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See a sample rate comparisonCPT 15951 Fee Schedule
Last Verified: October 2026
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.
Surgical Repair Of Bed Sore, Surgery To Remove A Pressure Ulcer (Bed Sore) From The Knobby Hip Bone (Trochanter). A Portion Of The Bone May Be Removed As Well. The Surgical Wound Is Closed With Stitches Or A Skin Flap.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15951 |
| Medicaid Fee Schedule | View Medicaid rates for 15951 |
National average reimbursement for CPT 15951 by major payers:
$1,140.26
$1,118.18
$1,109.52
$1,411.61
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CPT 15951
5 of 25 sample ratesHigher to lower in this preview
Carris Health LLC, Centracare Willmar Surgery Center
Carris Health LLC
$3,495.00Published ratePhysician'S Surgery Center Of Knoxville LLC
Physicians Surgery Center Of Knoxville LLC
$2,101.00Published rateBernstein Hilliker Hartzell Eye Center LLP, The Surgery Center Of Central PA
The Eye Center Of Central PA, LLP
$1,482.00Published rateCataract & Surgical Center Of Lubbock LLC
Cataract Surgical Center Of Lubbock LLC
$1,117.00Published rateNisenfeld & Chilton, Md PA, Orthopaedic Associates Of Frederick, Asc
Nisenfeld & Chilton, M.D., P.A.
$542.00Published rate
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See a sample payer proposalCPT 15951 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15951 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 15951 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 |
|---|---|---|
| 15950-CPT | Moderate | Surgical Repair Of Bed Sore, Surgery To Remove A Pressure Ulcer (Bed Sore) From The Knobby Hip Bone (Trochanter). A Portion Of The Bone May Be Removed As Well. The Surgical Wound Is Closed With Stitches Or A Skin Flap. |
| 15951-CPT | High | Surgical Repair Of Bed Sore, Surgery To Remove A Pressure Ulcer (Bed Sore) From The Knobby Hip Bone (Trochanter). A Portion Of The Bone May Be Removed As Well. The Surgical Wound Is Closed With Stitches Or A Skin Flap. |
| 15952-CPT | High | Surgical Repair Of Bed Sore, Surgery To Remove A Pressure Ulcer (Bed Sore) From The Knobby Hip Bone (Trochanter). A Portion Of The Bone May Be Removed As Well. The Surgical Wound Is Closed With Stitches Or A Skin Flap. |
| 15953-CPT | High | Surgical Repair Of Bed Sore, Surgery To Remove A Pressure Ulcer (Bed Sore) From The Knobby Hip Bone (Trochanter). A Portion Of The Bone May Be Removed As Well. The Surgical Wound Is Closed With Stitches Or A Skin Flap. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15951. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15951 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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