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See a sample rate comparisonCPT 58263 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.
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.
| 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 80 - Assistant surgeon 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58263 |
| Medicaid Fee Schedule | View Medicaid rates for 58263 |
National average reimbursement for CPT 58263 by major payers:
$1,280.55
$1,335.44
$1,336.85
$1,610.97
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CPT 58263
5 of 25 sample ratesHigher to lower in this preview
Outpatient Women'S And Children'S Surgery Center, Ltd
Outpatient Womens And Childrens Surgery Center Ltd
$3,794.00Published rateSurgcenter Of Southern Maryland, LLC
Surgcenter Of Southern Maryland
$2,490.00Published rateSurgicore, Inc.
Surgicore Inc
$1,831.00Published rateKuresmart Pain Management Surgery Center, Clearway Surgery Center Of Dundalk
Kuresmart Pain Management Surgery Center
$1,334.00Published rateUro-Center Ambulatory Surgical Center LLC
Urocenter Ambulatory Surgical Center LLC
$1,040.00Published rate
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See a sample payer proposalCPT 58263 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58263 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 58263 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 |
|---|---|---|
| 58262-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. |
| 58263-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. |
| 58267-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. |
| 58356-CPT | High | Remove Lining Of Uterus, Removal Of The Endometrium (Lining Of The Uterus) With Heated Or Super-Cooled Liquid. Ultrasound May Be Used To Assist Viewing The Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58263. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58263 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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