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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 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15845 |
| Medicaid Fee Schedule | View Medicaid rates for 15845 |
National average reimbursement for CPT 15845 by major payers:

$1,390.81

$1,281.47

$1,298.36

$1,648.76
Choose a payer to see a sample of rates for CPT 15845.
Port Warwick Surgery Center LLC
Johns Hopkins Surgery Center Series
San Luis Obispo Ca Endoscopy Asc Lp
Tiftarea Endoscopy Center Inc
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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 15845 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15845 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 15845 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 |
|---|---|---|
| 15840-CPT | High | Repair Face Nerve With Graft, Surgery To Collect Tissue To Repair Paralysis Of The Facial Nerve. The Graft May Be Connective Tissue (Fascia) Or Muscle From Another Site On The Body. Microsurgery To Connect Blood Vessels May Be Done. |
| 15841-CPT | High | Repair Face Nerve With Graft, Surgery To Collect Tissue To Repair Paralysis Of The Facial Nerve. The Graft May Be Connective Tissue (Fascia) Or Muscle From Another Site On The Body. Microsurgery To Connect Blood Vessels May Be Done. |
| 15842-CPT | High | Repair Face Nerve With Graft, Surgery To Collect Tissue To Repair Paralysis Of The Facial Nerve. The Graft May Be Connective Tissue (Fascia) Or Muscle From Another Site On The Body. Microsurgery To Connect Blood Vessels May Be Done. |
| 15845-CPT | High | Repair Face Nerve With Graft, Surgery To Collect Tissue To Repair Paralysis Of The Facial Nerve. The Graft May Be Connective Tissue (Fascia) Or Muscle From Another Site On The Body. Microsurgery To Connect Blood Vessels May Be Done. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15845. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15845 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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