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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 | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 57558 |
| Medicaid Fee Schedule | View Medicaid rates for 57558 |
National average reimbursement for CPT 57558 by major payers:

$181.87

$181.00

$193.60

$212.49
Choose a payer to see a sample of rates for CPT 57558.
Columbia North Hills Hospital Subsidiary Lp
Cedar Orthopaedic Surgery Center LLC
New Vision Cataract Center LLC
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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 57558 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57558 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 57558 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 |
|---|---|---|
| 57465-CPT | Low | Cam Cervix Uteri Drg Colp, Computer-Aided Mapping Of Cervix Uteri During Colposcopy Including Optical Dynamic Spectral Imaging And Algorithmic Quantification Of The Acetowhitening Effect (List Separately In Addition To Code For Primary Procedure) |
| 57505-CPT | Low | Endocervical Curettag (Not Done As Part Of A Dilation & Curettag), Endocervical Curettage (Not Done As Part Of A Dilation And Curettage) |
| 57556-CPT | Moderate | Removal Of Cervical Stump, Surgery To Remove The Cervical Stump A Portion Of The Cervix Remaining After The Uterus Has Been Removed. The Procedure Usually Involves Repair Of The Pelvic Floor. Other Tissues That Have Weakened May Be Repaired As Well. |
| 57558-CPT | Low | Remove Tissue From Cervix, Procedure To Dilate (Manually Open) The Cervical Stump And Scrape The Contents Out (Curettage). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57558. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57558 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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