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See a sample rate comparisonCPT 57180 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57180 |
| Medicaid Fee Schedule | View Medicaid rates for 57180 |
National average reimbursement for CPT 57180 by major payers:
$213.64
$212.77
$227.22
$286.16
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CPT 57180
5 of 25 sample ratesHigher to lower in this preview
Mansfield Endoscopy Center, LLC
Mansfield Endoscopy Center LLC
$1,029.00Published rateGailey Eye Surgery-Decatur LLC
Gailey Eye Surgerydecatur LLC
$491.00Published rateLawrence Garcia-Reyes
Deaconess Hospital Inc
$269.70Published rateGold Coast Surgicenter, LLC
$134.00Published rateWinter Haven-Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center Of Sebring
$50.00Published rate
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See a sample payer proposalCPT 57180 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57180 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 57180 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 57180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57180 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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