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See a sample rate comparisonCPT 15851 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.
Removal Sutures/Staples Requiring Anesthesia, Removal Of Sutures Or Staples Requiring Anesthesia (Ie General Anesthesia Moderate Sedation)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None 59 - Distinct Procedural Service 58 - Staged or related procedure during postoperative period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 15851 |
| Medicaid Fee Schedule | View Medicaid rates for 15851 |
National average reimbursement for CPT 15851 by major payers:
$101.86
$124.90
$113.78
$128.54
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CPT 15851
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Endoscopy Center At Decatur
Emory Ambulatory Surgery Center At Dunwoody LLC
$2,709.00Published rateMarin Endoscopy Center, LLC, Endoscopy Center Of Marin
Marin Endoscopy Center LLC
$1,063.00Published rateArtel LLC
Artel, LLC
$632.50Published rateWilmington Gastroenterology Endoscopy Center, Inc
Wilmington Gastroenterology Endoscopy Center Inc
$523.00Published rateSurgical Specialists Group, LLC, Alabama Outpatient Surgery Center
Surgical Specialists Group, LLC
$364.00Published rate
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See a sample payer proposalCPT 15851 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15851 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 15851 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 |
|---|---|---|
| 15851-CPT | Low | Removal Sutures/Staples Requiring Anesthesia, Removal Of Sutures Or Staples Requiring Anesthesia (Ie General Anesthesia Moderate Sedation) |
| 15852-CPT | Low | Dressing Change (For Other Than Burns) Under Anesthes, Dressing Change (For Other Than Burns) Under Anesthesia (Other Than Lo |
| 15853-CPT | Low | Removal Sutures/Staples Not Requiring Anesthesia (, Removal Of Sutures Or Staples Not Requiring Anesthesia (List Separately In Addition To E/M Code) |
| 15854-CPT | Low | Removal Sutures&Staples Not Requiring Anesthesia (, Removal Of Sutures And Staples Not Requiring Anesthesia (List Separately In Addition To E/M Code) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15851. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15851 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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