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See a sample rate comparisonCPT 58558 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.
Scope Surgery Of Uterus, Surgery On The Uterus Aided By A Scope (Hysteroscopy). The Procedure May Take A Sample Of Tissue For Testing (Biopsy). Alternatively The Procedure Removes The Uterus Lining Or Growths Such As Polyps Tumors Or Fibroids.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58558 |
| Medicaid Fee Schedule | View Medicaid rates for 58558 |
National average reimbursement for CPT 58558 by major payers:
$1,129.94
$1,265.97
$1,422.22
$473.96
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CPT 58558
5 of 25 sample ratesHigher to lower in this preview
Baohuong Tran
Regional Women'S Health Group, LLC
$3,663.83Published rateJahanzeb Qureshi
Deaconess Hospital Inc
$2,385.80Published rateThalia Mok
Agilence Arthritis And Osteoporosis Medical Center Inc / Allergy And Asthma Center Medical Group Inc / Christine E Dahlin Md Inc
$1,715.60Published rateEye Surgery Center Of New Albany, LLC, Novamed Eye Surgery Center Of New Albany, LLC
Eye Surgery Center Of New Albany LLC
$1,006.00Published rateDr. James M Croak, Inc.
Dr James M Croak Inc
$191.22Published rate
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See a sample payer proposalCPT 58558 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58558 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 58558 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 |
|---|---|---|
| 58555-CPT | Moderate | Hysteroscopy, Diagnostic (Separate Procedure) |
| 58558-CPT | High | Scope Surgery Of Uterus, Surgery On The Uterus Aided By A Scope (Hysteroscopy). The Procedure May Take A Sample Of Tissue For Testing (Biopsy). Alternatively The Procedure Removes The Uterus Lining Or Growths Such As Polyps Tumors Or Fibroids. |
| 58559-CPT | Moderate | Remove Scar Tissue From Uterus, An Exam Of The Uterus With A Scope (Hysteroscope) Inserted Through The Cervix. The Procedure Cuts Scar Tissue Inside The Uterus. |
| 58560-CPT | Moderate | Remove Partition From Uterus, Exam Of The Uterus Through The Cervix With The Aid Of A Scope (Hysteroscope). The Procedure Removes An Abnormal Dividing Wall (Septum) That Has Formed In The Uterus. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58558. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58558 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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