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See a sample rate comparisonCPT 57023 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.
Ncision & Drain Of Vagnal Hematom; Non-Obstetrical (Eg Post-T, Incision And Drainage Of Vaginal Hematoma; Non-Obstetrical (Eg Post-T
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 78 - Return to OR - related procedure 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57023 |
| Medicaid Fee Schedule | View Medicaid rates for 57023 |
National average reimbursement for CPT 57023 by major payers:
$395.67
$419.17
$412.79
$511.76
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CPT 57023
5 of 25 sample ratesHigher to lower in this preview
Foundation Surgery Affiliate Of Fort Wayne, LLC, Parkview Southwest Surgery Center
Foundation Surgery Affiliates Of Fw Inverness Surgery Center
$5,000.00Published ratePhysicians Surgery Center At Glendale Adventist, LLC
Physicians Surgery Center At Glendale Adventist LLC
$1,480.00Published rateBel Air Endoscopy Asc LLC, Harford Endoscopy Center
Bel Air Endoscopy Asc LLC
$1,048.00Published rateDigestive Endoscopy Center LLC, Digestive Endoscopy Center
Digestive Endoscopy Center, LLC
$730.00Published rateRandall Krawcheck
Deaconess Hospital Inc
$251.50Published rate
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See a sample payer proposalCPT 57023 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57023 code is part of the Surgery services used for Surgical Procedures on the Female Genital 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 57023 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 |
|---|---|---|
| 57000-CPT | Moderate | Exploratory Pelvic Exam, Exploratory Exam Of The Pelvic Area Behind The Cervix. The Procedure May Include Draining An Abscess (Pocket Of Infection) From The Area. |
| 57010-CPT | Moderate | Exploratory Pelvic Exam, Exploratory Exam Of The Pelvic Area Behind The Cervix. The Procedure May Include Draining An Abscess (Pocket Of Infection) From The Area. |
| 57020-CPT | Low | Drain Fluid From Pelvis, Procedure To Remove Fluid From The Pelvic Cavity. A Needle Is Inserted Through The Vaginal Wall To Draw Out The Fluid. |
| 57023-CPT | Moderate | Ncision & Drain Of Vagnal Hematom; Non-Obstetrical (Eg Post-T, Incision And Drainage Of Vaginal Hematoma; Non-Obstetrical (Eg Post-T |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57023. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57023 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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