CPT 47015 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Digestive System |
| Common Place of Service | • 21 - Inpatient Hospital • 23 - Emergency Room • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 51 - Multiple procedures • 59 - Distinct Procedural Service |
| Complexity Level | High |
| CMS | $1,138.60 Physician Fee Schedule |
National average reimbursement for CPT 47015 by major payers:
$1,450.81
$1,526.03
$1,598.13
$1,873.48
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 47015 | ||||||
United | 47015 | $470.00 | 1558007773 - HS SURGERY, PLLC | 862203027 - (MS) HS SURGERY PLLC | MS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $1233.00 | 1821421256 - MONOCACY SURGERY CENTER LLC | 462861862 - (MD) MONOCACY SURGERY CENTER | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $824.00 | 1972114171 - SURGERY CENTER OF OAKLAND LP | 851685384 - (CA) SURGERY CENTER OF OAKLAND, LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $514.00 | 1023057916 - PHYSICIANS DAY SURGERY CENTER | 710623198 | AR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $1297.00 | 1083946149 - METHODIST ENDOSCOPY CENTER LLC | 263765679 - (NE) METHODIST ENDOSCOPY CENTER, LLC | NE | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $1225.00 | 1518133321 - GREENBRAE SURGERY CENTER LLC | 204871562 - (CA) GREENBRAE SURGERY CENTER LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $891.00 | 1154400471 - ST. LOUIS WOMEN'S SURGERY CENTER, LLC, ST. LOUIS MULTISPECIALTY SURGERY CENTER | 680526281 - (MO) ST LOUIS WOMENS SURGERY CENTER LLC | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $1510.00 | 1922639426 - ASSOCIATED HEALTH SERVICES, INC., ARRINGDON AMBULATORY SURGERY CENTER | 561845329 - (NC) ASSOCIATED HEALTH SERVICES INC | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $2024.00 | 1013962521 - NEWPORT PLAZA SURGERY CENTER | 392060266 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $448.00 | 1548216914 - UPPER CUMBERLAND PHYSICIANS SURGERY CENTER LLC | 450470832 - (TN) UPPER CUMBERLAND PHYSICIANS SURGERY CENTER LLC | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $624.00 | 1912174996 - PACIFIC CATARACT AND LASER INSTITUTE INC PC | 911394965 - PACIFIC CATARACT AND LASER INSTITUTE, INC., PC | MT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $1297.00 | 1720606932 - PHYSICIANS CLINIC INC | 470687317 - PHYSICIANS CLINIC INC | NE | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $725.00 | 1366989741 - CENTER FOR SPINE INTERVENTIONS ASC 3, LLC | 813327243 | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $550.00 | 1437110293 - ST. VINCENT-ARKANSAS ORTHOPAEDIC SURGERY CENTER LLC | 710813827 - (AR) ST VINCENTARKANSAS ORTHOPAEDIC SURGERY CENTER LLC | AR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 47015 | $531.00 | 1558475210 - SURGICAL SPECIALTY ASSOCIATES LLC, DOCTORS SAME DAY SURGERY CENTER LLC | 721459017 - (LA) SURGICAL SPECIALTY ASSOCIATES | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 47015 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47015 code is part of the Surgery services used for Surgical Procedures on the Digestive 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 47015 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 |
|---|---|---|
| 47001-CPT | Low | Biopsy Of Liver, Needle; When Done For Indicated Purpose At Time Of Other Major Procedure (List Separately In Addition To Code For Primary Procedure) |
| 47010-CPT | High | Hepatotomy Drain Abscess/Cyst,1or 2 Sta |
| 47015-CPT | High | Laparotomy, With Aspiration And/Or Injection Of Hepatic Parasitic |
| 47100-CPT | High | Biopsy Liver Wedge |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47015. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47015 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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