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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 | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None AG - Primary physician UA |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57511 |
| Medicaid Fee Schedule | View Medicaid rates for 57511 |
National average reimbursement for CPT 57511 by major payers:

$216.04

$216.59

$234.10

$289.72
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Orthopedic Surgery Center Of Palm Beach County LLC
Knoxville Eye Surgery Center, LLC; Dba Tennessee Valley Eye Center
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 57511 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57511 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 57511 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 |
|---|---|---|
| 57505-CPT | Low | Endocervical Curettag (Not Done As Part Of A Dilation & Curettag), Endocervical Curettage (Not Done As Part Of A Dilation And Curettage) |
| 57510-CPT | Low | Cervix Tissue Destruction, Procedure To Remove Cells On The Outer Layer Of The Cervix By Freezing (Cryocautery) With Heat Or By Using A Laser. |
| 57511-CPT | Moderate | Cervix Tissue Destruction, Procedure To Remove Cells On The Outer Layer Of The Cervix By Freezing (Cryocautery) With Heat Or By Using A Laser. |
| 57522-CPT | Moderate | Conization Of Cervix With Or, Conization Of Cervix With Or Without Fulgurationwith Orwithout Dilation And Curettage With Or Wi Thout Repair Loop Electrode Excision |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57511. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57511 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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