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CPT 15933 Fee Schedule

Last Verified: December 2025

Healthcare 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.

Exc Decubit Ulc Sacral W Ostectomy
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

52 - Reduced Services

51 - Multiple procedures

Complexity LevelHigh

National average reimbursement for CPT 15933 by major payers:

bcbs

$1,046.87

uhc

$1,095.95

aetna

$1,089.13

cigna

$1,399.01

Preview provider-level rates for...
For billing codeCPT 15933
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 15933

United
15933$1498.001184782203 - EASTERN OREGON REGIONAL SURGERY710881667 - (OR) EASTERN OREGON REGIONAL SURGERYORAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$1116.001871538694 - SOUTHWEST ENDOSCOPY LTD850452091 - (NM) SOUTHWEST ENDOSCOPY LTDNMAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$2206.001891253035 - ADVANCED CENTER FOR SURGERY, THE ADVANCED CENTER FOR SURGERY611917634 - (FL) ADVANCED CENTER FOR SURGERYFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$825.001538242649 - SOUTHWESTERN ENDOSCOPY CENTER, LLC571139709 - (PA) SOUTHWESTERN ENDOSCOPY CENTER, LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$1490.001346740719 - DIALYSIS ACCESS CENTER CORPUS CHRISTI ASC LLC815113661 - (TX) DIALYSIS ACCESS CENTER CORPUS CHRISTI ASC LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$2638.001225568884 - WAKE FOREST AMBULATORY VENTURES, LLC820777206 - (NC) WAKE FOREST AMBULATORY VENTURES LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$2159.001184664609 - ENDOSCOPY CENTER AT ROBINWOOD, LLC20615867 - (MD) ENDOSCOPY CENTER AT ROBINWOOD LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$5625.001134318983 - LAGUNA NIGUEL SURGERY CENTER LLC203678259CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$1531.001578073631 - IREDELL PHYSICIAN NETWORK LLC, IREDELL AMBULATORY SURGERY CENTER263853529NCAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$13579.001225064876 - ROCK HILL SURGERY CENTER, LLC, CAROLINA SURGICAL CENTER752562111 - (SC) ROCK HILL SURGERY CENTER LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$1144.001780683797 - LOVELAND ENDOSCOPY CENTER, LLC, SKYLINE ENDOSCOPY CENTER421589159 - (CO) LOVELAND ENDOSCOPY CENTER LLCCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$4014.001285202077 - SURGCENTER OF PINE RIDGE LLC853561528 - (FL) SURGCENTER OF PINE RIDGE LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$5729.001336391085 - MEMORIAL HERMANN SURGERY CENTER KINGSLAND LLC, MEMORIAL HERMANN SURGERY CENTER KINGSLAND263464776TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$2388.001326527680 - INTRACOASTAL SURGERY CENTER, LLC824525706 - (FL) INTRACOASTAL SURGERY CENTER LLFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
15933$1421.001609896539 - CEDAR HILLS AMBULATORY SURGERY CENTER LLC, CEDAR HILLS SURGERY CENTER680580628 - (OR) CEDAR HILLS AMBULATORY SURGERY CENTER LLCORAmbulatory 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 15933 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15933 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 15933 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
15931-CPTModerateExc Sacral Ulcer Primary Suture
15933-CPTHighExc Decubit Ulc Sacral W Ostectomy
15934-CPTHighExcision, Sacral Pressure Ulcer, With Local Or Regional Skin Flap Closure (Eg, Advancement, Rotation, Rhomboid, Bipe
15936-CPTHighExc Sacral Ulcer W/Muscle Flap

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15933. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15933 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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