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See a sample rate comparisonHealthcare 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.
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58615 |
| Medicaid Fee Schedule | View Medicaid rates for 58615 |
National average reimbursement for CPT 58615 by major payers:

$329.52

$337.91

$336.80

$414.34
Choose a payer to see a sample of rates for CPT 58615.
Northwest Surgery Center LLP
New Braunfels Spine Pain Surgery
University Hospitals Health System Inc
Upstate Gastroenterology LLC
Femicare Surgery Center LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 58615 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58615 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 58615 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 |
|---|---|---|
| 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) |
| 58615-CPT | Moderate | Occlusion Of Fallopian Tube(S), Occlusion Of Fallopian Tube(S) By Device (Eg Band Clipfalope Ring) Vaginal Or Suprapubic Approachocclusion Of Fallopian Tube(S) By Device (Eg Ba Nd Clip |
| 58661-CPT | Moderate | Laparoscopy Surgical With Re, Laparoscopy Surgical With Removal Of Adnexal Structures (Partial Or Total Oophorectomy Andor Salpingectomy) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58615 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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