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See a sample rate comparisonCPT 58240 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.
Removal Of Pelvis Contents, Pelvic Exenteration For Gynecologic Malignancy With Total Abdominal Hysterectomy Or Cervicectomy With Or Without Removal Of Tube S With Or Without Removal Of Ovary S With Removal Of Bladder And Ureteral Transplantations And Or Abdominoperineal Resection Of Rectum And Colon And Colostomy Or Any Combination Thereof
| 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 62 - Co-Surgeons GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58240 |
| Medicaid Fee Schedule | View Medicaid rates for 58240 |
National average reimbursement for CPT 58240 by major payers:
$3,604.84
$3,787.80
$3,873.05
$4,647.51
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CPT 58240
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Multispecialty Surgery Center
$7,400.00Published rateSurgical Suites Of Coastal Virginia, LLC
Surgical Suites Of Coastal Virginia LLC
$1,842.00Published rateRoosevelt Surgery Center, LLC
$1,061.00Published rateWestern Washington Endoscopy Centers LLC, Puyallup Endoscopy Center
Western Washington Endoscopy Centers LLC
$676.00Published rateCarroll County Ambulatory Surgical Center
$245.00Published rate
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See a sample payer proposalCPT 58240 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58240 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 58240 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 |
|---|---|---|
| 58210-CPT | High | Extensive Hysterectomy, Radical Abdominal Hysterectomy With Bilateral Total Pelvic Lymphadenectomy And Para Aortic Lymph Node Sampling Biopsy With Or Without Removal Of Tube S With Or Without Removal Of Ovary S |
| 58240-CPT | High | Removal Of Pelvis Contents, Pelvic Exenteration For Gynecologic Malignancy With Total Abdominal Hysterectomy Or Cervicectomy With Or Without Removal Of Tube S With Or Without Removal Of Ovary S With Removal Of Bladder And Ureteral Transplantations And Or Abdominoperineal Resection Of Rectum And Colon And Colostomy Or Any Combination Thereof |
| 58270-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. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58240 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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