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See a sample rate comparisonCPT 58356 Fee Schedule
Last Verified: September 2026
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.
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.
| 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 59 - Distinct Procedural Service AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58356 |
| Medicaid Fee Schedule | View Medicaid rates for 58356 |
National average reimbursement for CPT 58356 by major payers:
$2,002.04
$2,564.09
$2,387.76
$933.91
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CPT 58356
5 of 25 sample ratesHigher to lower in this preview
Methodist Healthcare System Of San Antonio, Ltd., L.L.P., Methodist Hospital
$10,054.00Published rateEndoscopy Asc Of Middle Georgia LLC
$5,020.00Published ratePremier Asc LLC, Premier Orthopaedic Surgery Center
$2,978.00Published rateEye Surgery Center Of Maryville LLC, Eyes Of Illinois Surgery Center
Novamed Eye Surgery Center Of Maryville LLC
$1,457.00Published rateAdvanced Laser & Surgicenter Of Arizona, PC
$713.00Published rate
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See a sample payer proposalCPT 58356 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58356 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 58356 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 |
|---|---|---|
| 58263-CPT | High | Vaginal Hysterectomy, Surgery To Remove The Uterus Through The Cervix (Vaginal Hysterectomy). The Procedure May Be Aided By A Scope (Laparoscope). The Fallopian Tubes Or Ovaries Also May Be Removed. |
| 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 58356. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58356 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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