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CPT 15837 · Surgery

Exc excsv skin forearm/hand

Excess skin removal from your forearm or hand shows a potential cost difference of $2,200 across facility types, making bill verification essential before your procedure.

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Exc excsv skin forearm/hand
Non-facility$99Medicare facility$662ASC rate$1.2KHospital outpatient$2.9K$2.8K difference between lowest and highest rate
$662
Medicare facility rate
$99
Non-facility rate
$1,202
ASC rate
$1,660
ASC vs hospital gap

Code 15837 covers surgical removal of excess skin and tissue from the forearm or hand, typically performed after significant weight loss or injury. Patients commonly include those who have undergone bariatric surgery or experienced trauma resulting in loose skin. This procedure charges approximately 8-12x the Medicare reimbursement rate, with potential billing differences of $2,000-4,000 between facility types.

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The $1,660 gap between ASC and hospital outpatient for Exc excsv skin forearm/hand is one of the most common billing discrepancies we identify.
Compare by care setting
The same procedure costs different amounts depending on where you receive care.
$2,862
Hospital Outpatient rate for Exc excsv skin forearm/hand
Medicare facility benchmark: $662
Regional rate comparison — Exc excsv skin forearm/hand
Top 5 lowest and highest localities by Medicare facility rate
National avg $662REST OF ILLINOIS, IL$764DETROIT, MI$805QUEENS, NY$813MIAMI, FL$1,007CHICAGO, IL$950NYC SUBURBS/LONG ISLAND, NY$906

Facility rate

$662

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

4

24 data points

Key insights for CPT 15837

ASC vs hospital outpatient savings

$1,660

Having this done at an ambulatory surgery center costs $1,202 vs $2,862 at a hospital outpatient

Facility vs office setting

$563 difference

Non-facility setting is less expensive for this procedure

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Facility (physician office)$662+568%
Non-facility (office)$99Lowest
Outpatient (APC)$2,862+2791%
Ambulatory surgery (ASC)$1,202+1114%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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