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CPT 15999 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.

Unlisted Procedure, Excision Decubitus Ulcer
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

LT - Left side of body

59 - Distinct Procedural Service

Complexity LevelHigh

National average reimbursement for CPT 15999 by major payers:

bcbs

$1,287.41

uhc

$109.47

aetna

$1,633.33

cigna

$769.33

Preview provider-level rates for...
For billing codeCPT 15999
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 15999

United
15999$953.001154956928 - ADVANCED SURGICAL CARE OF CLEARWATER LLC833698204 - (FL) ADVANCED SURGICAL CARE OF CLEARWATER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$662.001306249453 - MARK FROMER, LLC, EYE SURGERY CENTERS OF NEW YORK274212773 - (NY) MARK FROMER LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$2666.001598769481 - MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD., DOCTORS UNITED SURGERY CENTER752832459 - (TX) MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD LTDTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$368.001336143734 - TORRANCE ENDOSCOPY AND SURGICAL AFFILIATES, INC, ENDOSCOPY CENTER AT SKYPARK954871082 - (CA) TORRANCE ENDOSCOPY AND SURGICAL AFFILIATES INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$483.001821167479 - EVERGREEN EYE CENTER, PLLC, EVERGREEN EYE SURGERY CENTER911628032 - (WA) EVERGREEN EYE CENTER, INC. P.S.WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$1062.001871032680 - OLIVE AMBULATORY SURGERY CENTER, LLC, NORTH CAMPUS SURGERY CENTER203834012 - (MO) OLIVE AMBULATORY SURGERY CENTER LLCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$400.001376616060 - NORTHSHORE SURGICAL CENTER, LLC202339324 - (LA) NORTHSHORE SURGICAL CENTER LLCLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$548.001124125331 - AMBULATORY SURGERY ASSOCIATES, LLC, BROOKSIDE SURGERY CENTER383237596 - (MI) AMBULATORY SURGERY ASSOCIATESMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$300.001760594279 - FILUTOWSKI EYE INSTITUTE PA, SUNRISE SURGICAL CENTER593111497 - (FL) FILUTOWSKI EYE INSTITUTE, P.A.FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$624.001942261599 - SDOSC, LP, SAN DIEGO OUTPATIENT AMBULATORY SURGICAL CENTER30506487 - (CA) SDOSC, LPCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$254.001205853041 - EUCLID ENDOSCOPY CENTER, LP203197449 - (CA) EUCLID ENDOSCOPY CENTER LPCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$800.001669181822 - ALLIANCE SURGERY CENTER AT CUMMING881953675 - (GA) ALLIANCE SURGERY CENTER AT CUMMINGGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$405.001407828494 - INDEPENDENCE ASC LLC, THE ENDOSCOPY CENTER - EAST621707564MOAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$550.001285083477 - GEORGIA INTERVENTIONAL PAIN810948119 - (GA) GEORGIA INTERVENTIONAL PAINGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15999$750.001043564784 - COMPREHENSIVE SURGICAL CENTER OF GREEN, LLC461313857 - (OH) COMPREHENSIVE SURGICAL CENTER OF GREEN LLCOHAmbulatory 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 15999 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15999 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 15999 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
15958-CPTHighExcision, Trochanteric Pressure Ulcer, In Preparation For Muscle Or Myocutaneous Flap Or Skin Graft Closure; With Ostectomy
15999-CPTHighUnlisted Procedure, Excision Decubitus Ulcer
16000-CPTLowInit Treat 1st Degree Burn Local
16035-CPTModerateEscharotomy

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15999 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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