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See a sample rate comparisonCPT 57320 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.
Closure Vesicovaginal Fistula;Vaginal Ap
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 80 - Assistant surgeon 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57320 |
| Medicaid Fee Schedule | View Medicaid rates for 57320 |
National average reimbursement for CPT 57320 by major payers:
$690.59
$730.01
$766.49
$906.48
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CPT 57320
5 of 25 sample ratesHigher to lower in this preview
Lakewalk Surgery Center, Inc.
Lakewalk Surgery Center Inc.
$4,391.00Published rateAesthetic Associates Inc., P.S., Seattle Facial Plastic Surgery Center
Aesthetic Associates Inc Ps
$2,565.00Published rateVancouver Eye Care Ps
Vancouver Eye Care, P.S.
$1,770.00Published rateDothan Surgery Center, LLC, Dothan Surgery Center
Dothan Surgery Center, LLC
$1,207.00Published rateDes Peres Eye Surgery Center, LLC, St Louis Eye Surgery And Laser Center
Des Peres Eye Surgery Center, LLC
$882.00Published rate
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See a sample payer proposalCPT 57320 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57320 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 57320 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 |
|---|---|---|
| 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. |
| 57320-CPT | Moderate | Closure Vesicovaginal Fistula;Vaginal Ap |
| 57330-CPT | Moderate | Closur Of Vesicovaginal Fistula; Transvesical & Vagnal Approa, Closure Of Vesicovaginal Fistula; Transvesical And Vaginal Approach |
| 57335-CPT | High | Surgery To Reshape Vagina, Surgery To Alter A Vagina That Is Larger Or Smaller Than Normal. The Procedure Is Done To Correct Improper Sexual Development In A Newborn. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57320 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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