CPT procedure code

15004

Medicare payment

$404.48

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

15004

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 15004

CLV Intelligence is tracking 1 policy change that cite CPT 15004 most recently on 2026-06-05, drawn from 1 LCD/NCD coverage update. The changes span Orthopedics.

LCD/NCD coverage update
1

Counts reflect the source documents CLV has matched to CPT 15004 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 15004

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L36690: Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities — CGS

Orthopedics · LCD-L36690

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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Audit documentation

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