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See a sample rate comparisonCPT 57061 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.
Destruction Of Vaginal Lesion(, Destruction Of Vaginal Lesion(S) Simple Any Methoddestruction Of Vaginal Lesion(S) Simple Any Method
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AG - Primary physician 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 57061 |
| Medicaid Fee Schedule | View Medicaid rates for 57061 |
National average reimbursement for CPT 57061 by major payers:
$173.51
$173.20
$197.65
$183.43
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CPT 57061
5 of 25 sample ratesHigher to lower in this preview
Metropolitan New Jersey, LLC, Metropolitan Surgery Center
$3,785.00Published rateAdvanced Surgery Center Of Sarasota, LLC
Advanced Surgery Center Of Sarasota LLC
$2,206.00Published rateSurgery Center Of Southwest Florida Inc
$1,150.00Published rateTreasure Coast Surgical Center Inc
Treasure Coast Surgical Center, Inc.
$860.00Published rateLaplata Ambulatory Urological Center, L.L.C.
Laplata Ambulatory Urological Center LLC
$597.00Published rate
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See a sample payer proposalCPT 57061 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57061 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 57061 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. |
| 57061-CPT | Low | Destruction Of Vaginal Lesion(, Destruction Of Vaginal Lesion(S) Simple Any Methoddestruction Of Vaginal Lesion(S) Simple Any Method |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57061. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57061 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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