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See a sample rate comparisonCPT 58146 Fee Schedule
Last Verified: September 2026
Healthcare 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.
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
| 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 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58146 |
| Medicaid Fee Schedule | View Medicaid rates for 58146 |
National average reimbursement for CPT 58146 by major payers:
$1,464.10
$1,553.21
$1,616.84
$1,870.16
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CPT 58146
5 of 25 sample ratesHigher to lower in this preview
Landmark Surgical Suites, LLC
Landmark Surgical Suites LLC
$4,293.00Published ratePatient Partners LLC
$3,347.00Published rateKaty Asc, Lp, Advanced Cardiovascular & Surgery Center At Methodist West Houston
$2,080.00Published rateHarvard Surgery Center LLC
$1,250.00Published rateEye Surgery Center Of Maryville LLC, Eyes Of Illinois Surgery Center
Novamed Eye Surgery Center Of Maryville LLC
$624.00Published rate
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See a sample payer proposalCPT 58146 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58146 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 58146 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 |
|---|---|---|
| 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 |
| 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. |
| 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 58146. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58146 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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