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See a sample rate comparisonHealthcare 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.
| 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 24 - Ambulatory Surgical Center |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58740 |
| Medicaid Fee Schedule | View Medicaid rates for 58740 |
National average reimbursement for CPT 58740 by major payers:

$1,127.89

$1,187.62

$1,151.04

$1,439.69
Choose a payer to see a sample of rates for CPT 58740.
Peak One Surgery Center LLC
East Portland Surgery Center, LLC
Palos Hills Surgery Center LLC
Orthopedics Rhode Island, Inc.
Arizona Skin Cancer Surgery Center PC
Choose your state and specialty to build a report from payer-published rates.
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 58740 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58740 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 58740 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 |
|---|---|---|
| 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). |
| 58750-CPT | High | Unblock Fallopian Tube, Microsurgical Repair Of A Blocked Fallopian Tube. The Blocked Section Is Removed. Then Either The Tube Ends Are Sewn Together Or The Tube Is Reimplanted Into The Uterus. |
| 58760-CPT | High | Fimbrioplasty |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58740 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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