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See a sample rate comparisonCPT 16020 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.
Dressings Andor Debridement, Dressings Andor Debridement Initial Or Subsequentwithout Anesthesia Office Or Hospital Small Dressings Andor Debridement Initial Or Subsequent
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None UA 58 - Staged or related procedure during postoperative period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 16020 |
| Medicaid Fee Schedule | View Medicaid rates for 16020 |
National average reimbursement for CPT 16020 by major payers:
$100.43
$104.80
$110.28
$135.47
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CPT 16020
5 of 25 sample ratesHigher to lower in this preview
Surgicare Of St Andrews Ltd
$2,965.00Published rateGramercy Surgery Center, Inc
Gramercy Surgery Center, Inc.
$1,245.00Published rateUniversity Of Minnesota Health Clinics And Surgery Center, Inc., M Health Clinics And Surgery Center
University Of Minnesota Health Clinics And Surgery Center Inc
$443.00Published ratePeace River Surgery Center
$134.00Published rateLake Surgery & Endoscopy Center Ltd
Lake Surgery Endoscopy Center Ltd
$75.00Published rate
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See a sample payer proposalCPT 16020 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 16020 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 16020 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 |
|---|---|---|
| 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 |
| 16030-CPT | Moderate | Dressings Andor Debridement, Dressings Andor Debridement Initial Or Subsequent Withoutanesthesia Large (Eg More Than One Extremity) Dressings Andor Debridement Initial Or Subsequent Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 16020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 16020 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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