneous Tissue (Includes Lipectomy); |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15838. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15838 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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