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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 21 - Inpatient Hospital |
| Common Modifiers | None AG - Primary physician 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58145 |
| Medicaid Fee Schedule | View Medicaid rates for 58145 |
National average reimbursement for CPT 58145 by major payers:

$714.59

$743.06

$780.46

$913.76
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Greater Dayton Surgery Center
Cypress Ambulatory Surgery Cen
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Rate Benchmarking
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See a sample payer proposalCPT 58145 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58145 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 58145 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 |
| 58146-CPT | High | Myomectomy Abdom Complex, Myomectomy Excision Of Fibroid Tumor(S) Of Uterus 5 Or More Intramural Myomas And/Or Intramural Myomas With Total Weight Greater Than 250 Grams Abdominal Approach |
| 58346-CPT | Moderate | Uterine Radiation Therapy, Insertion Of Radiation Therapy Seeds Or Pellets Into The Uterus For Treatment Of Endometrial Cancer (Cancer Of The Uterine Lining). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58145 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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