CPT 58345 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 | Introduction Procedures on the Corpus Uteri Surgical Procedures on the Corpus Uteri |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58345 |
National average reimbursement for CPT 58345 by major payers:
$389.94
$379.48
$381.98
$464.98
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 58345 | $1968.00 | 1174185649 - PISA ASC HOLDCO LLC, PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER | 831944129 - (AZ) PISA ASC HOLDCO LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $1919.00 | 1326710401 - TEXAS INSTITUTE OF SPECIALIZED SURGERY, LLC, LEGENT INSTITUTE FOR SPECIALIZED SUGERY | 872851699 - (TX) TEXAS INSTITUTE OF SPECIALIZED SURGERY LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $2353.00 | 1619637543 - GAB ENDOSCOPY CENTER LLC | 372021101 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $2206.00 | 1902807159 - SURGERY CENTER OF SCOTTSDALE, LLC, MOUNTAIN VIEW SURGERY CENTER OF SCOTTSDALE | 731553441 - (AZ) SURGERY CENTER OF SCOTTSDALE LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $1259.00 | 1649244211 - KINGSPORT TN OPHTHALMOLOGY ASC LLC, THE REGIONAL EYE SURGERY CENTER | 331031979 | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $2206.00 | 1720325160 - SURGCENTER OF DEER VALLEY, LLC | 461512703 - (AZ) SURGCENTER OF DEER VALLEY LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $2353.00 | 1316947609 - AMARILLO ENDOSCOPY CENTER, LP | 752893120 - (TX) AMARILLO ENDOSCOPY CENTER LP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $1647.00 | 1053846592 - EASTSIDE ENDOSCOPY CENTER LLC | 810759895 - (GA) EASTSIDE ENDOSCOPY CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $1269.00 | 1073509733 - WEST PLAINS SURGERY CENTER LLC | 320093110 - (MO) WEST PLAINS AMBULATORY SURGERY CENT | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $2353.00 | 1932735677 - PARKCREEK ASC LLC | 843082809 | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $1417.00 | 1851055362 - SAND PLASTIC SURGERY, PLLC, SIXTH AVENUE SURGERY CENTER | 871494902 - (WA) SAND PLASTIC SURGERY PLLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $743.00 | 1316061765 - PUBLIC HOSPITAL DIST NO 1 SKAGIT | 562392010 | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $2307.00 | 1942851639 - NORTHERN MICHIGAN SURGICAL SUITES, LLC | 830670803 - (MI) NORTHERN MICHIGAN SURGICAL SUITES, LLC | MI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $700.00 | 1710952882 - ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC | 813253496 | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58345 | $2353.00 | 1598996894 - SURGICAL ELITE OF AVONDALE, LLC | 270471437 - (AZ) SURGICAL ELITE OF AVONDALE LLC | AZ | 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 58345 vs. Other Surgical Procedures on the Corpus Uteri Codes
The CPT 58345 code is part of the Introduction Procedures on the Corpus Uteri services used for Surgical Procedures on the Corpus Uteri. 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 58345 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 |
|---|---|---|
| 58110-CPT | Low | Biopsy Of The Uterine Lining, A Procedure To Remove A Sample Of Tissue From The Lining Of The Uterus For Testing (Biopsy). The Procedure May Include Examining The Cervix With A Scope (Colposcopy). |
| 58145-CPT | Moderate | Myomectomy Vag Method, Myomectomy Excision Of Fibroid Tumor S Of Uterus 1 To 4 Intramural Myoma S With Total Weight Of 250 G Or Less And Or Removal Of Surface Myomas Vaginal Approach |
| 58301-CPT | Low | Removal Intrauterine Device |
| 58345-CPT | Moderate | Place Fallopian Tube Catheter, Placement Of A Small Tube (Catheter) Into A Fallopian Tube To Enable Liquid To Flow Through. The Procedure May Use A Scope (Hysterosalpingoscope) To View 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 58345. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58345 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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