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See a sample rate comparisonCPT 58540 Fee Schedule
Last Verified: October 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.
Uterus Reconstruction, Surgical Reconstruction Of A Uterus That Did Not Form Properly. The Procedure May Involve A Variety Of Individual Repairs.
| 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 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58540 |
| Medicaid Fee Schedule | View Medicaid rates for 58540 |
National average reimbursement for CPT 58540 by major payers:
$1,158.94
$1,221.74
$1,181.05
$1,478.51
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CPT 58540
5 of 25 sample ratesHigher to lower in this preview
Columbia North Hills Hospital Subsidiary Lp, Medical City North Hills
Columbia North Hills Hospital Subsidiary Lp
$10,364.00Published rateHagerstown Surgery Center,LLC
Hagerstown Surgery Center, LLC
$1,049.00Published rateRacine Digestive Health Center LLC
$632.00Published rateGreensboro Ophthalmology Asc LLC, Surgical Eye Center
Greensboro Ophthalmology LLC, Asc
$430.00Published rateSani Eye Center, Inc., Sani Eye Surgery Center
Sani Eye Center Inc
$81.00Published rate
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See a sample payer proposalCPT 58540 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58540 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 58540 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. |
| 58541-CPT | Moderate | Laparoscopic Hysterectomy, Surgery Aided By A Scope (Laparoscopy) To Remove The Uterus. The Procedure May Also Remove One Or Both Fallopian Tubes And Ovaries As Well As Nearby Lymph Nodes. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58540 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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