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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57720 |
| Medicaid Fee Schedule | View Medicaid rates for 57720 |
National average reimbursement for CPT 57720 by major payers:

$425.98

$422.39

$441.02

$529.99
Choose a payer to see a sample of rates for CPT 57720.
Ku Medwest Ambulatory Surgery Center LLC
Centerview Surgery Center LLC
Womens Surgical Center
Wilmington Surgery Center Lp
Deaconess Hospital Inc
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 57720 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57720 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 57720 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 |
|---|---|---|
| 57720-CPT | Moderate | Trachelorrhaphy Plstic Rpair Of Uterine Cervix Vagnal Approa, Trachelorrhaphy Plastic Repair Of Uterine Cervix Vaginal Approach |
| 57800-CPT | Low | Dilation Cervical Canal |
| 58100-CPT | Low | Biopsy Of The Uterine Lining, A Procedure To Remove A Sample Of Tissue From The Lining Of The Uterus For Testing (Biopsy). The Procedure May Include Examining The Cervix With A Scope (Colposcopy) And Taking Tissue For Testing (Biopsy). |
| 58285-CPT | High | Vaginal Hysterectomy, Surgery To Remove The Uterus Through The Cervix (Vaginal Hysterectomy). The Procedure May Be Aided By A Scope (Laparoscope). The Fallopian Tubes Or Ovaries Also May Be Removed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57720 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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