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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 78 - Return to OR - related procedure 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57287 |
| Medicaid Fee Schedule | View Medicaid rates for 57287 |
National average reimbursement for CPT 57287 by major payers:

$938.57

$941.04

$995.38

$1,177.84
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Trident Ambulatory Surgery Center Lp
Mays Schnapp Pain Clinic Rehabilitation Center
Gastro Care LLC
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Rate Benchmarking
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See a sample payer proposalCPT 57287 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57287 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 57287 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 |
|---|---|---|
| 57284-CPT | High | Repair Vagina And Bladder, Surgery To Repair And Strengthen Various Tissues Of The Urethra Vagina And Bladder. The Procedures Involved Restore The Normal Anatomical Relationships And Resolve Problems Such As Urinary Incontinence. |
| 57285-CPT | Moderate | Repair Vagina And Bladder, Surgery To Repair And Strengthen Various Tissues Of The Urethra Vagina And Bladder. The Procedures Involved Restore The Normal Anatomical Relationships And Resolve Problems Such As Urinary Incontinence. |
| 57287-CPT | Moderate | Incontinence Surgery Revision, Surgery To Remove Or Revise A Sling That Was Inserted For Bladder Control. The Sling Material Supports The Urethra Muscles. |
| 57288-CPT | Moderate | Surgery For Bladder Control, Surgery To Relieve Stress Incontinence (Urine Leakage). The Procedure May Modify The Bladder Muscles Or The Bladder Opening And Urethra. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57287. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57287 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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