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CPT 15877 Fee Schedule

Last Verified: December 2025

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 Trunk
Key FactDetail
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

59 - Distinct Procedural Service

51 - Multiple procedures

Complexity LevelModerate

National average reimbursement for CPT 15877 by major payers:

bcbs

$605.17

uhc

$763.45

aetna

$732.01

cigna

$1,134.17

Preview provider-level rates for...
For billing codeCPT 15877
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 15877

United
15877$1672.001699327734 - KS SC LLC, KELSEY-SEYBOLD CLINIC AMBULATORY SURGERY CENTER842241460TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$985.001407079155 - NORTHERN VIRGINIA EYE SURGERY CENTER, LLC204062750 - (VA) NORTHERN VIRGINIA EYE SURGERY 401(K) PROFIT SHARING PLAN AND TRUSTVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$1747.001184690570 - PAIN CARE SURGERY, PC371379699 - (IL) PAIN CARE SURGERY PCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$2156.001093079196 - MERCY HOSPITALS EAST COMMUNITIES, MERCY OUTPATIENTSURGERY CENTER WASHINGTON431066883 - (MO) MERCY HOSPITALS EAST COMMUNITIESMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$2949.001770884140 - TRUCKEE SURGERY CENTER LLC273943102 - (CA) TRUCKEE SURGERY CENTER, LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$1800.001700492170 - MERCY HEALTH BOARDMAN SURGERY863462441 - (OH) BSMH AMBULATORY VENTURES II LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$950.001013341734 - CENTER FOR PAIN AND SPINE, LLC463285029 - (GA) CENTER FOR PAIN AND SPINE LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$3271.001801058292 - METROPOLITAN SURGICAL INSTITUTE, LLC204513856 - (NJ) METROPOLITAN SURGICAL INSTITUTENJAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$4339.001689188823 - FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLC593646134 - (FL) FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$2700.001649871450 - ADVANCED HEART AND VEIN SURGERY CENTER, LLC844546684 - (CO) ADVANCED HEART AND VEIN SURGERY CENTER LLCCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$2170.001649317660 - ORTHOVIRGINIA, INC540885859 - (VA) ORTHOVIRGINIA, INC.VAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$1896.001053934919 - DOYLESTOWN SURGERY CENTER, LLC834549561 - (PA) DOYLESTOWN SURGERY CENTER LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$3623.001558618116 - TAVARES SURGERY LLC300728155 - (FL) TAVARES SURGERY LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$600.001205917101 - CATARACT & LASER CENTER, INC.42907424 - (MA) THE CATARACT AND LASER CENTER, IMAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15877$654.001336272657 - ARIZONA DIGESTIVE CENTER, P.C.201544723 - (AZ) ARIZONA DIGESTIVE CENTER PCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 15877 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15877 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 15877 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.

CodeComplexityDescription
15830-CPTHighExcision Excessive Skin And Subcutaneous Tissue Includes Lipectomy Abdomen Infraumbilical Panniculectomy
15834-CPTHighExc Excess Skin Subq Tiss Hip
15876-CPTModerateSuction Assist Lipectomy Head Neck
15877-CPTModerateSuction Assist Lipectomy Trunk

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15877. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15877 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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