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See a sample rate comparisonCPT 16000 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Initial Treatmn 1st Degree Burn When No More Than Local Treatm, Initial Treatment First Degree Burn When No More Than Local Treatmen
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 23 - Emergency Room 20 - Urgent Care Facility |
| Common Modifiers | None 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 16000 |
| Medicaid Fee Schedule | View Medicaid rates for 16000 |
National average reimbursement for CPT 16000 by major payers:
$85.68
$91.56
$93.50
$123.12
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CPT 16000
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$1,831.00Published rateMaine Eye Center, PA
Maine Eye Center
$700.00Published rateSouthwest Endoscopy LLC
$574.00Published rateFrederick Surgical Center, LLC
Frederick Surgical Center LLC
$135.00Published rateSurgical Specialty Center Of Northeastern Pennsylvania, LLC
Surgical Specialty Center Of N
$88.00Published rate
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See a sample payer proposalCPT 16000 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 16000 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 16000 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. |
| 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 |
| 16020-CPT | Low | Dressings Andor Debridement, Dressings Andor Debridement Initial Or Subsequentwithout Anesthesia Office Or Hospital Small Dressings Andor Debridement Initial Or Subsequent |
| 16025-CPT | Low | Dress Debrid P Thick Burn M, Dressings And Or Debridement Of Partial Thickness Burns Initial Or Subsequent Medium Eg Whole Face Or Whole Extremity Or 5 To 10 Total Body Surface Area |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 16000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 16000 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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