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See a sample rate comparisonCPT 16025 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 16025 |
| Medicaid Fee Schedule | View Medicaid rates for 16025 |
National average reimbursement for CPT 16025 by major payers:
$180.34
$192.37
$195.72
$245.30
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CPT 16025
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$1,665.00Published rateHarbor Heights Surgery Center, LLC
Harbor Heights Surgery Center LLC
$566.00Published rateDoylestown Surgery Center, LLC
Doylestown Surgery Center LLC
$477.00Published rateSouthwestern Oklahoma Surgical Associates, LLC
Southwestern Oklahoma Surgical Associates LLC
$163.00Published rateClarksville Eye Surgery Center
$65.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 16025 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 16025 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 16025 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 16025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 16025 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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