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CPT 58579 Fee Schedule

Last Verified: November 2025

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.

Unlisted Hysteroscopy Procedure, Uterus
Key FactDetail
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

UB

59 - Distinct Procedural Service

Complexity LevelHigh

National average reimbursement for CPT 58579 by major payers:

bcbs

$1,085.51

uhc

$149.81

aetna

$1,496.67

cigna

$1,245.73

Preview provider-level rates for...
For billing codeCPT 58579
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 58579

United
58579$574.001295479780 - ADVENTHEALTH SURGERY CENTER DAVENPORT LLC881811228FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$230.001881225639 - BANNER SURGERY CENTER843441285 - (AZ) BANNER SURGERY CENTERAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$301.001548984263 - ALLINA HEALTH SURGERY CENTER883732480MNAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$566.001043303894 - DOCTORS OUTPATIENT SURGERY CENTER OF JUPITER, LLC, LASER & SURGERY CENTER OF THE PALM BEACHES650953183 - (FL) DRS. OUTPATIENT SURGERY CENTER OF JUPITER, LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$158.001104896422 - NORTH IDAHO PAIN CENTER LLC203305236IDAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$342.001609815075 - ORTHOATLANTA SURGERY CENTER OF FAYETTEVILLE, LLC202961633 - (GA) ORTHOATLANTA SURGERY CENTER OF FAYETTEVILLE LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$555.001205023280 - SUMMIT AMBULATORY SURGICAL CENTER, LLC522148280MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$688.001629559208 - ORTHOARIZONA SURGERY CENTER GILBERT, LLC, ORTHOARIZONA SURGERY CENTER GILBERT823624585 - (AZ) ORTHOARIZONA SURGERY CENTER GILBERT LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$200.001528553559 - SURGICAL PAIN CENTER OF THE ADIRONDACKS, LLC821943675 - (NY) SURGICAL PAIN CENTER OF THE ADIRONDACKS LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$1446.001487371431 - BAYLOR SCOTT & WHITE SURGICARE WAXAHACHIE LLC920758698TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$3146.001558501916 - ST. FRANCIS MOORESVILLE SURGERY CENTER, LLC202256900 - (IN) ST. FRANCIS MOORESVILLE SURGERY CENTER, LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$574.001346693124 - VILLAGES ENDOSCOPY CENTER LLC813250494FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$906.001447364682 - RIDGE VIEW ENDOSCOPY CENTER800688043COAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$72.001114926714 - ENDOSCOPY CENTER OF DAYTON LTD311460799 - (OH) ENDOSCOPY CENTER OF DAYTON LTDOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
58579$125.001871593269 - ACADIANA SURGERY CENTER, INC.721235496 - (LA) ACADIANA SURGERY CENTER INCLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 58579 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 58579 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 58579 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.

CodeComplexityDescription
58555-CPTModerateHysteroscopy, Diagnostic (Separate Procedure)
58578-CPTHighUnlisted Laparoscopy Procedure, Uterus
58579-CPTHighUnlisted Hysteroscopy Procedure, Uterus
58600-CPTModerateTransection Fallopian Tube

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58579. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 58579 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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