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See a sample rate comparisonCPT 16035 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.
Detach Burned Tissue, Tissue Damaged By A Burn Becomes Leathery. Surgery Detaches This Tissue So That Healthy Tissue Can Move Freely.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 16035 |
| Medicaid Fee Schedule | View Medicaid rates for 16035 |
National average reimbursement for CPT 16035 by major payers:
$249.46
$262.90
$253.81
$320.03
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CPT 16035
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgery Center At Virtua Washington Township, L.L.C., Virtua Center For Surgery
Ambulatory Surgery Center At Virtua Washington Township, LLC
$1,708.00Published rateAdvanced Surgery Center Of Metairie LLC
Advanced Surgery Center Of Metairie
$531.00Published rateNortheast Indiana Ambulatory Surgery Center LLC
$258.00Published rateBay Surgery Centers LLC, Clearway Surgery Center Of Annapolis
Bay Surgery Centers LLC
$136.00Published rateCarroll County Eye Surgery Center, LLC
$78.00Published rate
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See a sample payer proposalCPT 16035 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 16035 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 16035 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 |
| 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 16035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 16035 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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