CPT 58120 Fee Schedule

CPT 58120 vs. Other Excision Procedures on the Corpus Uteri Codes

The CPT 58120 code is part of the Endometrial sampling, D&C and Uterus Tumor Excision Procedures services used for Excision Procedures on the Corpus Uteri. 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 58120 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.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 58120 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.