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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 | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AG - Primary physician 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58670 |
| Medicaid Fee Schedule | View Medicaid rates for 58670 |
National average reimbursement for CPT 58670 by major payers:

$490.83

$494.09

$506.86

$604.44
Choose a payer to see a sample of rates for CPT 58670.
Town Center Orthopaedic Associates, P.C.
Deaconess Hospital Inc
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 58670 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58670 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 58670 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 |
|---|---|---|
| 58661-CPT | Moderate | Laparoscopy Surgical With Re, Laparoscopy Surgical With Removal Of Adnexal Structures (Partial Or Total Oophorectomy Andor Salpingectomy) |
| 58670-CPT | Moderate | Laparoscopy Surg; W/ Fulgurati Of Oviducts (W//W/O T, Laparoscopy Surgical; With Fulguration Of Oviducts (With Or Without T |
| 58671-CPT | Moderate | Female Sterilization, Surgery To Prevent Pregnancy Where A Small Insert Is Put Into Each Fallopian Tube To Keep Sperm From Reaching The Eggs. |
| 58673-CPT | High | Fallopian Tube Surgery, Surgery To Repair One Or Both Fallopian Tubes. The Procedure May Be Aided By A Scope (Laparoscopy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58670 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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