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See a sample rate comparisonHealthcare 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 UA AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 58301 |
| Medicaid Fee Schedule | View Medicaid rates for 58301 |
National average reimbursement for CPT 58301 by major payers:

$125.29

$132.94

$144.06

$115.36
Choose a payer to see a sample of rates for CPT 58301.
Specialty Surgical Center Of N
Mercy Medical Center
Town Center Orthopaedic Associates, P.C.
Mcr Health Inc
St Francis Hospital
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 58301 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58301 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 58301 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 |
|---|---|---|
| 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 |
| 58300-CPT | Low | Insert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device). |
| 58301-CPT | Low | Removal Intrauterine Device |
| 58321-CPT | Low | Artificial Insemination, Artificial Insemination Is A Procedure That Places Sperm Into The Uterus To Increase The Likelihood Of Becoming Pregnant. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58301 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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