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See a sample rate comparisonCPT 15876 Fee Schedule
Last Verified: September 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.
Suction Assist Lipectomy Head Neck
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 15876 |
| Medicaid Fee Schedule | View Medicaid rates for 15876 |
National average reimbursement for CPT 15876 by major payers:
$942.52
$520.93
$465.60
$640.82
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CPT 15876
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$9,098.00Published rateFish Pond Surgery Center, LLC
Fish Pond Surgery Center LLC
$3,570.00Published rateEye Surgery Center, Loren Barrus & Paul Schultz Ptrs
Eye Surgery Center
$1,924.00Published rateSouthern Bone & Joint Ambulatory Surgical Center, LLC, Southern Bone & Joint, LLC
Southern Bone Joint Ambulatory Surgical Center LLC
$1,295.00Published rateGi Asc LLC
$730.00Published rate
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See a sample payer proposalCPT 15876 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15876 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 15876 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15876. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15876 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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