Summary & Overview
CPT 15105: Procedure 15105
CPT code 15105 is listed as procedure code 15105. Nationally, CPT billing codes provide standardized labels for clinical services and procedures that drive claims submission, payment policy, and clinical documentation. A clearly defined code like 15105 matters to providers, payers, and policy stakeholders because it anchors reimbursement, utilization tracking, and quality measurement.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical designation, payer coverage patterns, and the types of benchmarks and policy updates typically relevant to a CPT-level procedural code. The publication outlines expected service line placement, common sites of service, and the clinical context in which the code is used where available.
This summary prepares readers to review benchmark tables, payer policy notes, and coding guidance that follow. Where specific input fields were not provided, the publication indicates "Data not available in the input" and focuses on universally applicable elements: the code definition, national significance, and the categories of information readers can expect—coverage, billing considerations, and clinical context.
Billing Code Overview
CPT code 15105 represents a procedure described as "15105". Service type: Data not available in the input. Typical site of service: Data not available in the input.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with a full-thickness skin defect after excision of a non-melanoma skin cancer (for example, a large dorsal forearm squamous cell carcinoma) or traumatic soft tissue loss requiring a split-thickness skin graft. The procedure coded with 15105 is performed in an outpatient surgical suite or hospital operating room. The patient is evaluated preoperatively by the surgeon, including wound assessment, review of comorbidities (diabetes, peripheral vascular disease), and discussion of graft donor site and recipient bed preparation. Under appropriate anesthesia (local with sedation or general), the surgeon harvests a split-thickness skin graft of moderate size, prepares the recipient site with thorough debridement and hemostasis, applies the graft, and secures it with sutures, staples, or bolster dressings. Postoperative care includes graft site dressing management, instructions on immobilization, pain control, and scheduled follow-up visits to assess graft take and donor site healing.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased Procedural Services | Use when the procedure required substantially greater work than usual due to extensive debridement, unusual patient anatomy, or intraoperative complications. |
24 | Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period | Use when an unrelated E/M service is provided during the global period for a different condition.