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See a sample rate comparisonCPT 15999 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.
Unlisted Proc Xcision Pressu Ulcer, Unlisted Procedure Excision Pressure Ulcer
| 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 LT - Left side of body 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 15999 |
| Medicaid Fee Schedule | View Medicaid rates for 15999 |
National average reimbursement for CPT 15999 by major payers:
$1,287.41
$109.47
$1,633.33
$772.26
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CPT 15999
5 of 25 sample ratesHigher to lower in this preview
Indianapolis Endoscopy Center LLP
$3,254.00Published rateCapital City Surgical Center LLC, Capital City Surgical Center LLC
$967.00Published ratePremier Endoscopy, LLC
Premier Endoscopy LLC
$691.00Published rateModesto Surgery Center
$407.00Published rateEndo-Surgical Center Of Florida
Endosurgical Center Of Florida
$234.00Published rate
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 15958-CPT | High | Surgical Repair Of Bed Sore, Surgery To Remove A Pressure Ulcer Or Bed Sore From The Hip Bone Where It Sticks Out. A Portion Of The Bone May Be Removed As Well. The Surgical Wound Is Closed With A Flap Of Muscle Tissue From Near The Wound. |
| 15999-CPT | High | Unlisted Proc Xcision Pressu Ulcer, Unlisted Procedure Excision Pressure Ulcer |
| 16000-CPT | Low | Initial Treatmn 1st Degree Burn When No More Than Local Treatm, Initial Treatment First Degree Burn When No More Than Local Treatmen |
| 16035-CPT | Moderate | Detach Burned Tissue, Tissue Damaged By A Burn Becomes Leathery. Surgery Detaches This Tissue So That Healthy Tissue Can Move Freely. |
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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