CPT 58292 Fee Schedule
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.
| 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 • 22 - Increased Procedural Services • 80 - Assistant surgeon |
| Complexity Level | High |
National average reimbursement for CPT 58292 by major payers:
$1,610.94
$1,770.85
$1,729.19
$2,171.81
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 58292 | ||||||
United | 58292 | $5009.00 | 1659316917 - SUGAR LAND SURGERY CENTER LTD | 621742196 - (TX) SUGAR LAND SURGERY CENTER LTD | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $5433.00 | 1174778047 - RSC ILLINOIS LLC, REGIONAL SURGICENTER | 261363389 | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $4002.00 | 1962568725 - BRECKENRIDGE SURGERY CENTER LP | 201177785 - (TX) BRECKENRIDGE SURGERY CENTER LP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $3450.00 | 1467515015 - SURGERY CENTER OF SILVERDALE LLC | 202974934 - (WA) SURGERY CENTER OF SILVERDALE L | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $2546.00 | 1649791641 - NORTHEAST ATLANTA VASCULAR CARE, LLC | 453857751 - (GA) NORTHEAST ATLANTA VASCULAR CARE LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $2950.00 | 1205080181 - NORTHWEST NEUROSPINE INSTITUTE, LLC, TWO RIVERS SURGICAL CENTER | 300474327 - (OR) NORTHWEST NEUROSPINE INSTITUTE LLC | OR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $2606.00 | 1275522849 - COLIMA ENDOSCOPY CENTER INC, COLIMA ENDOSCOPY CENTER | 954611492 - (CA) COLIMA ENDOSCOPY CENTER, INC. | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $1850.00 | 1598775231 - SURGERY CENTER OF COLUMBIA COUNTY, LLC, SURGERY CENTER OF COLUMBIA COUNTY | 743171980 - (GA) SURGERY CENTER OF COLUMBIA CTY | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $3465.00 | 1073149365 - MEDFORD SURGERY CENTER LLC | 384079196 - (MA) MEDFORD SURGERY CENTER LLC | MA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $4141.00 | 1831562370 - GLENWOOD SURGERY CENTER | 330595220 - (CA) GLENWOOD SURGICAL CENTER LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $5249.00 | 1942851639 - NORTHERN MICHIGAN SURGICAL SUITES, LLC | 830670803 - (MI) NORTHERN MICHIGAN SURGICAL SUITES, LLC | MI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $1600.00 | 1720227176 - ST. AGNES HEALTHCARE, INC., GEORGE THOMAS GRACE M.D. SURGERY CENTER | 520591657 - ST AGNES HEALTHCARE INC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $1457.00 | 1386641066 - EYE SURGERY CENTER OF MARYVILLE LLC, EYES OF ILLINOIS SURGERY CENTER | 364111317 - (IL) NOVAMED EYE SURGERY CENTER OF MARYVILLE LLC | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $1983.00 | 1114025608 - ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP, ELLICOTT CITY AMBULATORY SURGERY CENTER | 631213860 - (MD) ELLICOTT CITY AMBULATORY SURGERY CENTER LLLP | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58292 | $7225.00 | 1144612714 - ANCHORAGE SURGICENTER, LLC | 472881055 | AK | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 58292 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58292 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 58292 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 |
|---|---|---|
| 58150-CPT | High | Total Abdominal Hysterectomy (Corpus And Cervix), With Or Without Removal Of Tube(S), With Or Without Removal Of Ovary(S); |
| 58260-CPT | High | Vaginal Hysterectomy For Uterus 250 Grams Or Less; (Desc Rev 01/01/03) |
| 58291-CPT | High | Vaginal Hysterectomy, For Uterus Greater Than 250 Grams: With Removal Of Tube(S) And/Or Ovary(S) |
| 58292-CPT | High | Vaginal Hysterectomy For Uterus Greater Than 250 Grams; With Removal Of Tube(S) And/Or Ovary(S) With Repair Of Enterocele |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58292. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58292 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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