What factors affect the fee schedule for CPT 15839?

Factors affecting the fee schedule for CPT 15839 include Medicare & Medicaid rates (government-set), private insurance rates (negotiated), geographic location (higher costs in urban areas), and provider type (hospital vs. private practice).

How does CPT 15839 compare to other codes for surgical procedures on the integumentary system?

CPT 15839 is a high-complexity code involving more provider time and moderate medical decision-making compared to lower-level codes. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation.

Where can I view Medicare rates for CPT 15839?

You can view Medicare rates for CPT 15839 on the PayerPrice website through their Medicare Fee Schedule Lookup tool: https://payerprice.com/medicare-fee-schedule-lookup?codes=15839&year=2025,2026&medicareType=physician_ffs

How can I find out the cost of a medical procedure before I get it?

To understand the potential cost of a medical procedure, you can start by asking your healthcare provider for an estimate. For more specific, localized pricing information based on CPT codes, you can utilize tools like Payerprice. They offer a fee schedule lookup tool that allows you to search with CPT codes and your specific location to see what various payers are paying.

What is a CPT code and why is it important for understanding medical costs?

CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used to describe medical, surgical, and diagnostic services performed by healthcare providers. They are crucial for understanding medical costs because they standardize the billing process, allowing insurance companies and patients to know exactly what services were rendered. When researching costs, knowing the specific CPT code for a procedure will enable you to get much more accurate price estimates.

Why do medical costs vary so much between different hospitals or clinics?

Medical costs can vary significantly due to several factors, including the type of facility (e.g., hospital vs. outpatient clinic), geographical location, the specific insurance contracts negotiated by providers, technology used, and the provider's individual fee schedule. These differences can make it challenging to predict out-of-pocket expenses without specific tools.

Where can I look up specific medical procedure prices for my location and CPT code?

For specific medical procedure prices tailored to your location and CPT code, it is recommended to use a specialized tool. Payerprice offers a fee schedule lookup tool where you can search using a CPT code and your specific location to find relevant pricing information. This can help you understand the cost landscape for your particular needs.

CPT 15839 Fee Schedule

Q: What is CPT code 15839?

CPT code 15839 is used by healthcare providers to document and receive reimbursement for visits addressing high-level medical decision-making, often including multiple diagnoses or prescription management. It falls under Surgical Procedures on the Integumentary System for 'Exc Excess Skin Other Area'.

Last Verified: August 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.

Removal Of Excess Skin And Fat, Surgery To Remove Excess Skin And Fat From A Body Area. The Procedure Involves Tightening Muscles If Necessary.

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 51 - Multiple procedures 59 - Distinct Procedural Service
Complexity Level	High
Medicare Fee Schedule	View Medicare rates for 15839
Medicaid Fee Schedule	View Medicaid rates for 15839

National average reimbursement for CPT 15839 by major payers:

$1,066.23

$1,109.69

$1,151.91

$1,169.25

Preview provider-level rates for...

For billing codeCPT 15839

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	15839	$890.00	1396700159 - DOCTORS SAME DAY SURGERY CENTER, LTD	621614361 - (FL) DOCTORS SAME DAY SURGERY CENTER LTD	FL	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$488.00	1386602332 - THREE RIVERS ENDOSCOPY CENTER, INC.	251788887 - (PA) THREE RIVERS ENDOSCOPY CENTER INC	PA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$1143.00	1518505809 - MAPLE GROVE CENTER FOR RESTORATIVE SURGERY	853324771 - (MN) CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC	MN	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$2709.00	1346403854 - THE EMORY CLINIC INC, EMORY ORTHOPAEDIC SURGERY CENTER	464115055 - (GA) EMORY AMBULATORY SURGERY CENTER AT DUNWOODY LLC	GA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$2172.00	1760912554 - BAYLOR SURGICARE AT BAYLOR PLANO, LLC, BAYLOR SCOTT & WHITE SURGICARE AT PLANO ALLIANCE	813127185 - (TX) BAYLOR SURGICARE AT BAYLOR PLANO LLC	TX	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$1534.00	1386190957 - HOLLY SPRINGS SURGERY CENTER, LLC	473460976 - (NC) HOLLY SPRINGS SURGERY CENTER LLC	NC	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$1233.00	1407275282 - SURGCENTER CAMELBACK LLC	464169482 - (AZ) SURGCENTER CAMELBACK LLC	AZ	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$3933.00	1801859970 - LOS GATOS SURGICAL CENTER, A CALIFORNIA LIMITED PARTNERSHIP	942909203	CA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$1749.00	1639850415 - MEDICAL CITY SURGERY CENTER OF ALLEN, LLC	932106228	TX	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$894.00	1306589809 - CCRM FLORIDA LLC, CCRM FLORIDA	873211160 - (FL) CCRM FLORIDA LLC	FL	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$950.00	1790710390 - SOUTHWESTERN MEDICAL CENTER, LLC, MAGNA SURGICAL CENTER	364212258 - (IL) SOUTHWESTERN MEDICAL CENTER LLC	IL	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$1850.00	1508276080 - OHIO SPECIALTY SURGICAL SUITES, LLC	464078247 - (OH) OHIO SPECIALTY SURGICAL SUITES LLC	OH	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$650.00	1104858513 - DOCTORS OUTPATIENT SURGERY CENTER LLC, SURGERY CENTER	721341061 - (LA) DOCTORS OUTPATIENT SURGERY CENTER LLC	LA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	15839	$1538.43	1093178113 - KALEEM KHAN	350593390 - DEACONESS HOSPITAL INC	PA	Internal Medicine Physician (207R00000X)
United	15839	$555.00	1679656714 - LITTLETON DAY SURGERY CENTER LLC	232731319 - (CO) LITTLETON DAY SURGERY CENTER	CO	Ambulatory Surgical Clinic/Center (261QA1903X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 15839 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15839 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 15839 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
15832-CPT	High	Cosmetic Surgery On A Thigh, Plastic Surgery To Remove Excess Skin And Fat And To Tighten The Muscles Of The Thigh. This Surgery Usually Is Done Along With Abdominoplasty And Buttock Lift As A Part Of Body Contouring (Body Lift) After A Massive Weight Loss.
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.
15838-CPT	Moderate	Xcision Excess Skin & Subcutane Tissue (Inclu Lipectomy);, Excision Excessive Skin And Subcutaneous Tissue (Includes Lipectomy);
15839-CPT	High	Removal Of Excess Skin And Fat, Surgery To Remove Excess Skin And Fat From A Body Area. The Procedure Involves Tightening Muscles If Necessary.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15839. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15839 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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