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See a sample rate comparisonCPT 15952 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 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15952 |
| Medicaid Fee Schedule | View Medicaid rates for 15952 |
National average reimbursement for CPT 15952 by major payers:
$1,180.40
$1,151.53
$1,134.08
$1,443.85
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CPT 15952
5 of 25 sample ratesHigher to lower in this preview
Riverwalk Surgery Center, Inc
$6,651.00Published rateSurgical Institute, LLC
Surgical Institute LLC
$2,869.00Published ratePacificoast Ambulatory Surgicenter, LLC., Pacific Coast Ambulatory Surgicenter
Pacificoast Ambulatory Surgicenter LLC
$1,550.00Published rateJacksonville Surgery Center, Ltd
Jacksonville Surgery Center Ltd
$1,155.00Published rateCoastal Medical Center LLC
$500.00Published rate
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See a sample payer proposalCPT 15952 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15952 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 15952 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 15952. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15952 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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