CPT 58545 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Female Genital System |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • AS - PA/NP/CNS assistant at surgery • 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58545 |
National average reimbursement for CPT 58545 by major payers:
$1,108.53
$1,208.38
$1,278.88
$1,495.77
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 58545 | ||||||
United | 58545 | $2710.00 | 1225458755 - AOS SURGERY CENTER LLC | 464197221 - (GA) AOS SURGERY CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $732.00 | 1538157037 - WEST CENTRAL SURGICAL CENTER, LLC | 200088459 - (OH) WEST CENTRAL SURGICAL CENTER LLC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $7088.00 | 1700546629 - STONE OAK SURGICENTER, LLC | 873925488 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $1088.00 | 1043239338 - NORTH VALLEY ENDOSCOPY CENTER LLC | 201729172 - (AZ) NORTH VALLEY ENDOSCOPY CENTER LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $1723.00 | 1205945243 - FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLC | 593646134 - (FL) FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $1374.00 | 1326047937 - WEST SHORE ENDOSCOPY CENTER LLC | 251885828 - (PA) WEST SHORE ENDOSCOPY CENTER LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $5623.00 | 1225275688 - MAIN STREET SPECIALTY SURGERY CENTER, LLC | 954813223 - (CA) MAIN STREET SPECIALTY SURGERY CENTER | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $10317.00 | 1659519684 - SOUTH CAMPUS SURGERY CENTER | 352038072 - (IN) SOUTH CAMPUS SURGERY CENTER | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $11291.00 | 1568410926 - MERIDIAN MEDICAL GROUP PC, MERIDIAN ENDOSCOPY CENTER | 208398421 | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $5354.00 | 1245820042 - ALOE SURGICAL CENTER SCOTTSDALE, LLC | 845112576 - (AZ) ALOE SURGICAL CENTER SCOTTSDALE LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $6506.00 | 1427326677 - ENCINITAS ENDOSCOPY CENTER, LLC, THE ENDOSCOPY CENTER | 453608354 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $2195.00 | 1740254572 - THE NORTHERN NV ENDOSCOPY ASC LLC, DIGESTIVE HEALTH CENTER | 200470103 - THE NORTHERN NV ENDOSCOPY ASC LLC | NV | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $1346.00 | 1508912262 - WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC, VISTA SURGERY CENTER | 203978521 | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $2980.00 | 1467580019 - MIDWEST SURGERY CENTER INC | 204139967 - (NE) MIDWEST SURGERY CENTER INC | NE | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 58545 | $1783.00 | 1194291401 - AFFILIATED PHYSICIANS & SURGEONS, LTD | 860495569 - (AZ) AFFILIATED PHYSICIANS SURGEONS LTD | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 58545 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58545 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 58545 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 |
|---|---|---|
| 58140-CPT | High | Myomectomy Excision Of Fibroid Tumors Of Uterus 1 To 4 Intramural Myoma(S) With Total Weight Of 250 Grams Or Less And/Or Removal Of Surface Myomas; Abdominal Approach (Desc Rev 01/01/03) |
| 58145-CPT | Moderate | Myomectomy, Excision Of Fibroid Tumor(S) Of Uterus, 1 To 4 Intramural Myoma(S) With Total Weight Of 250 G Or Less And/Or Removal Of Surface Myomas; Vaginal Approach |
| 58323-CPT | Low | Sperm Washing For Artificial Insemination |
| 58545-CPT | High | Laparoscopy Surgical Myomectomy Excision; 1 To 4 Intramural Myomas With Total Weight Of 250 Grams Or Less And/Or Removal Of Surface Myomas |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58545 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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