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See a sample rate comparisonCPT 58565 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.
Female Sterilization, Surgery Aided By A Scope (Hysteroscope) To Make Pregnancy Not Possible. A Metal Implant Is Placed Into The Fallopian Tube Blocking The Passage Of Sperm And Eggs.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58565 |
| Medicaid Fee Schedule | View Medicaid rates for 58565 |
National average reimbursement for CPT 58565 by major payers:
$2,040.90
$2,479.60
$2,338.30
$1,044.39
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CPT 58565
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Irving, LLC
$8,238.00Published rateChildren'S National Ambulatory Surgery Center
Childrens Hospital
$4,389.00Published rateRoosevelt Surgery Center, LLC
$3,925.00Published rateSurgery Center Of Farmington, L.L.C.
Surgery Center Of Farmington
$2,055.00Published rateSurgery Center At Gateway LLC
$790.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 58565 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58565 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 58565 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. |
| 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. |
| 58565-CPT | High | Female Sterilization, Surgery Aided By A Scope (Hysteroscope) To Make Pregnancy Not Possible. A Metal Implant Is Placed Into The Fallopian Tube Blocking The Passage Of Sperm And Eggs. |
| 58600-CPT | Moderate | Ligati Or Transecti Of Fallopi Tube(S) Abdomi Or Vagnal App, Ligation Or Transection Of Fallopian Tube(S) Abdominal Or Vaginal App |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58565. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58565 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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