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See a sample rate comparisonCPT 57160 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.
Fit Vaginal Support Device, Fitting And Instruction For A Pessary Device. This Is A Prosthesis That Supports The Uterus Cervical Stump Or Hernias Of The Pelvic Floor.
| 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 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 57160 |
| Medicaid Fee Schedule | View Medicaid rates for 57160 |
National average reimbursement for CPT 57160 by major payers:
$92.86
$96.00
$103.95
$80.88
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CPT 57160
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Port Charlotte Ltd
$2,965.00Published rateChristopher Raio
St Joseph Hospital
$148.07Published rateValerie Valero
$112.44Published rateCamilla Grant
Town Center Orthopaedic Associates, P.C.
$86.14Published rateAnn Schutt Aine
Planned Parenthood Gulf Coast Inc
$38.97Published rate
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See a sample payer proposalCPT 57160 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57160 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 57160 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 |
|---|---|---|
| 57160-CPT | Low | Fit Vaginal Support Device, Fitting And Instruction For A Pessary Device. This Is A Prosthesis That Supports The Uterus Cervical Stump Or Hernias Of The Pelvic Floor. |
| 57170-CPT | Low | Insert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device). |
| 57180-CPT | Moderate | Treat Excess Vaginal Bleeding, Placement Of Gauze Or Other Packing Agent Into The Vagina To Stop A Hemorrhage. The Material May Be Treated With A Medication To Help Stop The Bleeding. |
| 57200-CPT | Moderate | Colporrhaphy Suture Of Injury, Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical)Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57160 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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