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See a sample rate comparisonCPT 58605 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.
Ligation Or Transection Of Fal, Ligation Or Transection Of Fallopian Tube(S) Abdominal Orvaginal Approach Postpartum Unilateral Or Bilateral During Same Hospitalization (Separate Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58605 |
| Medicaid Fee Schedule | View Medicaid rates for 58605 |
National average reimbursement for CPT 58605 by major payers:
$419.60
$445.43
$459.01
$545.68
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CPT 58605
5 of 25 sample ratesHigher to lower in this preview
Jennifer Struble
$1,254.00Published rateClaudine Sylvester
$671.54Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$492.97Published rateSoheyla Pezeshki
Ascension Providence Hospital
$446.00Published rateJeremy Lee
Deaconess Hospital Inc
$266.23Published rate
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See a sample payer proposalCPT 58605 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58605 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 58605 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 |
|---|---|---|
| 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 |
| 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) |
| 58611-CPT | Low | Ligate Oviduct(S) Add-On, Ligation Or Transection Of Fallopian Tube(S) When Done At The Time Of Cesarean Delivery Or Intra-Abdominal Surgery (Not A Separate Procedure) (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58605 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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