CPT 57522 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Female Genital System |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • AG - Primary physician • UB |
| Complexity Level | Moderate |
National average reimbursement for CPT 57522 by major payers:

$362.28

$371.96

$423.63

$488.52
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 57522 | ||||||
United | 57522 | $499.17 | 1992772180 - LUMINIS HEALTH MEDICAL GROUP, LLC, PAVILION OB/GYN | 201838374 | MD | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $394.79 | 1083668032 - JUAN VARGAS | 943281660 | CA | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $1062.00 | 1023088473 - PANAMA CITY SURGERY CENTER,LLC | 481255983 - (FL) PANAMA CITY SURGERY CENTER, LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 57522 | $366.41 | 1801813266 - GREGG BEAN | 741586031 | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 57522 | $419.47 | 1497161301 - NIKKI AMIRLATIFI | 132828349 - SUN RIVER HEALTH INC | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $220.80 | 1588634786 - PAMELA BINNS-TURNER | 350593390 - DEACONESS HOSPITAL INC | SC | Certified Registered Nurse Anesthetist (367500000X) |
United | 57522 | $1228.08 | 1992703904 - ANNICK WESTBROOK | 320418835 - UWH OF THE CAROLINAS, PLLC | NC | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $480.57 | 1194579672 - DEACONESS HOSPITAL INC | 350593390 - DEACONESS HOSPITAL INC | KY | Hospitalist Physician (208M00000X) |
United | 57522 | $845.01 | 1336776962 - BRYNA HARRINGTON | 520595110 - JOHNS HOPKINS UNIVERSITY | MD | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $555.70 | 1609119890 - TAVOR SONDHEIMER | 454019056 | DC | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $346.79 | 1457341158 - NABIL KHOURY-YACOUB | 815309615 | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $652.19 | 1912340068 - SHRIDDHA NAYAK | 520595110 - JOHNS HOPKINS UNIVERSITY | MD | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $322.29 | 1093838385 - FELICIA LESTER | 943281660 | CA | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $39.77 | 1639203847 - MOHAMAD MAHMOUD | 237221763 - THE UNITY HOSPITAL OF ROCHESTER | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 57522 | $982.00 | 1245215706 - SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION, THE FOOT SURGERY CENTER OF SHREVEPORT | 721198169 - (LA) SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 57522 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57522 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 57522 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 | Curettage Endocervical |
| 57510-CPT | Low | Cauteriz.Cervix;Electroor Thermal |
| 57513-CPT | Moderate | Cautrxtn. Cervix;Laser Ablation |
| 57522-CPT | Moderate | Conization Of Cervix, With Or Without Fulguration, With Or Without Dilation And Curettage, With Or Without 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 57522. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57522 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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