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See a sample rate comparisonCPT 58559 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58559 |
| Medicaid Fee Schedule | View Medicaid rates for 58559 |
National average reimbursement for CPT 58559 by major payers:
$390.33
$420.00
$438.91
$488.14
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CPT 58559
5 of 25 sample ratesHigher to lower in this preview
Medical City Surgery Center Of Alliance, LLC
Medical City Surgery Center Of Alliance LLC
$5,381.00Published rateVillages Endoscopy & Surgical Center LLC
$2,388.00Published ratePremier Surgical Center LLC
$1,543.00Published rateCaplan-Berkeley, LLP, Caplan Surgery Center
Caplanberkeley LLP
$1,050.00Published rateDavid Baum
Deaconess Hospital Inc
$232.99Published rate
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See a sample payer proposalCPT 58559 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58559 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 58559 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 |
|---|---|---|
| 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. |
| 58561-CPT | Moderate | 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58559. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58559 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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