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See a sample rate comparisonCPT 57065 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) Extensive Any Methoddestruction Of Vaginal Lesion(S) Extensive Any Method
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57065 |
| Medicaid Fee Schedule | View Medicaid rates for 57065 |
National average reimbursement for CPT 57065 by major payers:
$273.55
$281.33
$301.36
$301.46
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CPT 57065
5 of 25 sample ratesHigher to lower in this preview
South Suburban Surgical Suites, LLC, South Suburban Surgical Suites
South Suburban Surgical Suites LLC
$3,754.00Published rateProliance Surgeons Inc Ps, Proliance Hillside Medical Surgery Center
Proliance Surgeons, Inc., P.S.
$2,408.00Published rateBaptist Eastpoint Surgery Center, LLC
Baptist Healthcare System Inc
$1,986.00Published rateDoctors Surgery Center, Inc
Doctors Surgery Center Inc
$1,011.00Published rateChong Nicholls
Deaconess Hospital Inc
$360.25Published rate
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See a sample payer proposalCPT 57065 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57065 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 57065 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 |
|---|---|---|
| 57061-CPT | Low | Destruction Of Vaginal Lesion(, Destruction Of Vaginal Lesion(S) Simple Any Methoddestruction Of Vaginal Lesion(S) Simple Any Method |
| 57065-CPT | Moderate | Destruction Of Vaginal Lesion(, Destruction Of Vaginal Lesion(S) Extensive Any Methoddestruction Of Vaginal Lesion(S) Extensive Any Method |
| 57100-CPT | Low | Biopsy Of Vagina, A Procedure To Take A Sample Of Tissue Or Cells From The Vagina For Testing (Biopsy). The Procedure May Require Stitches. |
| 57105-CPT | Moderate | Biopsy Of Vagina, A Procedure To Take A Sample Of Tissue Or Cells From The Vagina For Testing (Biopsy). The Procedure May Require Stitches. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57065. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57065 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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