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See a sample rate comparisonCPT 57415 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.
Remval Of Impacted Vagnal Foreign Body (Sepa Proc) Under An, Removal Of Impacted Vaginal Foreign Body (Separate Procedure) Under An
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57415 |
| Medicaid Fee Schedule | View Medicaid rates for 57415 |
National average reimbursement for CPT 57415 by major payers:
$225.27
$220.96
$230.23
$277.86
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CPT 57415
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$4,781.00Published rateAnn & Robert H. Lurie Children'S Hospital Of Chicago, Lurie Children'S Surgery Center In Northbrook
Ann & Robert H Lurie Childrens Hospital Of Chicago
$2,775.00Published rateLegent Outpatient Surgery Singing Hills, LLC, Legent Outpatient Surgery Singing Hills
Legent Outpatient Surgery Singing Hills LLC
$1,919.00Published rateWeir Asc, LLC, Southwest Eye Surgery Center
Weir Asc LLC
$1,011.00Published rateMaryland Aesthetic And Reconstructive Ambulatory Surgical Center LLC
$345.00Published rate
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See a sample payer proposalCPT 57415 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57415 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 57415 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 |
|---|---|---|
| 57400-CPT | Low | Dilation Of Vagina Under Anesthesia |
| 57410-CPT | Low | Exam Pelvis Under Anesthesia |
| 57415-CPT | Moderate | Remval Of Impacted Vagnal Foreign Body (Sepa Proc) Under An, Removal Of Impacted Vaginal Foreign Body (Separate Procedure) Under An |
| 57420-CPT | Low | Colposcopy Of The Entire Vagina, With Cervix If Present |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57415 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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