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See a sample rate comparisonCPT 58400 Fee Schedule
Last Verified: October 2026
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.
Suspension Of Uterus, Uterine Suspension With Or Without Shortening Of Round Ligaments With Or Without Shortening Of Sacrouterine Ligaments Separate Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58400 |
| Medicaid Fee Schedule | View Medicaid rates for 58400 |
National average reimbursement for CPT 58400 by major payers:
$550.92
$601.41
$602.68
$745.21
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CPT 58400
5 of 25 sample ratesHigher to lower in this preview
Port Warwick Surgery Center, LLC
Port Warwick Surgery Center LLC
$6,610.00Published rateSalmon Surgery Center LLC
$3,570.00Published rateOrange City Surgical LLC, Adventhealth Surgery Center Blue Springs
Orange City Surgical, LLC
$2,112.00Published rateBay Surgery Centers LLC, Clearway Surgery Center Of Annapolis
Bay Surgery Centers LLC
$1,334.00Published rateAmbulatory Surgical Care, LLC
Ambulatory Surgical Care LLC
$550.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 58400 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58400 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 58400 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 |
|---|---|---|
| 58120-CPT | Moderate | Removal Of Uterine Lining, A Procedure To Open The Cervix Manually And Scrape Out The Lining Of The Uterus. The Procedure Is Commonly Referred To As A D And C (Dilation And Curettage). |
| 58210-CPT | High | Extensive Hysterectomy, Radical Abdominal Hysterectomy With Bilateral Total Pelvic Lymphadenectomy And Para Aortic Lymph Node Sampling Biopsy With Or Without Removal Of Tube S With Or Without Removal Of Ovary S |
| 58400-CPT | Moderate | Suspension Of Uterus, Uterine Suspension With Or Without Shortening Of Round Ligaments With Or Without Shortening Of Sacrouterine Ligaments Separate Procedure |
| 58410-CPT | High | Suspension Of Uterus, Uterine Suspension With Or Without Shortening Of Round Ligaments With Or Without Shortening Of Sacrouterine Ligaments With Presacral Sympathectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58400 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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