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See a sample rate comparisonCPT 58180 Fee Schedule
Last Verified: October 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.
Abdominal Hysterectomy, Abdominal Surgery To Remove The Uterus (Hysterectomy). The Procedure May Include Removal Of The Cervix Nearby Lymph Nodes Fallopian Tubes Or Ovaries.
| 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 58180 |
| Medicaid Fee Schedule | View Medicaid rates for 58180 |
National average reimbursement for CPT 58180 by major payers:
$1,184.66
$1,285.62
$1,341.10
$1,554.60
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CPT 58180
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$10,099.00Published rateUchealth Ambulatory Surgery Centers, Longs Peak Surgery Center, LLC
Uchealth Ambulatory Surgery Centers
$2,846.00Published rateVacco LLC
$1,750.00Published rateOhi West, Inc, Bayfront Health Ambulatory Surgery Center
Ohi West Inc
$1,500.00Published rateMichigan Endoscopy Center At Providence Park
$764.00Published rate
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See a sample payer proposalCPT 58180 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58180 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 58180 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 |
|---|---|---|
| 58180-CPT | High | Abdominal Hysterectomy, Abdominal Surgery To Remove The Uterus (Hysterectomy). The Procedure May Include Removal Of The Cervix Nearby Lymph Nodes Fallopian Tubes Or Ovaries. |
| 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 |
| 58542-CPT | High | Laparoscopic Hysterectomy, Surgery Aided By A Scope (Laparoscopy) To Remove The Uterus. The Procedure May Also Remove One Or Both Fallopian Tubes And Ovaries As Well As Nearby Lymph Nodes. |
| 58550-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58180 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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