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See a sample rate comparisonCPT 16036 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 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 16036 |
| Medicaid Fee Schedule | View Medicaid rates for 16036 |
National average reimbursement for CPT 16036 by major payers:
$106.77
$107.93
$105.21
$131.89
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CPT 16036
5 of 25 sample ratesHigher to lower in this preview
Castle Hills Surgicare, LLC
Castle Hills Surgicare LLC
$2,392.00Published rateTeaneck Surgical Center, LLC
Teaneck Surgical Center LLC
$1,775.00Published rateHuebner Ambulatory Surgery Center, LLC
Huebner Ambulatory Surgery Center LLC
$925.00Published rateHeathrow Surgery Center LLC
$650.00Published rateSurgical Specialists Group, LLC, Alabama Outpatient Surgery Center
Surgical Specialists Group, LLC
$364.00Published rate
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See a sample payer proposalCPT 16036 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 16036 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 16036 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 |
|---|---|---|
| 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. |
| 16036-CPT | Low | 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 16036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 16036 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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