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See a sample rate comparisonCPT 58100 Fee Schedule
Last Verified: September 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.
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).
| 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 AG - Primary physician 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 58100 |
| Medicaid Fee Schedule | View Medicaid rates for 58100 |
National average reimbursement for CPT 58100 by major payers:
$122.26
$137.66
$146.16
$121.23
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CPT 58100
5 of 25 sample ratesHigher to lower in this preview
Memorial Surgery Center, LLC
Memorial Surgery Center LLC
$566.00Published rateAshanda Saint Jean
Westchester Medical Center Advanced Physician Services, P.C
$216.96Published rateDeaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$162.88Published rateMadison Co Memorial Hospital, Seasons Medical By Madison Memorial
$124.26Published rateKristine Hays
Deaconess Hospital Inc
$74.83Published rate
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See a sample payer proposalCPT 58100 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58100 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 58100 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). |
| 58345-CPT | Moderate | Place Fallopian Tube Catheter, Placement Of A Small Tube (Catheter) Into A Fallopian Tube To Enable Liquid To Flow Through. The Procedure May Use A Scope (Hysterosalpingoscope) To View The Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58100 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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