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See a sample rate comparisonCPT 57307 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Genital Repair Surgery, Surgery To Close An Abnormal Opening Between The Vagina And Rectum. The Procedure May Include A Temporary Bypass For The Rectum (Colostomy) Or Reconstruction Of The Perineum.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service 82 - Assistant surgeon - no qualified resident 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 57307 |
| Medicaid Fee Schedule | View Medicaid rates for 57307 |
National average reimbursement for CPT 57307 by major payers:
$1,260.85
$1,390.57
$1,395.43
$1,726.42
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CPT 57307
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
$5,554.00Published rateGreen Bay Surgical Center
$1,836.00Published rateBsc Reid Park LLC
$1,124.00Published rateCharleston Ent Associates, LLC, Surgery Center Of Charleston
Charleston Ent Associates, LLC
$650.00Published rateSani Eye Center, Inc., Sani Eye Surgery Center
Sani Eye Center Inc
$81.00Published rate
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See a sample payer proposalCPT 57307 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57307 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 57307 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 |
|---|---|---|
| 57300-CPT | Moderate | Genital Repair Surgery, Surgery To Close An Abnormal Opening Between The Vagina And Rectum. The Procedure May Include A Temporary Bypass For The Rectum (Colostomy) Or Reconstruction Of The Perineum. |
| 57305-CPT | High | Genital Repair Surgery, Surgery To Close An Abnormal Opening Between The Vagina And Rectum. The Procedure May Include A Temporary Bypass For The Rectum (Colostomy) Or Reconstruction Of The Perineum. |
| 57307-CPT | High | Genital Repair Surgery, Surgery To Close An Abnormal Opening Between The Vagina And Rectum. The Procedure May Include A Temporary Bypass For The Rectum (Colostomy) Or Reconstruction Of The Perineum. |
| 57308-CPT | Moderate | Genital Repair Surgery, Surgery To Close An Abnormal Opening Between The Vagina And Rectum. The Procedure May Include A Temporary Bypass For The Rectum (Colostomy) Or Reconstruction Of The Perineum. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57307. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57307 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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