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See a sample rate comparisonCPT 58267 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 UB |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58267 |
| Medicaid Fee Schedule | View Medicaid rates for 58267 |
National average reimbursement for CPT 58267 by major payers:
$1,308.73
$1,425.04
$1,419.74
$1,724.17
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CPT 58267
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Ambulatory Surgery Center At Spivey Station
Emory University
$6,225.00Published rateClear Lake Surgicare, Ltd
$2,548.00Published rateNovamed Surgery Center Of San Antonio Lp, American Surgery Center
Novamed Surgery Center Of San Antonio Lp
$1,529.00Published rateNew Lexington Clinic Psc, Dermatology Associates Of Kentucky Psc
Dermatology Associates Of Kentucky, P.S.C.
$1,181.47Published rateLake Surgery & Endoscopy Center Ltd
Lake Surgery Endoscopy Center Ltd
$550.00Published rate
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See a sample payer proposalCPT 58267 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58267 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 58267 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 |
| 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. |
| 58280-CPT | High | Hysterectomy Vaginal Approach, Surgical Removal Of The Uterus Through An Incision In The Cervix (Vaginal Hysterectomy). All Or Part Of The Vaginal Walls 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 58267. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58267 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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