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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-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 80 - Assistant surgeon 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58140 |
| Medicaid Fee Schedule | View Medicaid rates for 58140 |
National average reimbursement for CPT 58140 by major payers:

$1,157.59

$1,237.80

$1,291.49

$1,496.69
Choose a payer to see a sample of rates for CPT 58140.
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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 58140 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58140 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 58140 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 |
|---|---|---|
| 58140-CPT | High | Myomectomy Abdom Method, Myomectomy Excision Of Fibroid Tumor S Of Uterus 1 To 4 Intramural Myoma S With Total Weight Of 250 G Or Less And Or Removal Of Surface Myomas Abdominal Approach |
| 58145-CPT | Moderate | Myomectomy Vag Method, Myomectomy Excision Of Fibroid Tumor S Of Uterus 1 To 4 Intramural Myoma S With Total Weight Of 250 G Or Less And Or Removal Of Surface Myomas Vaginal Approach |
| 58200-CPT | High | Extensive Hysterectomy, Total Abdominal Hysterectomy Including Partial Vaginectomy With Para Aortic And Pelvic Lymph Node Sampling With Or Without Removal Of Tube S With Or Without Removal Of Ovary S |
| 58546-CPT | High | Laparo Myomectomy Complex, Laparoscopy Surgical Myomectomy Excision 5 Or More Intramural Myomas And Or Intramural Myomas With Total Weight Greater Than 250 G |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58140 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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