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See a sample rate comparisonCPT 58520 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.
Hysterorrhaphy Uterine Rupture
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58520 |
| Medicaid Fee Schedule | View Medicaid rates for 58520 |
National average reimbursement for CPT 58520 by major payers:
$953.59
$1,066.22
$1,062.55
$1,291.12
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CPT 58520
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Azle
$11,727.00Published rateCenter For Pain Management LLC, Tucson Urologic Surgery Center
Center For Pain Management LLC
$1,477.00Published rateSurgery Center Of Northeast Texas LLC, Surgery Center Of Northeast Texas
Scnetx, Llcdba Surgery Center
$743.00Published rateCoppel Surgical Solutions, Nevada Surgical Suites
Coppel Surgical Solutions
$372.00Published rateRma Of Philadelphia Surgical Center LLC
$96.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 58520 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58520 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 58520 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 |
|---|---|---|
| 58520-CPT | Moderate | Hysterorrhaphy Uterine Rupture |
| 58540-CPT | High | Uterus Reconstruction, Surgical Reconstruction Of A Uterus That Did Not Form Properly. The Procedure May Involve A Variety Of Individual Repairs. |
| 58550-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. |
| 58552-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58520 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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