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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 80 - Assistant surgeon 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58720 |
| Medicaid Fee Schedule | View Medicaid rates for 58720 |
National average reimbursement for CPT 58720 by major payers:

$877.72

$988.26

$1,045.70

$1,216.56
Choose a payer to see a sample of rates for CPT 58720.
Johnston Memorial Hospital Inc
Resurgens East Surgery Center LLC
Crossroads Surgery Center LLC
The Skin Cancer Center Inc
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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
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See a sample payer proposalCPT 58720 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58720 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 58720 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 |
|---|---|---|
| 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 |
| 58700-CPT | Moderate | Salpingectomy Comple Or Partial Unilat Or Bilate (Sepa, Salpingectomy Complete Or Partial Unilateral Or Bilateral (Separate |
| 58720-CPT | Moderate | Salpingo-Oophorectomy Comple Or Partial Unilat Or Bilate (S, Salpingo-Oophorectomy Complete Or Partial Unilateral Or Bilateral (S |
| 58740-CPT | High | Surgery For Scar Tissue, Surgery To Remove Internal Scar Tissue (Adhesions) That Has Formed Around The Ovaries Or Fallopian Tubes. The Procedure May Be A Regular Surgery Or Aided By A Scope (Laparoscope). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58720 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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