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See a sample rate comparisonHealthcare 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 11 - Office |
| Common Modifiers | None AG - Primary physician 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58353 |
| Medicaid Fee Schedule | View Medicaid rates for 58353 |
National average reimbursement for CPT 58353 by major payers:

$1,117.33

$1,381.03

$1,346.67

$499.60
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Baycare Aurora Kaukauna Surgery Center LLC
Eye Surgery Centers Of New Mexico LLC
Eye Surgery Center Of Western Ohio LLC
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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 58353 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58353 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 58353 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 |
|---|---|---|
| 58346-CPT | Moderate | Uterine Radiation Therapy, Insertion Of Radiation Therapy Seeds Or Pellets Into The Uterus For Treatment Of Endometrial Cancer (Cancer Of The Uterine Lining). |
| 58350-CPT | Low | Fallopian Tube Dye Injection, A Procedure To Inject A Liquid Dye Through The Fallopian Tubes With The Aid Of A Scope (Laparoscopy). |
| 58353-CPT | High | Remove Lining Of Uterus, Removal Of The Endometrium (Lining Of The Uterus) With Heated Or Super-Cooled Liquid. Ultrasound May Be Used To Assist Viewing The Area. |
| 58356-CPT | High | Remove Lining Of Uterus, Removal Of The Endometrium (Lining Of The Uterus) With Heated Or Super-Cooled Liquid. Ultrasound May Be Used To Assist Viewing 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 58353. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58353 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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