CPT 58300 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-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 | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • AG - Primary physician • UA |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 58300 |
National average reimbursement for CPT 58300 by major payers:

$112.62

$113.86

$130.82

$164.02
| 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 58300 | ||||||
United | 58300 | $192.04 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 58300 | $104.66 | 1710983275 - JAMES LINN | 824111585 - OBHG WISCONSIN SC | WI | Obstetrics & Gynecology Physician (207V00000X) |
United | 58300 | $64.37 | 1588136774 - JULIE LANDESS | 350593390 - DEACONESS HOSPITAL INC | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 58300 | $118.33 | 1548299605 - CARLA BURKLEY | 10238552 - MAINEHEALTH | ME | Obstetrics & Gynecology Physician (207V00000X) |
United | 58300 | $174.80 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 58300 | $174.80 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 58300 | $214.25 | 1962700872 - SORANA VRABIE-WOLF | 264709927 - WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, P.C | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 58300 | $130.00 | 1205194271 - JORGE GARIBAY | 880926474 - (CO) UPTOWN COMMUNITY HEALTH CENTER INC | CO | Obstetrics & Gynecology Physician (207V00000X) |
United | 58300 | $62.93 | 1417932815 - TAJA JOSEPHS | 274174339 | VA | Obstetrics & Gynecology Physician (207V00000X) |
United | 58300 | $134.86 | 1881775658 - BLAIR BERGEN | 222159336 - SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 58300 | $140.11 | 1730412826 - RAMIN RASHIDIAN | 350593390 - DEACONESS HOSPITAL INC | KY | Internal Medicine Physician (207R00000X) |
United | 58300 | $165.77 | 1811000177 - CHARLESTON RADIOLOGISTS PA | 570634747 - CHARLESTON RADIOLOGISTS, P.A. | SC | Single Specialty Group (193400000X) |
United | 58300 | $64.37 | 1578978557 - MELINDA CLARK | 350593390 - DEACONESS HOSPITAL INC | IN | Nurse Practitioner (363L00000X) |
United | 58300 | $57.22 | 1427037795 - ROY BEATY | 562084959 | NC | Obstetrics & Gynecology Physician (207V00000X) |
United | 58300 | $206.05 | 1376599845 - SUSAN KELLY | 510103684 - CHRISTIANA CARE HEALTH SERVICES INC | DE | Obstetrics & Gynecology Physician (207V00000X) |
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 58300 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58300 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 58300 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58300 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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