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See a sample rate comparisonHealthcare 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 21 - Inpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58575 |
| Medicaid Fee Schedule | View Medicaid rates for 58575 |
National average reimbursement for CPT 58575 by major payers:

$2,495.73

$2,591.57

$2,577.30

$3,102.89
Choose a payer to see a sample of rates for CPT 58575.
The Surgery Center, LLC
East Brunswick Surgery Center
Galea Center LLC
Novamed Surgery Center Of Madison Limited Partnership
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 58575 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58575 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 58575 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 |
|---|---|---|
| 58573-CPT | High | Hysterectomy With Laparoscope, Surgery Aided By A Scope (Laparoscope) To Remove The Uterus (Hysterectomy). One Or Both Pairs Of Fallopian Tubes Or Ovaries Also May Be Removed. |
| 58575-CPT | High | Laparoscopy Surgical Total H, Laparoscopy Surgical Total Hysterectomy For Resection Of Malignancy (Tumor Debulking) With Omentectomy Including Salpingo-Oophorectomy Unilateral Or Bilateral When Performed Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th |
| 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 |
| 58605-CPT | Moderate | Ligation Or Transection Of Fal, Ligation Or Transection Of Fallopian Tube(S) Abdominal Orvaginal Approach Postpartum Unilateral Or Bilateral During Same Hospitalization (Separate Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58575 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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