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See a sample rate comparisonHealthcare 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.
| 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 AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15847 |
| Medicaid Fee Schedule | View Medicaid rates for 15847 |
National average reimbursement for CPT 15847 by major payers:

$544.16

$497.26

$582.62

$699.12
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Medical Plaza Ambulatory Surgery Center Associates Lp
Carolina Digestive Diseases
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Rate Benchmarking
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See a sample payer proposalCPT 15847 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15847 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 15847 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. |
| 15830-CPT | High | Cosmetic Abdominal Surgery, Plastic Surgery To Remove Excess Skin And Fat And To Tighten The Muscles Of The Abdomen (Abdominoplasty). This Surgery Usually Is Done Along With Thigh And Buttock Lifts As A Part Of Body Contouring (Body Lift) After A Massive Weight Loss. |
| 15847-CPT | Moderate | Cosmetic Abdominal Surgery, Plastic Surgery To Remove Excess Skin And Fat And To Tighten The Muscles Of The Abdomen (Abdominoplasty). This Surgery Usually Is Done Along With Thigh And Buttock Lifts As A Part Of Body Contouring (Body Lift) After A Massive Weight Loss. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15847. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15847 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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